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        <ReportableCompFromOrgAmt>312222</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20354</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN BROWNE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>234962</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35221</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH RING</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>203280</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36878</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANET DEEGAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>289045</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29556</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KINGSLEY UGORJI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>278604</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47661</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ETHAN ANGELL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>273736</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46810</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEAN CRANNEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>260403</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17348</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL MOORMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>250764</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31249</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2418552</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>311653</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>186</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMERISOURCEBERGEN DRUG CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 100741</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91189</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>15965403</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BAKER CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2711 E SPRAGUE</AddressLine1Txt>
            <CityNm>SPOKANE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99202</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>2818529</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PATTERSON DENTAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>28244 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DENTAL SUPPLIES</ServicesDesc>
        <CompensationAmt>1589933</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON MEDICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 660266</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLIES</ServicesDesc>
        <CompensationAmt>1288519</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DELL MARKETING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>C/O DELL USA LP PO BOX 802816</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60680</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRONICS</ServicesDesc>
        <CompensationAmt>1046523</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>68</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>52848</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>13395319</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2011731</AllOtherContributionsAmt>
      <TotalContributionsAmt>15459898</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>112434037</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>112434037</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PREMIUM REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>66535701</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66535701</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>456641</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>456641</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>50214</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>50214</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>179476593</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>78561</TotalRevenueColumnAmt>
        <ExclusionAmt>78561</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>571234</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>166950</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>404284</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>404284</TotalRevenueColumnAmt>
        <ExclusionAmt>404284</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>LOSS ON EQUITY INVESTMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>-113881</TotalRevenueColumnAmt>
        <ExclusionAmt>-113881</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>-113881</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>195305455</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>179476593</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>368964</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1000000</TotalAmt>
        <ProgramServicesAmt>1000000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1240829</TotalAmt>
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        <ManagementAndGeneralAmt>246180</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>87186653</TotalAmt>
        <ProgramServicesAmt>69888821</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17297832</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>20685879</TotalAmt>
        <ProgramServicesAmt>16465960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4219919</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>8290464</TotalAmt>
        <ProgramServicesAmt>5856908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2433556</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1403290</TotalAmt>
        <ProgramServicesAmt>1244120</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159170</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>22793</TotalAmt>
        <ProgramServicesAmt>17449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5344</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>4054502</TotalAmt>
        <ProgramServicesAmt>3043310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1011192</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>37795698</TotalAmt>
        <ProgramServicesAmt>32269967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5525731</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>161680108</TotalAmt>
        <ProgramServicesAmt>130781184</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30898924</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>4316019</BOYAmt>
        <EOYAmt>3596583</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>46861393</BOYAmt>
        <EOYAmt>63387171</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>886425</BOYAmt>
        <EOYAmt>1054468</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>21404724</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>2498293</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1453240</BOYAmt>
        <EOYAmt>1547195</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>79718040</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>23634711</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>51996772</BOYAmt>
        <EOYAmt>56083329</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>2977632</BOYAmt>
        <EOYAmt>2897968</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>1186521</BOYAmt>
        <EOYAmt>66345</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>118275615</BOYAmt>
        <EOYAmt>152536076</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>11735909</BOYAmt>
        <EOYAmt>12687308</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>486828</BOYAmt>
        <EOYAmt>1015284</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>19745408</BOYAmt>
        <EOYAmt>18425214</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>775565</BOYAmt>
        <EOYAmt>1251019</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>32743710</BOYAmt>
