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      <Desc>PATIENT SERVICES- AXESSPOINTE IS A FEDERALLY QUALIFIED HEALTH CENTER THAT BEGAN OPERATING IN 1995. IN 2022, WE CONTINUED TO PROVIDE COVID VACCINES WHEN NEEDED OR REQUESTED FOR A TOTAL OF 827 (64 JOHNSON &amp; JOHNSON, 676 MODERNA, AND 87 MODERNA BOOSTERS), AND OVER 46,000 MEDICAL, DENTAL, BEHAVIORAL, AND WOMEN'S HEALTHCARE VISITS TO OVER 25,000 PATIENTS IN FOUR HEALTH CENTERS LOCATED IN SUMMIT AND PORTAGE COUNTIES. OUR HEALTH CENTERS ARE IN KENT, AKRON, AND BARBERTON. WE HAVE A FULL 340(B) PHARMACY PROGRAM AT THREE OF OUR FOUR HEALTH CENTERS. WE SERVE ALL PATIENTS, PEDIATRIC THROUGH GERIATRIC AGES. ONCE YOU ARE A PATIENT OF AXESSPOINTE, THERE IS NO NEED FOR ANY FAMILY MEMBER TO SEEK PRIMARY CARE TREATMENT OUTSIDE OF OUR HEALTH CENTERS. WE FOCUS ON THE MEDICALLY UNDERSERVED POPULATIONS IN SUMMIT AND PORTAGE COUNTIES INCLUDING MEDICARE, MEDICAID AND UNINSURED PATIENTS. WE OFFER A SLIDING-FEE-SCALE TO PATIENTS WHO QUALIFY DEPENDING ON THEIR HOUSEHOLD SIZE AND INCOME. OUR PATIENT POPULATION IN 2022 WAS APPROXIMATELY 32% MEDICAID, 10% SELF-PAY, 26% MEDICARE, AND 32% COMMERCIAL. NO PATIENT IS TURNED AWAY FOR CARE REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. WE HAVE PARTNERSHIPS WITH THE LOCAL HOSPITALS FOR SERVICES BEYOND OUR SCOPE AND WE EXCHANGE HEALTH INFORMATION FOR CONTINUITY OF CARE IN AND OUT OF OUR HEALTH CENTERS. WE OFFER WRAP-AROUND SERVICES TO TREAT PEOPLE IN NEED. OUR HEALTH CENTERS HAVE STAFF THAT ASSIST WITH OBTAINING MEDICAID AND MEDICARE HEALTH INSURANCE, EVEN ON THE DAY OF THE APPOINTMENT. OUR COMMUNITY HEALTH WORKERS ALSO ASSIST WITH TRANSPORTATION, HOUSING, UTILITIES, AND NAVIGATING OTHER COMMUNITY RESOURCES. ALL OF OUR HEALTH CENTERS ALSO HAVE A FOOD PANTRY AND PERSONAL HYGIENE CLOSET THAT INCLUDES FEMININE HYGIENE PRODUCTS, TOILETRIES, LAUNDRY DETERGENT, AND OTHER HOUSEHOLD ITEMS. WE AT AXESSPOINTE HAVE TAKEN THE EXTRA STEP TO REACH OUT TO OUR PATIENTS JUST TO "CHECK-IN AND WHENEVER POSSIBLE, OUR TEAM DELIVERS ITEMS TO ENSURE THAT OUR PATIENTS KNOW HOW MUCH WE VALUE THAT RELATIONSHIP.MEDICAL - WE PROVIDED APPROXIMATELY 41,000 MEDICAL, BEHAVIORAL, AND WOMEN'S HEALTH VISITS TO OUR PATIENTS. ALL OF OUR LOCATIONS (ARLINGTON, BARBERTON, KENT, AND PORTAGE PATH) PROVIDE MEDICAL CARE TO OUR PATIENT POPULATION. OUR SERVICES INCLUDE ADULT AND PEDIATRIC CARE, CHRONIC DISEASE MANAGEMENT, VACCINES AND IMMUNIZATIONS, GERIATRIC CARE, MEDICATION-ASSISTED TREATMENT, MENTAL HEALTH COUNSELING, WOMEN'S HEALTH, PHYSICALS AND HEALTH SCREENINGS, RAPID HIV SCREENING, STD TESTING AND TREATMENT, VISION SCREENING AS WELL AS HEARING TESTING. WE OFFER TELEHEALTH SERVICES FOR MOST TYPES OF VISITS IF TRANSPORTATION IS A BARRIER TO CARE.OUR BEHAVIORAL HEALTH PROGRAM IS AN INTEGRATED BEHAVIORAL HEALTH PROGRAM WHERE PATIENTS THAT PRESENT A NEED CAN SEE A COUNSELOR WHILE IN THE HEALTH CENTER FOR A MEDICAL VISIT. THIS PROGRAM MINIMIZES THE IMPACT ON PATIENTS FOR EXTERNAL REFERRALS AND AVOIDS ANY TRANSPORTATION ISSUES.WE ALSO OFFER SAME-DAY APPOINTMENTS FOR PATIENTS IN NEED. SELECTED OUTREACH EVENTS INCLUDE WOMEN'S HEALTH DAYS FOR FREE MAMMOGRAMS AND PAP SCREENINGS, RAVENNA BALLOON-A FAIR, "BACK TO SCHOOL" SHOE AND BACK-PACK WITH THE REMEDY CHURCH, BARBERTON MUM FESTIVAL, AND VARIOUS NAACP EVENTS. WE MAINTAIN A REGULAR PRESENCE AT SEVERAL OF OUR COMMUNITY PARTNERS, INCLUDING KENTWAY, AMHA HOUSING, RIVERWOOD CHAPEL, THE REMEDY CHURCH, AND GUYS &amp; GALS.</Desc>
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        <Desc>PHARMACY - 2,500 OF OUR PATIENTS UTILIZE THE ORGANIZATION'S 340(B) PHARMACY PROGRAM LOCATED IN OUR ARLINGTON, KENT, AND BARBERTON HEALTH CENTERS. IT PROVIDES CONVENIENCE, COUNSELING, AND TIMELY FILL OF PRESCRIPTIONS IN ADDITION TO SUBSTANTIAL SAVINGS OVER TRADITIONAL PHARMACIES FOR OUR UNINSURED PATIENTS. IN 2022, WE FILLED 87,552 INDIVIDUAL PRESCRIPTIONS. OF THE TOTAL PRESCRIPTIONS, 8% WERE TO SLIDING-FEE-SCALE PATIENTS. OUR PHARMACISTS PROVIDED PATIENT CONSULTATIONS FOR MEDICATION THERAPY MANAGEMENT, SPIROMETRY, ANTICOAGULATION, AND OTHER PATIENT SERVICES. ADDITIONALLY, OVER 12,000 INDIVIDUAL TELEPHONE ENCOUNTERS WERE PROVIDED FOR PATIENT FOLLOW-UP INTERVENTIONS. BEYOND YOUR LOCAL PICK-UP AT OUR PHARMACIES, WE OFFER FREE DELIVERY AND MAIL ORDER DELIVERY TO PATIENTS WHO DO NOT HAVE ADEQUATE ACCESS TO TRANSPORTATION. WE HAD APPROXIMATELY 7,500 DELIVERIES FOR APPROXIMATELY 75,000 SCRIPTS. THE 340(B) PROGRAM PASSES COST SAVINGS TO UNINSURED PATIENTS AND ENHANCES THEIR ACCESS TO NEEDED MEDICATIONS. FINALLY, OUR PHARMACY TEAM WORKS COLLABORATIVELY WITH OUR CLINICAL TEAM FOR EXPEDITED RESOLUTION FOR OUR PATIENTS.</Desc>
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        <Desc>DENTAL: WE PROVIDED OVER 12,000 DENTAL VISITS TO OUR PATIENTS. OUR THREE CORE LOCATIONS (ARLINGTON, BARBERTON, AND KENT) PROVIDE DENTAL CARE TO OUR PATIENT POPULATION. OUR DENTAL PROGRAM INCLUDES TRADITIONAL EXAMS, ENDODONTICS, EXTRACTIONS, RESTORATIVE SERVICES, PEDIATRIC SEALANTS, AND FLUORIDE TREATMENTS. WE TREAT BOTH ADULT AND PEDIATRIC PATIENTS. OUR PROVIDERS ALSO OFFER AN OUTREACH SERVICE TO HEAD START PROGRAMS AT LOCAL SCHOOLS FOR BOTH INSURED AND UNINSURED PATIENTS FOR DENTAL SCREENINGS. FINALLY, WE OFFER FREE SERVICES UNDER OUR "GIVE KIDS A SMILE" PROGRAM ONCE A YEAR TO APPROXIMATELY 50 CHILDREN AT OUR ARLINGTON HEALTH CENTER.</Desc>
