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      <Form990PartVIISectionAGrp>
        <PersonNm>TRISH MCBEATH</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WANDA LEATHERS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RITA JONES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAT MAXWELL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE MOSLEY</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>152923</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>29</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>340B TECHNOLOGIES INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>161 GAITHER DR SUITE 201</AddressLine1Txt>
            <CityNm>MOUNT LAUREL</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08054</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B TECHNOLOGY SERV</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>GREENWAY HEALTH LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PHREESIA</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 347810</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ELEVATE HEALTHCARE CONSULTANTS LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3811 TURTLE CREEK BLVD SUITE 850</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75219</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>REACTION ELECTRIC LLC</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>909 TARBY ROAD</AddressLine1Txt>
            <CityNm>POTEAU</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74953</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRICAL SRVCS</ServicesDesc>
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      <GovernmentGrantsAmt>13472082</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>966639</AllOtherContributionsAmt>
      <NoncashContributionsAmt>98723</NoncashContributionsAmt>
      <TotalContributionsAmt>14438721</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>21037135</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9804449</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>11232686</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>20343767</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20343767</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>316388</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>144017</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      <GrossRentsGrp>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>26114</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-2852</ExclusionAmt>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
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      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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      </NetIncomeOrLossGrp>
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        <BusinessCd>999999</BusinessCd>
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        <ExclusionAmt>5020</ExclusionAmt>
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      <OtherRevenueTotalAmt>5020</OtherRevenueTotalAmt>
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        <ExclusionAmt>172299</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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        <ManagementAndGeneralAmt>1740</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>271416</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
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        <ProgramServicesAmt>905200</ProgramServicesAmt>
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        <ProgramServicesAmt>877014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>894404</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2784350</ProgramServicesAmt>
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        <ProgramServicesAmt>229408</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>85210</ProgramServicesAmt>
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        <ProgramServicesAmt>175656</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>13520524</ProgramServicesAmt>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>12218652</EOYAmt>
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        <EOYAmt>47431109</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>154127</BOYAmt>
        <EOYAmt>785464</EOYAmt>