        <EOYAmt>33378825</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>84695826</BOYAmt>
        <EOYAmt>118882955</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>836079</BOYAmt>
        <EOYAmt>274296</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>85531905</BOYAmt>
        <EOYAmt>119157251</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>118275615</BOYAmt>
        <EOYAmt>152536076</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>33625347</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-1</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>7606094</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9414918</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9134937</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16371631</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15459898</CurrentTaxYearAmt>
        <TotalAmt>57987478</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>7606094</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9414918</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9134937</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16371631</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15459898</CurrentTaxYearAmt>
        <TotalAmt>57987478</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>57987478</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>98780</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>186976</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>357863</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>580695</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>649795</CurrentTaxYearAmt>
        <TotalAmt>1874109</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>59861587</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>608058057</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.96870</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96790</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <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>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>5183487</OtherCostOrOtherBasisAmt>
        <BookValueAmt>5183487</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>50191054</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>13309385</DepreciationAmt>
        <BookValueAmt>36881669</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>3830624</BookValueAmt>
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        <DepreciationAmt>4978170</DepreciationAmt>
        <BookValueAmt>4877600</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>7018564</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1708615</DepreciationAmt>
        <BookValueAmt>5309949</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>56083329</TotalBookValueLandBuildingsAmt>
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        <Desc>EST AMT DUE TO 3RD PARTY PAYER</Desc>
        <Amt>130739</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>EST SELF-INSURANCE COSTS</Desc>
        <Amt>1120280</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1251019</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>195514528</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>42123</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>166950</OtherRevenueAmt>
      <RevenueNotReportedAmt>209073</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>195305455</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>195305455</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>161889181</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>42123</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>166950</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>209073</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>161680108</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>161680108</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSES INCLUDED IN INCOME 166,950.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSES INCLUDED IN INCOME 166,950.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHAS HEALTH FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>611 N IRON BRIDGE WAY</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAS HEALTH FOUNDATION WAS ESTABLISHED AS AN IRS SECTION 509(A)(3) TYPE 1 SUPPORTING ORGANIZATION. AS SUCH, THE FOUNDATION IS OPERATED, SUPERVISED, OR CONTROLLED BY ITS SUPPORTED ORGANIZATION, CHAS HEALTH, WHICH INCLUDES THE POWER TO REGULARLY APPOINT THE MEMBERS OF THE CHAS HEALTH FOUNDATION BOARD OF DIRECTORS.</ExplanationTxt>
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        <PersonNm>BETH RING</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <ExplanationTxt>THE CHAS BEHAVIOR HEALTH CENTER FOCUSES ON BEHAVIORAL HEALTH, WITH PRIMARY CARE AND PHARMACY OFFERED ONSITE AS ADDITIONAL SERVICES TO SUPPORT WHOLE PERSON HEALTH. THE CENTER PROVIDES SPECIALIZED CARE FOR BEHAVIORAL HEALTH CONDITIONS AS WELL AS CARE COORDINATION, PEER SUPPORT SERIVCES, TARGETED CASE MANAGEMENT, AND OTHER COLLABORATIVE CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE INCLUDES THE IMMEDIATE PAST PREISDENT, THE PRESIDENT, THE VICE PRESIDENT AND THE SECRETARY/TREASURER, ALL OF WHOM ARE DIRECTORS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON ORGANIZATION PROVIDED FINANCIAL STATEMENTS. PRIOR TO FILING, A REVIEW OF THE FINAL 990 DRAFT IS PRESENTED BY KEY ACCOUNTING STAFF TO THE BOARD OF DIRECTORS AND FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS OF INTEREST CAN BE CONSIDERED TO EXIST IN ANY INSTANCE WHERE THE ACTIONS OR ACTIVITIES OF AN INDIVIDUAL ON BEHALF OF THE ORGANIZATION ALSO INVOLVE THE OBTAINING OF AN IMPROPER ADVANTAGE OR INVOLVE AN ADVERSE EFFECT ON THE ORGANIZATION'S INTERESTS. THE BOARD OF DIRECTORS ESTABLISHES THE POLICY GOVERNING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST OF DIRECTORS. AT LEAST ANNUALLY, EACH DIRECTOR IDENTIFIES IN WRITING TO THE BOARD OF DIRECTORS ANY CONFLICTS OF INTEREST HE OR SHE HAS OR MAY HAVE. THE EMPLOYEES, BOARD MEMBERS, EXECUTIVE MANAGEMENT TEAM MEMBERS, VOLUNTEER LEADERS, AND MEDICAL/DENTAL STAFF LEADERS ARE PROVIDED A CONFLICT OF INTEREST POLICY QUESTIONNAIRE TO DETERMINE IF ANY CONFLICTS EXIST. A DIRECTOR WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THIS DIRECTOR SHOULD REFRAIN FROM ALL FURTHER DISCUSSION, NONVERBAL COMMUNICATION, AND VOTING ON THE ISSUE. THE BOARD RETAINS THE RIGHT TO RESOLVE THE ISSUE WITH THIS DIRECTOR TEMPORARILY ABSENT FROM THE MEETING. AN EMPLOYEE WHO HAS A POTENTIAL CONFLICT OF INTEREST MAY PARTICIPATE IN THE EARLY STAGES OF DISCUSSION OF THE PARTICULAR ISSUE, SO THAT HE/SHE MIGHT CONTRIBUTE THE BENEFIT OF HIS/HER SPECIFIC KNOWLEDGE AND INSIGHTS. HOWEVER, ONCE VIABLE ALTERNATIVES BEGIN TO BE ASSESSED ON THEIR OWN MERITS, THE EMPLOYEE SHOULD REFRAIN FROM ALL FURTHER COMMUNICATION AND DISCUSSIONS ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION REVIEW: THE EMPLOYMENT CONTRACT BETWEEN THE CEO AND THE ORGANIZATION WAS SIGNED ON 12/7/2017. THE CURRENT EMPLOYMENT AGREEMENT, APPROVED BY THE BOARD OF DIRECTORS, IS FOR A FOUR YEAR TERM. THE EXECUTIVE COMMITTEE PERFORMED AND COMPLETED A REVIEW OF COMPENSATION IN CONJUNCTION WITH THIS AGREEMENT. THIRD-PARTY SURVEY DATA AND INDUSTRY COMPARATIVES, INCLUDING PEER HEALTH CENTER DATA, WERE USED FOR COMPARISON PURPOSES. OTHER OFFICER COMPENSATION REVIEW: THE WORKFORCE DEVELOPMENT DEPARTMENT DOES AN ANNUAL SALARY SURVEY. SALARIES ARE COMPARED TO PEER FQHC SALARY DATA, HEALTHCARE SALARY DATA, AND REGIONAL SALARY SURVEY DATA. THE MOST RECENT COMPREHENSIVE SALARY SURVEY WAS PERFORMED IN 2021. A THIRD-PARTY CONSULTANT PROVIDES SALARY SURVEY DATA ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO VIEW ON-SITE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING -1.</ExplanationTxt>
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