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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>203780</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30165</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERICA ISLES</PersonNm>
        <TitleTxt>CENTER MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>238970</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24868</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA LEE</PersonNm>
        <TitleTxt>CENTER MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>258390</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30096</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIVIENNE ROSE</PersonNm>
        <TitleTxt>CENTER MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>246515</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4309</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARLENE TYLER</PersonNm>
        <TitleTxt>CENTER MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>201292</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29818</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CESAR ARIAS</PersonNm>
        <TitleTxt>CENTER MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>230989</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9996</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN JACOBS</PersonNm>
        <TitleTxt>DIRECTOR OF PHARMACY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>184714</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30934</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHANAN LEVY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>48.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>378960</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CORRIS E ARCHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>288392</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10078</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AYAZ HAROON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>194840</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29768</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL LAWRENCE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>188325</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2275</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA RAINEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>198562</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11636</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3852321</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>276928</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>82</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OBRECHT REALTY SERVICE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9475 DEERECO RD SUITE 200</AddressLine1Txt>
            <CityNm>TIMONIUM</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21093</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITURE</ServicesDesc>
        <CompensationAmt>725465</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BROADWAY SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3709 E MONUMENT STREET</AddressLine1Txt>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21205</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>666421</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST AGNES HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 CATON AVE</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21229</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE PROVIDERS</ServicesDesc>
        <CompensationAmt>643846</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STRATUS AUDIO INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>17757 US HIGHWAY 19 N STE 160</AddressLine1Txt>
            <CityNm>CLEARWATER</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33764</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERPRETATION SERVICES</ServicesDesc>
        <CompensationAmt>455774</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LANDMARK MEDIA ENTERPRISES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 GRANBY STREET</AddressLine1Txt>
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            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23510</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING &amp; BROADCASTING</ServicesDesc>
        <CompensationAmt>434820</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>16</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>12123511</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4881477</AllOtherContributionsAmt>
      <TotalContributionsAmt>17004988</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>60760579</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>60760579</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT RELATED SERVIC</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>10712465</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10712465</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RESIDENCY TRAINING</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>382062</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>382062</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>71855106</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>14586</TotalRevenueColumnAmt>
        <ExclusionAmt>14586</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>88874680</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>71855106</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>14586</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>3842763</TotalAmt>
        <ProgramServicesAmt>2431178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1411585</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>25100839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5837945</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>168950</ProgramServicesAmt>
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        <FundraisingAmt>2587</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>4161654</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>48949</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>84000</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>2401</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>21255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>208660</ManagementAndGeneralAmt>
        <FundraisingAmt>148304</FundraisingAmt>
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        <ProgramServicesAmt>1218211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>437968</ManagementAndGeneralAmt>
        <FundraisingAmt>37227</FundraisingAmt>
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        <ProgramServicesAmt>400369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>587905</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>2702126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>387324</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3820</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18810</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>149261</TotalAmt>
        <ProgramServicesAmt>94111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55150</ManagementAndGeneralAmt>
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        <TotalAmt>175618</TotalAmt>
        <ProgramServicesAmt>136375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39243</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1021065</ProgramServicesAmt>
        <ManagementAndGeneralAmt>369376</ManagementAndGeneralAmt>
        <FundraisingAmt>2575</FundraisingAmt>
