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        <PersonNm>Patricia Eshman</PersonNm>
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        <PersonNm>Charles A Schneider</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Stovall</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Amy C Heaton</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Abby Morrison</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tina Ambrozy</PersonNm>
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        <PersonNm>Kevin Brady</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>David E Cain</PersonNm>
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        <PersonNm>John Littlejohn</PersonNm>
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        <PersonNm>Daniel Hawkins</PersonNm>
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        <PersonNm>Shellee Simmons-Taylor</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lana T Ruebel</PersonNm>
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        <PersonNm>Guy Lester Reece II</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Noreen Nichols</PersonNm>
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        <PersonNm>Lisa L Sadler</PersonNm>
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        <CurrentTaxYearAmt>32076903</CurrentTaxYearAmt>
        <TotalAmt>163646496</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>163646496</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>65943</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>53987</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1653</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3715</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>41969</CurrentTaxYearAmt>
        <TotalAmt>167267</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>618881</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>-736309</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4903405</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>89273</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>107841</CurrentTaxYearAmt>
        <TotalAmt>4983091</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>168796854</TotalSupportAmt>
      <PublicSupportCY170Pct>0.96950</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96710</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>123802</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>4618</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>128420</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>124155</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>204</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>557</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>123802</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>124671</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>41</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>557</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>124155</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>123630</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>1598</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>557</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>124671</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>121103</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>3082</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>555</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>123630</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1193000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1193000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7359025</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4470124</DepreciationAmt>
        <BookValueAmt>2888901</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>2170044</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1700448</DepreciationAmt>
        <BookValueAmt>469596</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3180768</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2589580</DepreciationAmt>
        <BookValueAmt>591188</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>8386972</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4339677</DepreciationAmt>
        <BookValueAmt>4047295</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9189980</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Assets Held by Others</Desc>
        <BookValueAmt>128420</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Operating Lease Right-of-Use Asset</Desc>
        <BookValueAmt>1900877</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Finance Lease Right-of-Use Asset</Desc>
        <BookValueAmt>330692</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2359989</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Operating Lease Liabilities</Desc>
        <Amt>1900877</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Finance Lease Liabilities</Desc>
        <Amt>325462</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2226339</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>32226713</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>32226713</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>32226713</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>34431632</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>34431632</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>34431632</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Oyauma Garrison</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>160539</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13696</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>174235</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Trupti Patel MD</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>419089</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>41909</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20026</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>489024</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Reed</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>220945</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8035</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>22094</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>961</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>252035</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Adam Rowan</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>243847</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>18035</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24385</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29273</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>315540</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Angela Stewart</PersonNm>
        <TitleTxt>VP HR and Diversity</TitleTxt>
        <BaseCompensationFilingOrgAmt>193048</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8035</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>19305</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18350</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238738</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Matt Donovan</PersonNm>
        <TitleTxt>VP Facilities</TitleTxt>
        <BaseCompensationFilingOrgAmt>144927</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8035</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>14493</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>893</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168348</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Melissa Mitchell</PersonNm>
        <TitleTxt>Chief Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>218900</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8035</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>21890</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9620</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>258445</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Malik Malone</PersonNm>
        <TitleTxt>VP Development</TitleTxt>
        <BaseCompensationFilingOrgAmt>121302</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8035</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12130</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9123</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>150590</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Behrens II</PersonNm>
        <TitleTxt>Nurse Practioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>130962</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34132</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165094</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ryan Pickut</PersonNm>
        <TitleTxt>Program Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>139605</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24418</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>164023</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shawn Holt</PersonNm>
        <TitleTxt>Former CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>7384</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>89667</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2015</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>99066</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Finance Committee of the Board of Directors reviews the Form 990 return after it is prepared. The Form 990 return is subsequently distributed to all members of the Board of Directors for their review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy is reviewed annually by members of the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the President/CEO, other officers and key employees is reviewed and approved by a compensation committee made up of Executive Board Members. The committee uses data from compensation studies of comparable positions with organizations of comparable size and mission/purpose.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>An independent third party compensation consulting firm was previosuly engaged to create compensation ranges for all key employees of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents and the Conflict of Interest policy are available to the general public upon request. Audited financial statements and copies of the Form 990 are provided to funders in accordance with contract requirement and are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Nursing Services $3,976,876Professional Fees $2,086,354Temporary Agency Staff $969,496Physician Services $844,356</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Food $39,194Recreation $18,728Sponsorships $15,587</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
