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        <ReportableCompFromOrgAmt>301066</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4513</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA SIZEMORE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125190</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14230</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALYSSA NANCE</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>83426</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4787</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOROTHY BULLARD</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>117008</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6642</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET MAHON</PersonNm>
        <TitleTxt>CCO (AUG-DEC)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>35642</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARI GARNER</PersonNm>
        <TitleTxt>COO (JUL-SEP)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>78861</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15994</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDER BRUNNER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>160072</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20160</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE FOTTRELL</PersonNm>
        <TitleTxt>PSCHIATRIST</TitleTxt>
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        <ReportableCompFromOrgAmt>139681</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8793</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY BOCCHIOCCHIO</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>167731</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20854</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MILDRED FRANCO-CHEN</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>166910</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16467</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM SIEGAL</PersonNm>
        <TitleTxt>PYSCH NP</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>108036</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20589</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET TAYLOR</PersonNm>
        <TitleTxt>MEDICAL NP</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>107804</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7139</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1747469</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>153976</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <GovernmentGrantsAmt>2799230</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>25276</NoncashContributionsAmt>
      <TotalContributionsAmt>5510021</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>10986645</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10986645</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>10986645</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>79318</TotalRevenueColumnAmt>
        <ExclusionAmt>79318</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>187162</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>163247</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>110852</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>76310</TotalRevenueColumnAmt>
        <ExclusionAmt>76310</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>94906</TotalRevenueColumnAmt>
        <ExclusionAmt>94906</ExclusionAmt>
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      <OtherRevenueTotalAmt>94906</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16747200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10986645</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>250534</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1152377</TotalAmt>
        <ProgramServicesAmt>311151</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>7996523</TotalAmt>
        <ProgramServicesAmt>6199513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1424480</ManagementAndGeneralAmt>
        <FundraisingAmt>372530</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>61862</TotalAmt>
        <ProgramServicesAmt>48759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10840</ManagementAndGeneralAmt>
        <FundraisingAmt>2263</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>817722</TotalAmt>
        <ProgramServicesAmt>644518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143285</ManagementAndGeneralAmt>
        <FundraisingAmt>29919</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>675134</TotalAmt>
        <ProgramServicesAmt>484650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153498</ManagementAndGeneralAmt>
        <FundraisingAmt>36986</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>319172</TotalAmt>
        <ProgramServicesAmt>136845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147367</ManagementAndGeneralAmt>
        <FundraisingAmt>34960</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>241209</TotalAmt>
        <ProgramServicesAmt>2080</ProgramServicesAmt>
        <ManagementAndGeneralAmt>151</ManagementAndGeneralAmt>
        <FundraisingAmt>238978</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>286099</TotalAmt>
        <ProgramServicesAmt>143014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110597</ManagementAndGeneralAmt>
        <FundraisingAmt>32488</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>728289</TotalAmt>
        <ProgramServicesAmt>563324</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148379</ManagementAndGeneralAmt>
        <FundraisingAmt>16586</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>484872</TotalAmt>
        <ProgramServicesAmt>373824</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55300</ManagementAndGeneralAmt>
        <FundraisingAmt>55748</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>26301</TotalAmt>
        <ProgramServicesAmt>10283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14143</ManagementAndGeneralAmt>
        <FundraisingAmt>1875</FundraisingAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>156852</TotalAmt>
        <ManagementAndGeneralAmt>156852</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>85800</TotalAmt>
        <ProgramServicesAmt>53581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32219</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>805895</TotalAmt>
        <ProgramServicesAmt>773969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31926</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>139186</TotalAmt>
        <ProgramServicesAmt>118637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16251</ManagementAndGeneralAmt>
        <FundraisingAmt>4298</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACT LABOR</Desc>
        <TotalAmt>123065</TotalAmt>
        <ProgramServicesAmt>97788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25277</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LAB SERVICES</Desc>
        <TotalAmt>108345</TotalAmt>