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        <EOYAmt>48216573</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>9296826</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-21038</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>141994</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>7062106</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6200474</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11367155</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14438721</CurrentTaxYearAmt>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
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      </GovtFurnSrvcFcltsVl170Grp>
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        <CurrentTaxYearAmt>14438721</CurrentTaxYearAmt>
        <TotalAmt>43059924</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>130865</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>138085</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>149020</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>170131</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>2126492</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5020</CurrentTaxYearAmt>
        <TotalAmt>2436695</TotalAmt>
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      <PublicSupportPY170Pct>0.89180</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1(I)</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE OKLAHOMA PRIMARY CARE ASSOCIATION (OKPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING ACTIVITIES. HOWEVER, THE AMOUNT OR PERCENTAGE OF DUES EXPENDED BY THOSE ORGANIZATIONS FOR LOBBYING ACTIVITIES IS UNKNOWN.</ExplanationTxt>
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      <CYMinus4YrEndwmtFundGrp />
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        <BookValueAmt>426122</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>2372661</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>598541</BookValueAmt>
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      <TotalRevEtcAuditedFinclStmtAmt>57517294</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueNotReportedAmt>1879626</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>670642</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INLCUDED IN LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 42,157 NET ASSETS RELEASED FROM RESTRICTION 141,994 CHANGE IN FAIR VALUE OF SWAP AGREEMENT -------- $184,151</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $673,494 TEMPORARILY RESTRICTED CONTRIBUTIONS (2,852) LOSS ON SALE OF EQUIPMENT --------- $670,642</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSE ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 2,852 LOSS ON SALE OF EQUIPMENT</ExplanationTxt>
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>14462</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>236753</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4600</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>11267</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>7693</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2152</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167226</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC BROADWAY</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8790</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>37177</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10672</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>459575</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTON HOANG</PersonNm>
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        <BonusFilingOrganizationAmount>4717</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>10958</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINA CLARK</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8587</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>32</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10141</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15617</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226261</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNY SCOUFOS</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8718</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11183</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10675</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1839</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>224372</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>GYM MEMBERSHIPS ARE OFFERED TO ALL EMPLOYEES ON A REIMBURSEMENT BASIS FOR UP TO $50/PERSON/MONTH. THIS BENEFIT ENDS 03/31/23.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II, COLUMN (B)(II)</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS &amp; INCENTIVE COMPENSATION: (1) PER PROVIDER CONTRACTS, PROVIDERS ARE ELIGIBLE TO EARN A BONUS EACH MONTH BASED ON A SET CALCULATION FOR VISITS OVER A MONTHLY GOAL AMOUNT. (2) PER POLICY, PATIENT ACCESS CENTER STAFF ARE ELIGIBLE TO RECEIVE MONTHLY BONUSES BASED ON A SET CALCULATION FOR WORKING PATIENT ACCOUNTS IN COLLECTION OR BAD DEBT WRITE-OFFS.</ExplanationTxt>
