<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-11-01T08:24:10-04:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>351719602</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BRADLEY &amp; ASSOCIATES INC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>201 S CAPITOL AVE SUITE 700</AddressLine1Txt>
        <CityNm>INDIANAPOLIS</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46225</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-09-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>352028588</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>NORTHSHORE HEALTH CENTERS INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>NORT</BusinessNameControlTxt>
      <PhoneNum>2197646052</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 1430</AddressLine1Txt>
        <CityNm>PORTAGE</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46368</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DAVID HALL</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>2197646052</PhoneNum>
      <SignatureDt>2023-10-25</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>DAVID</PersonFirstNm>
        <PersonLastNm>HALL</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>SKANDER NASSER III</PreparerPersonNm>
      <PTIN>P00236505</PTIN>
      <PhoneNum>3172375500</PhoneNum>
      <PreparationDt>2023-11-01</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 accountingPeriodChangeCd="CHANGE OF ACCOUNTING PERIOD" accountingPeriodChangeApprvCd="REVENUE PROCEDURE 85-58 RULES APPLY" documentId="RetDoc4" referenceDocumentId="RetDoc8 RetDoc3">
      <PrincipalOfficerNm>DAVID HALL</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 1430</AddressLine1Txt>
        <CityNm>PORTAGE</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46368</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>19374630</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.NORTHSHOREHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1997</FormationYr>
      <LegalDomicileStateCd>IN</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE MISSION OF NORTHSHORE HEALTH CENTERS IS TO PROVIDE THE MOST COMPREHENSIVE AND QUALITY HEALTHCARE, WITHOUT EXCLUSION, TO EVERYONE, EVERY TIME.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>13</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>13</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>575</TotalEmployeeCnt>
      <TotalGrossUBIAmt>921</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>10230455</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3136421</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>44001166</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>15533757</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-336660</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>9507</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>1956896</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>651243</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>55851857</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>19330928</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>34342893</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>11860846</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>15232844</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>5534205</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>49575737</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>17395051</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>6276120</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1935877</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>59103551</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>61362136</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>32010136</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>32836077</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>27093415</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>28526059</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>THE MISSION OF NORTHSHORE HEALTH CENTERS IS TO PROVIDE THE MOST COMPREHENSIVE AND QUALITY HEALTHCARE, WITHOUT EXCLUSION, TO EVERYONE, EVERY TIME.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>10316647</ExpenseAmt>
      <RevenueAmt>13802036</RevenueAmt>
      <Desc>THE CENTER OPERATES HEALTH CARE FACILITIES WHICH PROVIDE COMPREHENSIVE PRIMARY HEALTH, DENTAL, X-RAY, LAB, AND BEHAVIOR CARE SERVICES FOR THE MEDICALLY UNDER-SERVED AND ELIGIBLE POPULATIONS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>1531645</ExpenseAmt>
        <RevenueAmt>1731721</RevenueAmt>
        <Desc>THE CENTER PROVIDES FOR THE PHARMACEUTICAL NEEDS OF THE UNDER AND UNINSURED COMMUNITY.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <RevenueAmt>650322</RevenueAmt>
        <Desc>THE CENTER RECEIVES MISCELLANEOUS REVENUE INCLUDED PAY FOR PERFORMANCE AND CLINIC SERVICE REVENUE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>11848292</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc9">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc5">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc5">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc5">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc5">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc5">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc5">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc5">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc5">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc5">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc5">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc5">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc5">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc5">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd referenceDocumentId="RetDoc7">false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd referenceDocumentId="RetDoc7">false</PYExcessBenefitTransInd>
      <LoanOutstandingInd referenceDocumentId="RetDoc7">false</LoanOutstandingInd>
      <GrantToRelatedPersonInd referenceDocumentId="RetDoc7">false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd referenceDocumentId="RetDoc7">false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd referenceDocumentId="RetDoc7">true</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd referenceDocumentId="RetDoc7">true</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>41</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>575</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>13</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>13</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>IN</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>DAVID HALL</PersonNm>
        <PhoneNum>2197646052</PhoneNum>
        <USAddress>
          <AddressLine1Txt>PO BOX 1430</AddressLine1Txt>
          <CityNm>PORTAGE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46368</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH RAMSEY</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>488743</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDI ARNAUTOVIC</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>385985</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY HESS</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>386444</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW TIPTON</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>357997</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BELAL HEGAZY</PersonNm>
        <TitleTxt>DIR OF MENTA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>357038</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAYA DOMINIQUE</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>310412</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HALL</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>294858</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11195</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH WINTERHALER</PersonNm>
        <TitleTxt>CFO UNTIL 10</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>235268</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9291</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL SANCHEZ MULLINS</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>232546</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7904</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY BUSHUE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>66533</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM ALDRICH</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENA BELLEZZA</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROMAN BRONSON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT V CHERRY</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNEESE CONCEPCION</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM CRIPLIVER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE C DISNEY</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT FRITZ</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TOM MOSLEY</PersonNm>