        <ProgramServicesAmt>108345</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>292663</TotalAmt>
        <ProgramServicesAmt>161189</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101494</ManagementAndGeneralAmt>
        <FundraisingAmt>29980</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14501366</TotalAmt>
        <ProgramServicesAmt>10231470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3289505</ManagementAndGeneralAmt>
        <FundraisingAmt>980391</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>175159</BOYAmt>
        <EOYAmt>534459</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4737609</BOYAmt>
        <EOYAmt>5292517</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>181990</BOYAmt>
        <EOYAmt>440032</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2483130</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>91588</BOYAmt>
        <EOYAmt>77122</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>13229184</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5111993</BOYAmt>
        <EOYAmt>11617353</EOYAmt>
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        <BOYAmt>8115</BOYAmt>
        <EOYAmt>8115</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>20470100</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1274315</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>8820</BOYAmt>
        <EOYAmt>13347</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>7051359</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10990917</BOYAmt>
        <EOYAmt>12978709</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>181990</BOYAmt>
        <EOYAmt>440032</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11172907</BOYAmt>
        <EOYAmt>13418741</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12768568</BOYAmt>
        <EOYAmt>20470100</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2245834</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>2242933</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3743034</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6637682</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6274916</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5510021</CurrentTaxYearAmt>
        <TotalAmt>24408586</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2242933</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3743034</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6637682</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6274916</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5510021</CurrentTaxYearAmt>
        <TotalAmt>24408586</TotalAmt>
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      <PublicSupportTotal170Amt>24408586</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus1YearAmt>16724</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>79318</CurrentTaxYearAmt>
        <TotalAmt>96042</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>22885</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>74659</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29937</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66034</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>94906</CurrentTaxYearAmt>
        <TotalAmt>288421</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>24793049</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>46103656</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98450</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98280</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>2400000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2400000</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>853668</DepreciationAmt>
        <BookValueAmt>573852</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>654900</DepreciationAmt>
        <BookValueAmt>389901</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>103263</DepreciationAmt>
        <BookValueAmt>8253600</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11617353</TotalBookValueLandBuildingsAmt>
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      <DonatedServicesAndUseFcltsAmt>16510</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>110852</OtherRevenueAmt>
      <RevenueNotReportedAmt>127362</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16747200</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16747200</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14628728</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>16510</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>110852</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>127362</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14501366</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14501366</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES 110,852.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENT EXPENSES 110,852.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>LIGHTHOUSE COUNSEL</BusinessNameLine1Txt>
        </OrganizationBusinessName>
        <USAddress>
          <AddressLine1Txt>381 RIVERSIDE DR 190</AddressLine1Txt>
          <CityNm>FRANKLIN</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37064</ZIPCd>
        </USAddress>
        <ActivityTxt>CAPITAL CAMPAIGN CONSULTING</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
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        <RetainedByContractorAmt>43500</RetainedByContractorAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FRANKLIN CLINIC STARTED A GYNECOLOGY SERVICE LINE DURING THE FISCAL YEAR. LEWISBURG CLINIC STARTED A PSYCHIATRY SERVICE DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A - THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF FORM 990 WILL BE SENT ELECTRONICALLY TO THE BOARD OF DIRECTORS PRIOR TO FILING. ADDITIONALLY, IT IS REVIEWED IN DETAIL BY THE EXECUTIVE COMMITTEE WHICH REPORTS ITS FINDINGS TO THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICIES AND PROCEDURES FOR ALL PROCUREMENT ARE IN PLACE TO DISCOVER ANY POTENTIAL CONFLICTS OF INTEREST FOR ALL PURCHASES AND CONTRACTS. ANNUALLY FORMS ARE SIGNED TO STATE THERE IS NO CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION OF THE CEO IS REVIEWED AND DETERMINED EACH YEAR BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MERCY. PRIMARILY, THE COMMITTEE USES THE COMPENSATION REPORT DONE EVERY TWO YEARS BY THE TENNESSEE PRIMARY CARE ASSOCIATION OF ALL THE FEDERALLY QUALIFIED HEALTH CENTERS IN TENNESSEE. THIS REPORT IS VERY HELPFUL IN COMPARING THE BUDGET SIZES, PATIENT ENCOUNTER NUMBERS, AND STAFFING SIZES OF THESE CENTERS IN ORDER TO REACH A COMPETITIVE SALARY RANGE. THE REMAINDER OF THE TOP MANAGEMENT OFFICIALS' COMPENSATION IS DETERMINED, PRIMARILY USING THE SAME COMPENSATION REPORT BY THE CEO OF MERCY. EACH YEAR, BUDGET PERMITTING, A COST OF LIVING RAISE IS IMPLEMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC</FormAndLineReferenceDesc>
        <ExplanationTxt>MARI GARNER - 7102 DONALD WILSON DR, FAIRVIEW, TN 37062.</ExplanationTxt>
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</Return>
