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      <TotalOtherCompensationAmt>195762</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>77</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OCHIN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE &amp; DATA SERVICES</ServicesDesc>
        <CompensationAmt>1223561</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SKANSKA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1010 NW FLANDERS STREET SUITE 500</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>843902</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AFFORDABLE QUALITY MAINTENANCE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>204 NE 4TH STREET</AddressLine1Txt>
            <CityNm>BEND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97701</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
        <CompensationAmt>507033</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEK SYSTEMS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7437 RACE ROAD</AddressLine1Txt>
            <CityNm>HANOVER</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21076</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SUPPORT</ServicesDesc>
        <CompensationAmt>340208</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FASPSYCH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>8687 E VIA DE VENTURA SUITE 310</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85258</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MENTAL HEALTH SERVICES</ServicesDesc>
        <CompensationAmt>106621</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5576762</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1124704</AllOtherContributionsAmt>
      <NoncashContributionsAmt>148228</NoncashContributionsAmt>
      <TotalContributionsAmt>6701466</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>46175824</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>46175824</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PROGRAM PHARMACY</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>8276240</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8276240</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL INCENTIVE</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>7737579</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7737579</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE CONTRACT</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>687435</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>687435</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>62877078</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1372820</TotalRevenueColumnAmt>
        <ExclusionAmt>1372820</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>100262</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>100262</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>100262</TotalRevenueColumnAmt>
        <ExclusionAmt>100262</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3378659</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3751007</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-372348</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-372348</TotalRevenueColumnAmt>
        <ExclusionAmt>-372348</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>200518</TotalRevenueColumnAmt>
        <ExclusionAmt>200518</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>200518</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>70879796</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>62877078</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1301252</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1065962</TotalAmt>
        <ManagementAndGeneralAmt>1065962</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>31874064</TotalAmt>
        <ProgramServicesAmt>26949366</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4729772</ManagementAndGeneralAmt>
        <FundraisingAmt>194926</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1231631</TotalAmt>
        <ProgramServicesAmt>1012846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>211700</ManagementAndGeneralAmt>
        <FundraisingAmt>7085</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4585138</TotalAmt>
        <ProgramServicesAmt>3770640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>788123</ManagementAndGeneralAmt>
        <FundraisingAmt>26375</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>2513908</TotalAmt>
        <ProgramServicesAmt>2076672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>421180</ManagementAndGeneralAmt>
        <FundraisingAmt>16056</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>96702</TotalAmt>
        <ManagementAndGeneralAmt>96702</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>82716</TotalAmt>
        <ManagementAndGeneralAmt>82716</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>40473</TotalAmt>
        <ManagementAndGeneralAmt>40473</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1959374</TotalAmt>
        <ProgramServicesAmt>1355118</ProgramServicesAmt>
        <ManagementAndGeneralAmt>585979</ManagementAndGeneralAmt>
        <FundraisingAmt>18277</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>437710</TotalAmt>
        <ProgramServicesAmt>282421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113758</ManagementAndGeneralAmt>
        <FundraisingAmt>41531</FundraisingAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>3223050</TotalAmt>
        <ProgramServicesAmt>1809938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1406662</ManagementAndGeneralAmt>
        <FundraisingAmt>6450</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1944677</TotalAmt>
        <ProgramServicesAmt>1581416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>363261</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>303490</TotalAmt>
        <ProgramServicesAmt>213872</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86240</ManagementAndGeneralAmt>
        <FundraisingAmt>3378</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>429505</TotalAmt>
        <ProgramServicesAmt>227518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199935</ManagementAndGeneralAmt>
        <FundraisingAmt>2052</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1963503</TotalAmt>
        <ProgramServicesAmt>1678452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>285051</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>113419</TotalAmt>
        <ProgramServicesAmt>71416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41990</ManagementAndGeneralAmt>
        <FundraisingAmt>13</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES, MEDS, AND VAC</Desc>
        <TotalAmt>2869116</TotalAmt>
        <ProgramServicesAmt>2848447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14918</ManagementAndGeneralAmt>
        <FundraisingAmt>5751</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SMALL EQUIPMENT</Desc>
        <TotalAmt>388108</TotalAmt>
        <ProgramServicesAmt>346163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41945</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>165320</TotalAmt>
        <ProgramServicesAmt>129728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32635</ManagementAndGeneralAmt>
        <FundraisingAmt>2957</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>151723</TotalAmt>
        <ProgramServicesAmt>138029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13694</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>127866</TotalAmt>
        <ProgramServicesAmt>69488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58319</ManagementAndGeneralAmt>
        <FundraisingAmt>59</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>55567455</TotalAmt>
        <ProgramServicesAmt>44561530</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10681015</ManagementAndGeneralAmt>
        <FundraisingAmt>324910</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>6462913</BOYAmt>
        <EOYAmt>7804855</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>16035076</BOYAmt>
        <EOYAmt>5700257</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>799722</BOYAmt>
        <EOYAmt>664169</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>6023045</BOYAmt>
        <EOYAmt>5109141</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>1600650</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>722595</BOYAmt>
        <EOYAmt>679697</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>31683176</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10322105</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>21255967</BOYAmt>
        <EOYAmt>21361071</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4501392</BOYAmt>