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      <ArchaeologicalArtifactsGrp />
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MATERIALS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>28805</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTIONS: AMOUNTS LISTED REPRESENT THE NUMBER OF DONORS FOR EACH TYPE OF PROPERTY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SIGNIFICANT CHANGES TO BYLAWS: THE FOLLOWING CHANGES WERE MADE TO THE ORGANIZATION'S BYLAWS: - THE FOLLOWING DEFINITIONS WERE ADDED AS TO THE TYPES OF DIRECTORS AND THEIR QUALIFICATIONS: CONSUMER DIRECTOR: SHALL HAVE RECEIVED AT LEAST ONE OF THE CORPORATIONS SERVICES WITHIN THE PAST TWENTY-FOUR MONTHS THAT GENERATED A HEALTH VISIT, WHERE BOTH THE SERVICE AND SITE AT WHICH THE SERVICE WAS PROVIDED ARE INCLUDED IN THE CORPORATION'S HRSA-APPROVED SCOPE OF PROJECT. A LEGAL GUARDIAN OF A CONSUMER WHO IS A DEPENDENT CHILD OR ADULT, A LEGAL SPONSOR OF AN IMMIGRANT WHO IS A CONSUMER, OR A PERSON WHO HAS LEGAL AUTHORITY TO MAKE HEALTH CARE DECISIONS FOR A CONSUMER MAY BE CONSIDERED A "CONSUMER" FOR PURPOSES OF BOARD REPRESENTATION. NON-CONSUMER DIRECTOR: SHALL BE DEFINED AS LIVING, WORKING IN OR HAVING A DEMONSTRABLE CONNECTION TO SUCH COMMUNITY(S), AND SHALL BE SELECTED FOR THEIR EXPERTISE IN AREAS SUCH AS COMMUNITY AFFAIRS, HEALTH, FINANCE AND BANKING, LEGAL AFFAIRS, TRADE UNIONS, SOCIAL SERVICES, BUSINESS, MANAGEMENT AND LOCAL GOVERNMENT. HEALTH CARE INDUSTRY REPRESENTATIVES: HEALTH CARE INDUSTRY INCLUDES BOTH PRIVATE AND PUBLIC SECTORS THAT PROVIDE HEALTH CARE-RELATED SERVICES, GOODS AND ITEMS TO TREAT PATIENTS, INCLUDING WITHOUT LIMITATION, PROVIDERS OF PRIMARY, SECONDARY AND TERTIARY HEALTH CARE AND ANCILLARY SERVICES AND THE PHARMACEUTICAL, HEALTH INSURANCE, AND MEDICAL EQUIPMENT SECTORS - THE FOLLOWING QUALIFICATIONS FOR DIRECTORS WAS ADDED: 1) TO THE EXTENT THAT THE CORPORATION RECEIVES FUNDING UNDER SECTION 330(G), (H) AND/OR (I) OF THE PUBLIC HEALTH SERVICE ACT, THE BOARD SHALL INCLUDE APPROPRIATE REPRESENTATION FROM EACH OF THE SPECIAL POPULATIONS FOR WHICH THE CORPORATION RECEIVES SUCH FUNDING, CONSISTENT WITH THE THEN CURRENT POLICIES OF THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). (2) NO MEMBER OF THE BOARD OF DIRECTORS SHALL BE AN EMPLOYEE OF THE CORPORATION, OR AN IMMEDIATE FAMILY MEMBER (SPOUSE, CHILD, PARENT, BROTHER OR SISTER, BY BLOOD, MARRIAGE OR ADOPTION) OF SUCH AN EMPLOYEE. - VACANCIES MAY BE FILLED BY A MAJORITY OF THE DIRECTORS. NO OTHER INDIVIDUALS(S), ENTITY(S), OR COMMITTEE(S) SHALL BE PERMITTED TO SELECT A MAJORITY OF THE TOTAL BOARD MEMBERS OR A MAJORITY OF THE NON-CONSUMER BOARD MEMBERS, NOR SHALL ANY OTHER INDIVIDUALS(S), ENTITY(S), OR COMMITTEE(S) PRECLUDE THE SELECTION OF MEMBERS NOT APPOINTED BY SUCH PARTY. - CAUSE FOR REMOVAL FROM THE BOARD OF DIRECTORS MAY INCLUDE, BUT IS NOT LIMITED TO, THE FOLLOWING: (I) FAILURE TO MEET THE ATTENDANCE REQUIREMENTS SET FORTH IN ARTICLE IV, SECTION E OF THESE BYLAWS; (II) TAKING ACTIONS THAT VIOLATE THE CORPORATION'S CONFLICT OF INTEREST POLICY OR ARE CONTRARY TO THE BEST INTERESTS OF THE CORPORATION AS DETERMINED BY THE BOARD; AND (III) BEING EXCLUDED OR SUSPENDED FROM ANY FEDERAL OR STATE HEALTH CARE PROGRAMS. ANY SUCH RESIGNATION OR REMOVAL SHALL TAKE EFFECT AT THE TIME SPECIFIED THEREIN. NO OTHER INDIVIDUALS(S), ENTITY(S), OR COMMITTEE(S) CAN REQUIRE THE REMOVAL OF ANY BOARD MEMBER NOT APPOINTED BY SUCH INDIVIDUALS(S), ENTITY(S), OR COMMITTEE(S). - THE FOLLOWING CHANGES WERE MADE TO MONTHLY MEETING REQUIREMENTS. (1) AS TO ATTENDANCE, OFFICERS MUST MAINTAIN AN ATTENDANCE OF &gt;75% (PREVIOUSLY 70%) (2) AS TO NOTIFICATION, A LETTER WILL BE SENT AFTER 3 ABSENCES (PREVIOUSLY 2 ABSENCES) - IN THE EVENT THAT A MEETING OF THE BOARD OR OF ANY COMMITTEE DESIGNATED BY THE BOARD IS CONDUCTED FULLY THROUGH SUCH TELEPHONIC OR ELECTRONIC/VIRTUAL MEANS, ADVANCE