        <TitleTxt>VICE CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAN ROSZKOWSKI</PersonNm>
        <TitleTxt>VICE SECRETA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CONNIE RUDD</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN TRUMBO</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILMA VAZQUEZ</PersonNm>
        <TitleTxt>SECRETARY/TR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3115824</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>89390</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>87</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEONARD OSTROWSKI</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1704 SNEAD AVE</AddressLine1Txt>
            <CityNm>CHESTERTON</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46304</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FAMILY PRACTICE</ServicesDesc>
        <CompensationAmt>231454</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3071007</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>65414</AllOtherContributionsAmt>
      <TotalContributionsAmt>3136421</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>13802036</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13802036</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1731721</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1731721</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>15533757</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>9507</TotalRevenueColumnAmt>
        <ExclusionAmt>9507</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>44623</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>43702</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>921</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>921</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>921</UnrelatedBusinessRevenueAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>CLINIC SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>509544</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>509544</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>96495</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>96495</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PAY FOR PERFORMANCE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>20751</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20751</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>23532</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23532</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>650322</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>19330928</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16184079</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>921</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>9507</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>457274</TotalAmt>
        <ProgramServicesAmt>30389</ProgramServicesAmt>
        <ManagementAndGeneralAmt>426885</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9768640</TotalAmt>
        <ProgramServicesAmt>7840563</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1928077</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>258719</TotalAmt>
        <ProgramServicesAmt>196343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62376</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>721932</TotalAmt>
        <ProgramServicesAmt>531341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>190591</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>654281</TotalAmt>
        <ProgramServicesAmt>477570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176711</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>63662</TotalAmt>
        <ManagementAndGeneralAmt>63662</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>48000</TotalAmt>
        <ManagementAndGeneralAmt>48000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1060240</TotalAmt>
        <ProgramServicesAmt>624096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>436144</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>442821</TotalAmt>
        <ProgramServicesAmt>397891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44930</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>395304</TotalAmt>
        <ProgramServicesAmt>56825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>338479</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>312234</TotalAmt>
        <ProgramServicesAmt>6382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>305852</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>504287</TotalAmt>
        <ProgramServicesAmt>53522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>450765</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>46037</TotalAmt>
        <ProgramServicesAmt>11117</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34920</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>107062</TotalAmt>
        <ProgramServicesAmt>47495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59567</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>286076</TotalAmt>
        <ProgramServicesAmt>3845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282231</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>594074</TotalAmt>
        <ProgramServicesAmt>54130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>539944</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>17154</TotalAmt>
        <ManagementAndGeneralAmt>17154</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/DENTAL SUPPLIES</Desc>
        <TotalAmt>1442928</TotalAmt>
        <ProgramServicesAmt>1442928</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNITY OUTREACH</Desc>
        <TotalAmt>53709</TotalAmt>
        <ProgramServicesAmt>53531</ProgramServicesAmt>
        <ManagementAndGeneralAmt>178</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EMPLOYEE RELATIONS</Desc>
        <TotalAmt>48848</TotalAmt>
        <ProgramServicesAmt>728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48120</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>47587</TotalAmt>
        <ProgramServicesAmt>14868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32719</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>64182</TotalAmt>
        <ProgramServicesAmt>4728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59454</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>17395051</TotalAmt>
        <ProgramServicesAmt>11848292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5546759</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2173262</BOYAmt>
        <EOYAmt>4072650</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>9791922</BOYAmt>
        <EOYAmt>9652169</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>4844599</BOYAmt>
        <EOYAmt>2833257</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4745797</BOYAmt>
        <EOYAmt>4055247</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>179599</BOYAmt>
        <EOYAmt>208160</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>467408</BOYAmt>
        <EOYAmt>543944</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>50176304</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12958228</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>36900964</BOYAmt>
        <EOYAmt>37218076</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <EOYAmt>2778633</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>59103551</BOYAmt>
        <EOYAmt>61362136</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3539902</BOYAmt>
        <EOYAmt>3150651</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>4791478</BOYAmt>
        <EOYAmt>2722148</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>23515217</BOYAmt>
        <EOYAmt>24165871</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>163539</BOYAmt>
        <EOYAmt>2797407</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>32010136</BOYAmt>
        <EOYAmt>32836077</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>27093415</BOYAmt>
        <EOYAmt>28526059</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>27093415</BOYAmt>
        <EOYAmt>28526059</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>59103551</BOYAmt>
        <EOYAmt>61362136</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1935877</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>37335</NetUnrlzdGainsLossesInvstAmt>
      <PriorPeriodAdjustmentsAmt>-540568</PriorPeriodAdjustmentsAmt>
      <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="RetDoc9">
      <HospitalInd>X</HospitalInd>