        <EOYAmt>29616422</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2263627</BOYAmt>
        <EOYAmt>1803029</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>58652411</BOYAmt>
        <EOYAmt>74339291</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>5746772</BOYAmt>
        <EOYAmt>6220819</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>2039165</BOYAmt>
        <EOYAmt>1445968</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>7785937</BOYAmt>
        <EOYAmt>7666787</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>50167921</BOYAmt>
        <EOYAmt>65853563</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>698553</BOYAmt>
        <EOYAmt>818941</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>50866474</BOYAmt>
        <EOYAmt>66672504</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>58652411</BOYAmt>
        <EOYAmt>74339291</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>15312341</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>493689</NetUnrlzdGainsLossesInvstAmt>
      <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>6436450</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7876861</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18264897</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8549489</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6701466</CurrentTaxYearAmt>
        <TotalAmt>47829163</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>6436450</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7876861</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18264897</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8549489</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6701466</CurrentTaxYearAmt>
        <TotalAmt>47829163</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>47829163</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>201598</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>403278</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>-42567</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>200683</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1473082</CurrentTaxYearAmt>
        <TotalAmt>2236074</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>50735</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>141962</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>167134</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>64383</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>200518</CurrentTaxYearAmt>
        <TotalAmt>624732</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>50689969</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>221561107</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.94360</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96930</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2019 AMOUNT: $ 50,735. 2020 AMOUNT: $ 141,962. 2021 AMOUNT: $ 167,134. 2022 AMOUNT: $ 64,383. 2023 AMOUNT: $ 200,518.</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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>575000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>575000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>19116844</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2185815</DepreciationAmt>
        <BookValueAmt>16931029</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2566083</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1537087</DepreciationAmt>
        <BookValueAmt>1028996</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9425249</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6599203</DepreciationAmt>
        <BookValueAmt>2826046</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>21361071</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES - FACILITIES</Desc>
        <Amt>1445968</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1445968</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>71817241</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>493689</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>484229</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>977918</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>70839323</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>40473</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>40473</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>70879796</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>56011211</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>484229</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>484229</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>55526982</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>40473</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>40473</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>55567455</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). NO PROVISION FOR INCOME TAXES IS MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS, AS MANAGEMENT BELIEVES THE ORGANIZATION HAS NO ACTIVITIES SUBJECT TO UNRELATED BUSINESS INCOME TAX. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE UNITED STATES FEDERAL JURISDICTION, AS WELL AS THE STATE OF OREGON JURISDICTION. IN THE EVENT PENALTIES AND INTEREST ARE ASSESSED BY INCOME TAXING AUTHORITIES, IT IS THE ORGANIZATION'S POLICY TO INCLUDE THESE IN OPERATING EXPENSES. NO PENALTIES OR INTEREST WERE ASSESSED FOR THE YEAR ENDED JUNE 30, 2024 AND 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEGAN HAASE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>304496</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9270</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>325890</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSICA LEBLANC</PersonNm>
        <TitleTxt>CHO (THRU 9/23)</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>271893</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFF BULKLEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9253</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17971</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>251731</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA HICKS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>250176</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA REIHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>220114</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9115</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247201</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH MORRISON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <TotalCompensationFilingOrgAmt>243228</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASMINE LOW</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>215619</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>242597</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVE STRANG</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLA STEVENS</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8185</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>887</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>211194</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION SALARY SURVERYS ARE COMPLETED ON AN ANNUAL BASIS. THE BOARD REVIEWS THE CEO SALARY SURVEY AND APPROVES THE COMPENSATION. ADDITIONALLY, AN ANNUAL REVIEW OF THE CEO IS COMPLETED BY THE BOARD EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1030</ContributionCnt>
        <NoncashContributionsRptF990Amt>127768</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>EQUIPMENT</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>20460</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 20: NUMBER OF ITEMS CONTRIBUTED. LINE 25: NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF THE 990 WILL BE SUBMITTED TO THE BOARD FINANCE COMMITTEE, WHO WILL REVIEW AND RECOMMEND APPROVING IT AT THE BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD POLICY DICTATES THAT TRANSACTIONS INVOLVING BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE TO BE FULLY DISCLOSED AND SUBJECT TO BOARD APPROVAL. CONFLICTS OF INTEREST INQUIRIES ARE MADE AT EMPLOYEE ORIENTATION AND REGULARLY EACH YEAR. BOTH MANAGEMENT AND EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS. EMPLOYEE SUBMISSIONS ARE REVIEWED BY HR. NECESSARY CONFLICTS ARE SUBMITTED TO THE EXECUTIVE LEADERSHIP TEAM FOR REVIEW, WHO WILL BRING IT TO THE BOARD OF DIRECTORS ON A NEEDED BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>CHIEF EXECUTIVE OFFICER COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD. AT MOSAIC THE HIRING MANGAGER WORKS WITH HR TO SELECT AN APPROPRIATE SALARY WITHIN THE APPROVED SALARY RANGE, BASED ON MARKET STUDIES, THAT MATCHES THE CANDIDATE'S EXPERIENCE AND EDUCATION. THIS PROCESS WAS LAST CONDUCTED IN FEBRUARY 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>