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        <PersonNm>SARAH LANG</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LOWRY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH MANN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIDGET SUSEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA TAYLOR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR EDWARD SCOTT</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER, MD</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>62320</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR KRISTIE L ENGLER-LYNAUGH</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>176878</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>37741</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE STATES MBA</PersonNm>
        <TitleTxt>CHIEF COMPLIANCE OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168059</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23679</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK FRISONE</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>84976</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4249</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GREG MUSCI</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>41538</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4673</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER HAYES</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>88671</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13288</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR VIKIL K GIRDHAR</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>250154</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6640</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE MORENO SCHMEISER</PersonNm>
        <TitleTxt>FAMILY PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>184805</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24623</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANN GRANEY</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>160078</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41443</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR SHILPA KAPOOR</PersonNm>
        <TitleTxt>DIRECTOR OF ADVANCED DENTISTRY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>158499</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2446</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARMEN LENGHEL</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>154450</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14051</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1769252</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>235153</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY AND COMMUNITY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>705 OAKWOOD ST STE 221</AddressLine1Txt>
            <CityNm>RAVENNA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT &amp; SHARED SERVICES</ServicesDesc>
        <CompensationAmt>541663</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIGITAL INTEGRATED SYSTEMS INC DBA D</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3046 BRECKSVILLE ROAD UNIT E1</AddressLine1Txt>
            <CityNm>RICHFIELD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44122</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVER MANAGEMENT &amp; MAINTENANCE</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDIC MANAGEMENT GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3201 ENTERPRISE PKWY STE 370</AddressLine1Txt>
            <CityNm>BEACHWOOD</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING AND COLLECTION SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARLINGTON PLAZA ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>127 E MAIN STREET</AddressLine1Txt>
            <CityNm>RAVENNA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT &amp; BUILDING MAINTENANCE</ServicesDesc>
        <CompensationAmt>285154</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HUMMEL CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>127 E MAIN STREET</AddressLine1Txt>
            <CityNm>RAVENNA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>133430</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5738325</GovernmentGrantsAmt>
      <TotalContributionsAmt>5738325</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY SALES</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>6103665</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6103665</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>5498280</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5498280</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY - 340B</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>412821</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>412821</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>12014766</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>129407</TotalRevenueColumnAmt>
        <ExclusionAmt>129407</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3066080</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2990369</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>75711</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>75711</TotalRevenueColumnAmt>
