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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY L ROSS</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GHAZALA TURABI</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA WASHINGTON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>V BOBBY WILLIAMS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2356098</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>130794</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>25</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACE HEALTH CONSULTANT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1015 STELLA VARA DR</AddressLine1Txt>
            <CityNm>LUTZ</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33548</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILL SVC/PHARM</ServicesDesc>
        <CompensationAmt>1585101</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 847950 SUITE 308</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022847950</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SVC</ServicesDesc>
        <CompensationAmt>332845</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TIMEDOC HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>815 W WEED ST</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60642</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
        <CompensationAmt>316153</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>JHA LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 RAINTREE PLACE</AddressLine1Txt>
            <CityNm>AUGUSTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30909</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>130710</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CAMFERN INVESTMENT LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3733 PEBBLE BEACH DRIVE</AddressLine1Txt>
            <CityNm>MARTINEZ</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30907</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>102888</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6673594</GovernmentGrantsAmt>
      <TotalContributionsAmt>6673594</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PROGRAM SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>24170971</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24170971</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24170971</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>145</TotalRevenueColumnAmt>
        <ExclusionAmt>145</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>81168</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>77685</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>3483</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>3483</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>3483</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1558</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-1558</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1558</TotalRevenueColumnAmt>
        <ExclusionAmt>-1558</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEANINGFUL USE/INCENTIVE REV</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>473378</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>473378</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>72102</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>72102</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>545480</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>31392115</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24716451</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>3483</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-1413</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>818552</TotalAmt>
        <ManagementAndGeneralAmt>818552</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13163571</TotalAmt>
        <ProgramServicesAmt>10868146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2295425</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>167566</TotalAmt>
        <ProgramServicesAmt>137220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30346</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1042827</TotalAmt>
        <ProgramServicesAmt>853971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188856</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>867661</TotalAmt>
        <ProgramServicesAmt>710528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157133</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>44866</TotalAmt>
        <ProgramServicesAmt>36741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8125</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>165595</TotalAmt>
        <ManagementAndGeneralAmt>165595</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2920546</TotalAmt>
        <ProgramServicesAmt>2697906</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222640</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>319628</TotalAmt>
        <ProgramServicesAmt>261743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57885</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>575201</TotalAmt>
        <ProgramServicesAmt>354019</ProgramServicesAmt>
        <ManagementAndGeneralAmt>221182</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>534547</TotalAmt>
        <ProgramServicesAmt>437741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96806</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>602489</TotalAmt>
        <ProgramServicesAmt>471146</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131343</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>34391</TotalAmt>
        <ProgramServicesAmt>28163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6228</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>40934</TotalAmt>
        <ProgramServicesAmt>33521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7413</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>98483</TotalAmt>
        <ProgramServicesAmt>77014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21469</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1020509</TotalAmt>
        <ProgramServicesAmt>798038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222471</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>177475</TotalAmt>
        <ProgramServicesAmt>145334</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32141</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>8149927</TotalAmt>
        <ProgramServicesAmt>8149927</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTION</Desc>
        <TotalAmt>263939</TotalAmt>
        <ProgramServicesAmt>216140</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47799</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>127730</TotalAmt>
        <ProgramServicesAmt>99885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27845</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>100630</TotalAmt>
        <ProgramServicesAmt>82406</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18224</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>101815</TotalAmt>
        <ProgramServicesAmt>79966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21849</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>31338882</TotalAmt>
        <ProgramServicesAmt>26539555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4799327</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>706115</BOYAmt>
        <EOYAmt>374706</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>646312</BOYAmt>
        <EOYAmt>633681</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1299478</BOYAmt>
        <EOYAmt>1465077</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>233644</BOYAmt>
        <EOYAmt>243516</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>23206</BOYAmt>
        <EOYAmt>78614</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>14161951</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5263328</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8581768</BOYAmt>
        <EOYAmt>8898623</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>701189</EOYAmt>
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        <BOYAmt>479778</BOYAmt>
        <EOYAmt>802048</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>12770161</BOYAmt>
        <EOYAmt>13197454</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1623143</BOYAmt>
        <EOYAmt>1873180</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>2821291</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>167675</BOYAmt>
        <EOYAmt>100437</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4420848</BOYAmt>
        <EOYAmt>4794908</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8349313</BOYAmt>
        <EOYAmt>8402546</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8349313</BOYAmt>
        <EOYAmt>8402546</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12770161</BOYAmt>
        <EOYAmt>13197454</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>53233</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3595036</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4068437</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5243437</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7313567</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6673594</CurrentTaxYearAmt>
        <TotalAmt>26894071</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3595036</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4068437</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5243437</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7313567</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6673594</CurrentTaxYearAmt>
        <TotalAmt>26894071</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>26894071</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1131</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2349</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>828</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>463</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>145</CurrentTaxYearAmt>
        <TotalAmt>4916</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus2YearsAmt>23369</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23967</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1722</CurrentTaxYearAmt>
        <TotalAmt>49058</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>26948045</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>79080040</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99800</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99780</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc4">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>495406</OtherCostOrOtherBasisAmt>
        <BookValueAmt>495406</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9623855</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2747761</DepreciationAmt>
        <BookValueAmt>6876094</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>122634</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>35014</DepreciationAmt>
        <BookValueAmt>87620</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3572910</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2480553</DepreciationAmt>
        <BookValueAmt>1092357</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>347146</OtherCostOrOtherBasisAmt>
        <BookValueAmt>347146</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8898623</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>PHARMACY RECEIVABLE</Desc>
        <BookValueAmt>716319</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BOND ISSUE COSTS</Desc>
        <BookValueAmt>39677</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTIES</Desc>
        <BookValueAmt>28804</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>17248</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>802048</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CARES ACT REFUNDABLE ADVANCE</Desc>
        <Amt>100437</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>100437</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>32445676</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>975876</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>975876</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>31469800</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-77685</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-77685</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>31392115</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>32392443</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>975876</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>77685</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1053561</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>31338882</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>31338882</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2021 AND 2020 OR FOR THE YEARS THEN ENDED. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES OFFSET TO REVENUES -77,685</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES OFFSET TO REVENUES 77,685</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN DEANGELO MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>407590</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25262</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>6357</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>439209</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES FORD MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>311465</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>22309</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11543</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>843</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>346262</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J R RICHARDS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>234614</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>73602</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2709</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335175</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEPLER DAVIS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>270000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>19562</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10800</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>300362</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACK AUSTIN JR MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>256389</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11827</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20725</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3226</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>292167</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GABRIEL MADU MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>268564</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>102</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20240</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1436</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>290342</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YVONNE JOHNSON</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>193059</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193059</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CEO AND CFO REVIEW THE FORM 990 FOR CONTENT AND COMPLETENESS AND DISTRIBUTE COPIES TO THE BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND OFFICERS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. AN INDEPENDENT COMMITTEE REVIEWS THE STATEMENTS AND DETERMINES WHETHER OR NOT ANY CONFLICTS EXIST. SHOULD A CONFLICT RESULT FROM A POTENTIAL TRANSACTION, THE CONFLICTED INDIVIDUAL IS RECUSED FROM VOTING OR DISCUSSION OF THE TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION FOR THE CEO IS PERFORMED, REVIEWED, AND APPROVED BY INDEPENDENT MEMBERS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
