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      <IndivRcvdGreaterThan100KCnt>41</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIED UNIVERSAL SECURITY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POBOX 277469</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30384</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY CONSULTING</ServicesDesc>
        <CompensationAmt>444903</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POBOX 847950</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRONIC MEDICAL RECORD SERVICES</ServicesDesc>
        <CompensationAmt>354882</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICUS IT</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 NORTH POINT CENTER EAST SUITE</AddressLine1Txt>
            <CityNm>ALPHARATT</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING CONSULTING</ServicesDesc>
        <CompensationAmt>305157</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>54480</FundraisingAmt>
      <GovernmentGrantsAmt>14217604</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>33000</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3154133</NoncashContributionsAmt>
      <TotalContributionsAmt>14305084</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID MANAGED CARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>13512053</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13512053</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4757868</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4757868</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2597301</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2597301</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NEW JERSEY UNCOMPENSATED CARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1314484</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1314484</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE INSURANCE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1226244</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1226244</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1279051</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1279051</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>24687001</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>215601</TotalRevenueColumnAmt>
        <ExclusionAmt>215601</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>87709</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>87709</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>87709</TotalRevenueColumnAmt>
        <ExclusionAmt>87709</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>3520</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>54480</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>38968</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-35448</TotalRevenueColumnAmt>
        <ExclusionAmt>-35448</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>PATIENT INCENTIVES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>473768</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>473768</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>69267</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>69267</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>543035</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>39802982</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25230036</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>267862</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1058666</TotalAmt>
        <ProgramServicesAmt>878693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>179973</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>18339932</TotalAmt>
        <ProgramServicesAmt>15222144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3117788</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>362590</TotalAmt>
        <ProgramServicesAmt>300950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61640</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2072052</TotalAmt>
        <ProgramServicesAmt>1719802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>352250</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1781866</TotalAmt>
        <ProgramServicesAmt>1478949</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302917</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>66291</TotalAmt>
        <ManagementAndGeneralAmt>66291</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>186020</TotalAmt>
        <ManagementAndGeneralAmt>186020</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1932699</TotalAmt>
        <ProgramServicesAmt>922915</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1009784</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>8313</TotalAmt>
        <ProgramServicesAmt>6900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1413</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>987978</TotalAmt>
        <ProgramServicesAmt>820022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167956</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>331672</TotalAmt>
        <ManagementAndGeneralAmt>331672</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1104704</TotalAmt>
        <ProgramServicesAmt>792403</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312301</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>56912</TotalAmt>
        <ProgramServicesAmt>47237</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9675</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>88276</TotalAmt>
        <ProgramServicesAmt>73269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15007</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>222831</TotalAmt>
        <ProgramServicesAmt>184950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37881</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>734870</TotalAmt>
        <ProgramServicesAmt>551152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>183718</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>249154</TotalAmt>
        <ProgramServicesAmt>186866</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62288</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACEUTICALS</Desc>
        <TotalAmt>3564965</TotalAmt>
        <ProgramServicesAmt>3564965</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATED VACCINES &amp; SUPP</Desc>
        <TotalAmt>3154133</TotalAmt>
        <ProgramServicesAmt>3154133</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL &amp; LAB SUPPLIES</Desc>
        <TotalAmt>1414958</TotalAmt>
        <ProgramServicesAmt>1414958</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT &amp; MAINTENANCE</Desc>
        <TotalAmt>484499</TotalAmt>
        <ProgramServicesAmt>402134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>82365</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>886372</TotalAmt>
        <ProgramServicesAmt>788959</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97413</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>39089753</TotalAmt>
        <ProgramServicesAmt>32511401</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6578352</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3008383</BOYAmt>
        <EOYAmt>3943230</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>12125904</BOYAmt>
        <EOYAmt>12404730</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>705250</BOYAmt>
        <EOYAmt>552393</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3935600</BOYAmt>
        <EOYAmt>3660875</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>60681</BOYAmt>
        <EOYAmt>65360</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>23906783</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12916974</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>11418241</BOYAmt>
        <EOYAmt>10989809</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>13216441</BOYAmt>
        <EOYAmt>10805773</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>89605</BOYAmt>
        <EOYAmt>111405</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>44560105</BOYAmt>
        <EOYAmt>42533575</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2095985</BOYAmt>
        <EOYAmt>2093583</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4450801</BOYAmt>
        <EOYAmt>4226083</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>13718741</BOYAmt>
        <EOYAmt>11206102</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>20265527</BOYAmt>
        <EOYAmt>17525768</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>24294578</BOYAmt>
        <EOYAmt>25007807</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>24294578</BOYAmt>
        <EOYAmt>25007807</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>44560105</BOYAmt>
        <EOYAmt>42533575</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>713229</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</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">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>9669591</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12564666</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17434543</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16320410</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14305084</CurrentTaxYearAmt>
        <TotalAmt>70294294</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>76500</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>68000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>93500</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>136000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>144500</CurrentTaxYearAmt>
        <TotalAmt>518500</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>9746091</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12632666</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>17528043</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16456410</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14449584</CurrentTaxYearAmt>
        <TotalAmt>70812794</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>70812794</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>78713</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>81605</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>83150</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>88653</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>303310</CurrentTaxYearAmt>
        <TotalAmt>635431</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>1744</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>1744</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>132337</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>553767</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>391090</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>974981</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>543035</CurrentTaxYearAmt>
        <TotalAmt>2595210</TotalAmt>
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      <TotalSupportAmt>74045179</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>113870888</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95630</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95840</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2019 AMOUNT: $ 35,407. 2020 AMOUNT: $ 48,880. 2021 AMOUNT: $ 56,817. 2022 AMOUNT: $ 72,390. 2023 AMOUNT: $ 69,267. PATIENT INCENTIVES - 2019 AMOUNT: $ 96,930. 2020 AMOUNT: $ 504,887. 2021 AMOUNT: $ 334,273. 2022 AMOUNT: $ 902,591. 2023 AMOUNT: $ 473,768.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </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">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>16832907</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7151243</DepreciationAmt>
        <BookValueAmt>9681664</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2335750</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1972955</DepreciationAmt>
        <BookValueAmt>362795</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2160005</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1816766</DepreciationAmt>
        <BookValueAmt>343239</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2578121</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1976010</DepreciationAmt>
        <BookValueAmt>602111</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>10989809</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>11206102</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>11206102</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>39986450</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>144500</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>144500</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>39841950</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-38968</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-38968</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>39802982</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>39273221</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>144500</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>38968</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>183468</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>39089753</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>39089753</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY NCHC AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. NCHC'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES -38,968.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 38,968.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>ANNUAL GALA</Event1Nm>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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