        <ExclusionAmt>75711</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING REVENUE</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>945283</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>945283</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>COVID-19 REVENUE</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>16497</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16497</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>961780</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18919989</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12976546</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>205118</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1007218</TotalAmt>
        <ProgramServicesAmt>787799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219419</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>6316534</TotalAmt>
        <ProgramServicesAmt>5426515</ProgramServicesAmt>
        <ManagementAndGeneralAmt>890019</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>94357</TotalAmt>
        <ProgramServicesAmt>85332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9025</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>605984</TotalAmt>
        <ProgramServicesAmt>518323</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87661</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>556836</TotalAmt>
        <ProgramServicesAmt>454305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102531</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>-773</TotalAmt>
        <ManagementAndGeneralAmt>-773</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>48526</TotalAmt>
        <ManagementAndGeneralAmt>48526</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>39776</TotalAmt>
        <ManagementAndGeneralAmt>39776</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1174876</TotalAmt>
        <ProgramServicesAmt>882338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>292538</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>76500</TotalAmt>
        <ProgramServicesAmt>42702</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33798</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>275493</TotalAmt>
        <ProgramServicesAmt>264176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11317</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1075546</TotalAmt>
        <ProgramServicesAmt>896830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>178716</ManagementAndGeneralAmt>
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        <TotalAmt>31538</TotalAmt>
        <ProgramServicesAmt>10938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20600</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>59712</TotalAmt>
        <ProgramServicesAmt>20709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39003</ManagementAndGeneralAmt>
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        <TotalAmt>553652</TotalAmt>
        <ProgramServicesAmt>551648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2004</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>84711</TotalAmt>
        <ProgramServicesAmt>84862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-151</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>2333807</TotalAmt>
        <ProgramServicesAmt>2205172</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128635</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENCES AND FEES</Desc>
        <TotalAmt>196354</TotalAmt>
        <ProgramServicesAmt>120814</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75540</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TRANSLATION AND LABORAT</Desc>
        <TotalAmt>121781</TotalAmt>
        <ProgramServicesAmt>120490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1291</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>121047</TotalAmt>
        <ProgramServicesAmt>18485</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102562</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>170902</TotalAmt>
        <ProgramServicesAmt>115058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55844</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12606496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2337881</ManagementAndGeneralAmt>
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        <EOYAmt>8901575</EOYAmt>
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        <EOYAmt>1455586</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>214825</EOYAmt>
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        <EOYAmt>202685</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3006948</EOYAmt>
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        <EOYAmt>5324226</EOYAmt>
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        <EOYAmt>3787646</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>22893491</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1565312</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>487658</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>3360730</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>10877</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>5424577</EOYAmt>
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        <BOYAmt>14639077</BOYAmt>
        <EOYAmt>17468914</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14639077</BOYAmt>
        <EOYAmt>17468914</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>22893491</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>-1145775</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
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