    </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="RetDoc5">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1766083</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1766083</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>33195954</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3412385</DepreciationAmt>
        <BookValueAmt>29783569</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2548677</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1092617</DepreciationAmt>
        <BookValueAmt>1456060</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>12665590</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8453226</DepreciationAmt>
        <BookValueAmt>4212364</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>37218076</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>2040408</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITY</Desc>
        <Amt>609016</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENT</Desc>
        <Amt>147983</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2797407</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>19451965</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>37335</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>40000</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>77335</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19374630</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-43702</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-43702</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19330928</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17478753</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>40000</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>43702</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>83702</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>17395051</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>17395051</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS RECOGNIZED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. IN ADDITION, THE CENTER HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THE CENTER HAS 35,748 AND 35,698 OF UNRELATED BUSINESS INCOME DURING THE PERIOD ENDED DECEMBER 31, 2022, AND THE YEAR ENDED AUGUST 31, 2022, RESPECTIVELY. THE UNRELATED BUSINESS INCOME EXCEEDS THE ASSOCIATED EXPENSES BY LESS THAN 1,000, WHICH IS THE ALLOWABLE TAX- DEDUCTIBLE AMOUNT OF NET UNRELATED BUSINESS INCOME. THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSE -43,702</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSE 43,702</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc6">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH RAMSEY</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>412369</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16559</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>59815</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12200</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>500943</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDI ARNAUTOVIC</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>344800</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>35147</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6038</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12200</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>398185</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLY HESS</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>381858</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1029</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>3557</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>386444</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW TIPTON</PersonNm>
        <TitleTxt>DIRECTOR OF OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>338440</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4160</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>15397</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12200</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>370197</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BELAL HEGAZY</PersonNm>
        <TitleTxt>DIR OF MENTAL HLTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>346246</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3807</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6985</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12200</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>369238</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAYA DOMINIQUE</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>294800</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2080</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>13532</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12200</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>322612</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID HALL</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>264217</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10641</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11195</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>306053</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH WINTERHALER</PersonNm>
        <TitleTxt>CFO UNTIL 10/22</TitleTxt>
        <BaseCompensationFilingOrgAmt>232269</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1101</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1898</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9291</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>244559</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACHEL SANCHEZ MULLINS</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>198748</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8234</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>25564</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7904</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>240450</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER IS ELIGIBLE FOR A BONUS BASED UPON MEETING CERTAIN FINANCIAL AND NON-FINANCIAL CRITERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc7">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TRICIA HALL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CEO'S FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>38219</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ELIZABETH MARCOTTE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CEO'S FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>73277</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SKILLMAN GROUP</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>1222560</TransactionAmt>
        <TransactionDesc>CONSTRUCTION SERVICE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>RHAME ELWOOD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FORMER CEO FAM</RelationshipDescriptionTxt>
        <TransactionAmt>63647</TransactionAmt>
        <TransactionDesc>LEGAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PATRICK WINTERHALER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>CFO'S FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>27656</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LUKE ELWOOD</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FORMER CEO FAM</RelationshipDescriptionTxt>
        <TransactionAmt>1161</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO SUBMITTING THE FORM 990 TO THE IRS, NORTHSHORE WILL MAKE AVAILABLE TO ALL OF ITS BOARD MEMBERS A DRAFT COPY OF THE 990. THE BOARD MEMBERS ARE GIVEN TIME TO REVIEW THE FORM 990. ANY QUESTIONS OR CONCERNS ARE THEN SENT TO THE CHIEF EXECUTIVE OFFICER OR HIS/HER DESIGNEE FOR RESPONSE OR RESOLUTION. AFTER THE BOARD MEMBERS HAVE REVIEWED IT, THE FORM 990 IS THEN FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EACH CALENDAR YEAR, A CONFLICT OF INTEREST (COI) DISCLOSURE IS SENT TO ALL BOARD MEMBERS. THE BOARD MEMBERS SUBMIT THEIR DISCLOSURE FORMS TO THE CORPORATE ATTORNEY. THE ATTORNEY SUMMARIZES ALL CONFLICTS AND INFORMS THE BOARD OF ANY CONFLICTS. COI DISCLOSURES ARE ALSO SENT TO ALL NORTHSHORE EMPLOYEES. THE COMPLETED COI FORMS ARE SENT TO THE CHIEF EXECUTIVE OFFICER FOR REVIEW AND ACTION, IF NECESSARY. ANY BOARD MEMBER OR NORTHSHORE EMPLOYEE WHO IS NEW TO THE ORGANIZATION THROUGHOUT THE REMAINDER OF THE YEAR MUST COMPLETE A COI DISCLOSURE AT THE TIME OF ELECTION TO THE BOARD OR AT THE TIME OF EMPLOYMENT, WHICHEVER IS APPLICABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH THE CEO AND OTHER KEY EMPLOYEES OF NORTHSHORE ARE COMPENSATED BASED ON THE MARKET RATE OF COMPARABLE POSITIONS WITHIN ORGANIZATIONS OF COMPARABLE SIZES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHSHORE ROUTINELY PARTICIPATES IN AND OBTAINS SALARY SURVEYS THAT IT USES AS A GUIDELINE TO ASSIST IN DETERMINING APPROPRIATE SALARIES FOR ITS EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>RENT EXPENSE 43,702 RENT EXPENSE -43,702</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