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        <ProgramServicesAmt>558205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252192</ManagementAndGeneralAmt>
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        <Desc>PHARMACEUTICALS</Desc>
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        <ProgramServicesAmt>13256556</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32319</ManagementAndGeneralAmt>
        <FundraisingAmt>80</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED SERVICES</Desc>
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        <ProgramServicesAmt>580735</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES</Desc>
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        <ProgramServicesAmt>31889</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1742</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>11440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1456</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>85281908</TotalAmt>
        <ProgramServicesAmt>68962369</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15646721</ManagementAndGeneralAmt>
        <FundraisingAmt>672818</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>20415104</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1215358</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2975933</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>7548655</EOYAmt>
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        <EOYAmt>518885</EOYAmt>
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        <EOYAmt>181596</EOYAmt>
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        <EOYAmt>11129735</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>636787</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <EOYAmt>100</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>3516976</BOYAmt>
        <EOYAmt>1333025</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>43671043</BOYAmt>
        <EOYAmt>45955178</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>8852339</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>698251</EOYAmt>
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        <EOYAmt>2627356</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>566500</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>14035508</BOYAmt>
        <EOYAmt>12744446</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>33210732</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>29635535</BOYAmt>
        <EOYAmt>33210732</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>43671043</BOYAmt>
        <EOYAmt>45955178</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3592772</ReconcilationRevenueExpnssAmt>
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      <OtherChangesInNetAssetsAmt>1586</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>252813</OtherCostOrOtherBasisAmt>
        <BookValueAmt>252813</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13475941</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6715256</DepreciationAmt>
        <BookValueAmt>6760685</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5567133</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3749477</DepreciationAmt>
        <BookValueAmt>1817656</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>8331043</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6931796</DepreciationAmt>
        <BookValueAmt>1399247</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1729639</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>830305</DepreciationAmt>
        <BookValueAmt>899334</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11129735</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ADVANCES PAYABLE</Desc>
        <Amt>566500</Amt>
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      <TotalLiabilityAmt>566500</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>90448301</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-19161</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>1593597</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>1586</OtherRevenueAmt>
      <RevenueNotReportedAmt>1576022</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>88872279</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>2401</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>2401</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>88874680</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>86873104</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1593597</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>1593597</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>2401</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>85281908</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FASB ASC TOPIC 740-10) ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SWAP 1,586.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
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        <TotalCompensationFilingOrgAmt>355665</TotalCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>298470</TotalCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190600</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVED DISCRETIONARY BONUSES FOR ALL STAFF AS A COVID RETENTION BONUS. THE CEO RECEIVES AN ANNUAL BONUS TRIGGERED BY ACHIEVEMENT OF CERTAIN ESTABLISHED GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY INDEPENDENT OUTSIDE ACCOUNTANTS. A DRAFT OF THE RETURN IS REVIEWED FOR ACCURACY BY THE CEO AND CFO, AND AN ELECTRONIC COPY IS PROVIDED TO THE BOARD PRIOR TO ELECTRONIC FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL DECLARATIONS ARE REQUIRED TO BE SUBMITTED BY ALL OFFICERS AND TRUSTEES TO DETERMINE WHETHER CONFLICTS EXIST. ANY REPORTED CONFLICTS ARE THEN REVIEWED BY THE BOARD FOR APPROPRIATE ACTION. IF THE BOARD DETERMINES THERE IS A CONFLICT OF INTEREST, THE FOLLOWING PROCEDURES WILL APPLY: 1. THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD MEETING AT WHICH THE TRANSACTION OR ARRANGEMENT RELATED TO THE CONFLICT IS TO BE CONSIDERED, BUT SHALL LEAVE THE MEETING BEFORE DISCUSSION OF AND VOTE ON THAT TRANSACTION OR ARRANGEMENT. 2. IF APPROPRIATE, THE CHAIR OF THE BOARD SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT AND TO MAKE A WRITTEN REPORT TO THE BOARD. 3. AFTER EXERCISING DUE DILIGENCE (INCLUDING REVIEW OF THE REPORT OF THE DISINTERESTED PERSON OR COMMITTEE IF ONE WAS APPOINTED), THE BOARD SHALL DETERMINE WHETHER BMS CAN, WITH REASONABLE EFFORTS, OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. 4. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY AVAILABLE, THE BOARD SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES (EXCLUDING EX OFFICO, NON-VOTING MEMBERS) WHETHER THE TRANSACTION IS IN BMS'S BEST INTEREST, FOR BMS'S BENEFIT, AND FAIR AND REASONABLE. THE BOARD SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT BASED UPON THAT DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS DETERMINED AND DOCUMENTED THROUGH AN ANNUAL REVIEW PROCESS COMPLETED BY THE BOARD. THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT MAINTAINS CURRENT MARKET DATA FOR ALL POSITIONS RELATIVE TO THE LOCAL MARKET. THIS IS THE BASIS FOR COMPENSATION FOR ALL POSITIONS. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED AND APPROVED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM OUR CENTRAL OFFICES FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER: PROGRAM SERVICE EXPENSES 15,706,058. MANAGEMENT AND GENERAL EXPENSES 4,535,415. FUNDRAISING EXPENSES 78,712. TOTAL EXPENSES 20,320,185.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF SWAP 1,586.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
