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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ATHER ZIA</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>1559248</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>14739</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>72604</TotalAmt>
        <ManagementAndGeneralAmt>72604</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>115474</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37771</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>742224</TotalAmt>
        <ProgramServicesAmt>396256</ProgramServicesAmt>
        <ManagementAndGeneralAmt>345968</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1903438</TotalAmt>
        <ProgramServicesAmt>56771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1846667</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2248125</TotalAmt>
        <ProgramServicesAmt>2174993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73132</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>36393</TotalAmt>
        <ProgramServicesAmt>12591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23802</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>259032</TotalAmt>
        <ProgramServicesAmt>143965</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115067</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1042824</TotalAmt>
        <ProgramServicesAmt>1042824</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>157482</TotalAmt>
        <ProgramServicesAmt>3560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153922</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>8576055</TotalAmt>
        <ProgramServicesAmt>8576055</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>2003989</TotalAmt>
        <ProgramServicesAmt>2003989</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>204924</TotalAmt>
        <ProgramServicesAmt>59082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145842</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LEASE EQUIPMENT</Desc>
        <TotalAmt>178585</TotalAmt>
        <ProgramServicesAmt>171575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7010</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>96283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211318</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>55037073</TotalAmt>
        <ProgramServicesAmt>44164293</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10872780</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>20681090</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <EOYAmt>522004</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1531968</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>5995550</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>280953</EOYAmt>
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        <BOYAmt>296878</BOYAmt>
        <EOYAmt>196097</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>23191673</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>9594433</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12216467</BOYAmt>
        <EOYAmt>13597240</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>7895591</BOYAmt>
        <EOYAmt>9626555</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>11193625</BOYAmt>
        <EOYAmt>12016315</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>857010</BOYAmt>
        <EOYAmt>552998</EOYAmt>
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        <EOYAmt>65000770</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3336092</EOYAmt>
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        <BOYAmt>649261</BOYAmt>
        <EOYAmt>357930</EOYAmt>
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        <EOYAmt>3694022</EOYAmt>
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        <BOYAmt>48988620</BOYAmt>
        <EOYAmt>61306748</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>99550</BOYAmt>
        <EOYAmt>0</EOYAmt>
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        <EOYAmt>61306748</EOYAmt>
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        <EOYAmt>65000770</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>1342494</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>1</FSAuditedInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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        <OtherCostOrOtherBasisAmt>1484725</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1484725</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>13742781</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4564647</DepreciationAmt>
        <BookValueAmt>9178134</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>3789694</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2808172</DepreciationAmt>
        <BookValueAmt>981522</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2798937</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2221614</DepreciationAmt>
        <BookValueAmt>577323</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1375536</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1375536</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>13597240</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>GOVERNMENT BONDS</Desc>
        <BookValueAmt>1560636</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>CORPORATE BONDS</Desc>
        <BookValueAmt>2937027</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>ALTERNATIVE INVESTMENTS</Desc>
        <BookValueAmt>7493648</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
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      <OtherSecuritiesGrp>
        <Desc>ACCRUED INTEREST</Desc>
        <BookValueAmt>25004</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>12016315</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>357930</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>357930</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>68057750</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1342494</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>5513366</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>6855860</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>61201890</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>115474</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>4595793</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4711267</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>65913157</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>55839172</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>5513366</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>5513366</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>50325806</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>115474</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>4595793</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>4711267</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>55037073</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS PREVIOUSLY RECEIVED NOTICE OF EXEMPTION OF INCOME TAX FROM THE INTERNAL REVENUE SERVICE UNDER SECTION 501 (C)(3) OF THE FEDERAL INTERNAL REVENUE CODE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX PROVISIONS. THE IMPLEMENTATION OF THE ACCOUNTING STANDARDS REGARDING UNCERTAIN TAX PROVISIONS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT INCLUDED WITH EXPENSES 2,003,989. SLIDING SCALE FEE ADJUSTMENT INCLUDED WITH EXPENSES 2,591,804.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>5712130</TotalSpentAmt>
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      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>0</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>1</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SLIDING SCALE FEE ADJUSTMENT</GrantTypeTxt>
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        <CashGrantAmt>2591804</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>NA</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>NA</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>TO QUALIFY FOR SLIDING SCALE FEE ADJUSTMENT PROOF OF INCOME MUST BE PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>233581</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>188760</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2148247</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER OF CONTRIBUTIONS WAS USED IN PART I.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE RECOMMENDS ACTIONS FOR APPROVAL BY THE FULL BOARD AND ACTS FOR THE BOARD BETWEEN MEETINGS ONLY AS NECESSARY. EXECUTIVE COMMITTEE ACTIONS MUST BE RATIFIED BY THE FULL BOARD AT THE NEXT BOARD MEETING. THE EXECUTIVE COMMITTEE IS THE ONLY BOARD COMMITTEE AUTHORIZED TO ACT ON BEHALF OF THE FULL BOARD, CONSISTENT WITH BOARD POLICY AND DIRECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY THE ORGANIZATION'S INDEPENDENT CPA WITH INFORMATION PROVIDED BY MANAGEMENT. THE FORM 990 IS REVIEWED BY THE FULL BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL TRAINING MEETINGS ARE HELD WITH KEY EMPLOYEES. BOARD MEMBERS ARE ASKED TO IDENTIFY ANY POTENTIAL OR KNOWN CONFLICTS OF INTEREST AT THE BEGINNING OF EACH BOARD MEETING, PRIOR TO ANY ACTION ITEMS. THE CEO AND HUMAN RESOURCES DIRECTOR REVIEWS THE CONFLICTS OF INTEREST AND RESTRICONS IMPOSED ON THOSE WHO ARE FOUND TO HAVE A CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE ORGANIZATION'S CEO AND OTHER OFFICERS IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS USING STATE, LOCAL, AND INDUSTRY COMPARATIVE DATA. DISCUSSION RELATED TO THE DELIBERATION AND THE DECISION IS DOCUMENTED IN THE BOARD MINUTES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AUDITED FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS AND OVERSIGHT FOR SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
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</Return>