WRITTEN NOTICE OF THE METHODOLOGY USED TO CONDUCT SUCH MEETING MUST BE PROVIDED IN ACCORDANCE WITH ARTICLE IV, SECTION J OF THESE BYLAWS. - MINUTES, INCLUDING A RECORD OF ATTENDANCE AND DOCUMENTATION AND VERIFICATION OF MAJOR ACTIONS AND DECISIONS BY THE BOARD, SHALL BE MAINTAINED OF ALL MEETINGS OF THE BOARD OF DIRECTORS, WHICH MINUTES SHALL BE SIGNED BY THE SECRETARY OR THEIR DESIGNEE, APPROVED BY THE BOARD AT A SUBSEQUENT MEETING, AND RETAINED AT THE OFFICE OF THE CORPORATION. - EXECUTIVE SESSIONS MAY BE HELD FOR SUCH PURPOSES INCLUDING, BUT NOT LIMITED TO, DISCUSSION OF LITIGATION (ACTUAL OR THREATENED), EVALUATION OF PERSONNEL OR DISCUSSION OF PERSONNEL ISSUES, OR RECEIPT OF THE RESULTS OF AN ANNUAL AUDIT. THE CHIEF EXECUTIVE OFFICER SHALL PARTICIPATE IN EXECUTIVE SESSIONS OF THE BOARD UNLESS THE BOARD REQUESTS THE CHIEF EXECUTIVE OFFICER'S ABSENCE. THE PRESIDENT OF THE BOARD MAY INVITE SUCH OTHER PERSONS AS THEY DEEM APPROPRIATE TO ATTEND AN EXECUTIVE SESSION. UNLESS INVITED BY THE PRESIDENT TO ATTEND, THE PUBLIC AND STAFF PERSONNEL WILL BE EXCLUDED FROM EXECUTIVE EXCEPT WHEN THEIR PRESENCE IS NECESSARY TO GIVE TESTIMONY OR ADVICE, AFTER WHICH THEY WILL BE EXCUSED. - AS TO THE OFFICE OF THE PRESIDENT: NO OTHER INDIVIDUALS(S), ENTITY(S), OR COMMITTEE(S) SHALL SELECT THE PRESIDENT OF THE BOARD; NOR SHALL ANY PERSON APPOINTED BY ANY OTHER INDIVIDUALS(S), ENTITY(S), OR COMMITTEE(S) SERVE AS PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE DRAFT OF THE FORM 990 IS EMAILED TO BOARD MEMBERS AND FINAL COPY OF THE FORM 990 IS APPROVED AT THE BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: THE PURPOSES OF THE CORPORATION SHALL BE THOSE NON-PROFIT PURPOSES STATED IN THE ARTICLES OF INCORPORATION, AS THEY MAY BE AMENDED. NO PART OF THE NET EARNINGS OR OTHER ASSETS OF THE CORPORATION SHALL INURE TO THE BENEFIT OF, BE DISTRIBUTED TO OR AMONG, OR REVERT TO, ANY DIRECTOR, OFFICER, CONTRIBUTOR OR OTHER PRIVATE INDIVIDUAL HAVING, DIRECTLY OR INDIRECTLY, ANY PERSONAL OR PRIVATE INTEREST IN THE ACTIVITIES OF THE CORPORATION, EXCEPT THAT THE CORPORATION MAY PAY REASONABLE COMPENSATION FOR SERVICES RENDERED AND MAY MAKE PAYMENTS AND DISTRIBUTIONS IN FURTHERANCE OF THE NON-PROFIT PURPOSES STATED IN THE ARTICLES OF INCORPORATION. AT NO TIME SHALL ANY BOARD MEMBER BE AN EMPLOYEE OF THE CORPORATION. ALSO AT NO TIME SHALL THE SPOUSE, CHILD, PARENT, BROTHER, OR SISTER BY BLOOD OR MARRIAGE OF A BOARD MEMBER BE AN EMPLOYEE OF THE CORPORATION. ANNUALLY SHWC BOARD MEMBERS COMPLETE A SURVEY DESIGNED TO BRING TO LIGHT ANY CONFLICTS OF INTEREST. IF A CONFLICT SHOULD ARISE, THEN THE BOARD MEMBER WOULD ABSTAIN FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION DETERMINATION: THE CEO'S SALARY MAY BE ADJUSTED BY THE BOARD OF DIRECTORS ANNUALLY DURING THE ANNUAL EMPLOYEE EVALUATION PERIOD. THE COMPENSATION IS COMPARED WITH OTHER DIRECTORS' SALARIES IN OKLAHOMA AND AGAINST NACHC'S SALARIES AND BENEFITS SURVEY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. IF REQUESTED, THE PERSON WILL BE ASKED TO REVIEW THE DOCUMENTS ON SITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGE IN NET ASSETS: $ 141,994 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>HWC REAL ESTATE HOLDING COMPANY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1505 E MAIN ST</AddressLine1Txt>
          <CityNm>STIGLER</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74462</ZIPCd>
        </USAddress>
        <EIN>852874892</EIN>
        <PrimaryActivitiesTxt>SUPPORT SHWC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12BII</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHWC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HWC FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1505 E MAIN ST</AddressLine1Txt>
          <CityNm>STIGLER</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>74462</ZIPCd>
        </USAddress>
        <EIN>873376340</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SHWC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HWC REAL ESTATE HOLDING COMPANY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>76933</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HWC REAL ESTATE HOLDING COMPANY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>600000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HWC REAL ESTATE HOLDING COMPANY INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>87533</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
