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        <ReportableCompFromOrgAmt>278573</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1040</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSANNE N RENDEIRO-DOBLE</PersonNm>
        <TitleTxt>ASSOCIATE DIRECTOR OF MEDICINE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>176540</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47181</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1310558</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>115673</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NATIONAL HEALTHCARE CONSULTING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7 ONTARIO AVE</AddressLine1Txt>
            <CityNm>PLAINVIEW</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>11803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FINANCE CONSULTANT</ServicesDesc>
        <CompensationAmt>693000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WINSTON SUPPORT SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>122 EAST 42ND STREET SUITE 320</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10168</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>231092</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KAUFF MCGUIRE &amp; MARGOLIS LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>950 THIRD AVENUE 14TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>224669</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7322708</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>237037</AllOtherContributionsAmt>
      <TotalContributionsAmt>7559745</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>19341782</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19341782</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NYRX REINVESTMENT PROGRAM</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9800000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9800000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>2502108</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2502108</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD PARTY</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>353959</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>353959</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AIDS DRUG ASSISTANCE PROGRAM</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>300236</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>300236</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>489157</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>489157</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>32787242</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>499527</TotalRevenueColumnAmt>
        <ExclusionAmt>499527</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5928493</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5757987</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>170506</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>170506</TotalRevenueColumnAmt>
        <ExclusionAmt>170506</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>110061</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>110061</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>110061</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>41127081</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32897303</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>670033</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>389704</TotalAmt>
        <ProgramServicesAmt>343232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40404</ManagementAndGeneralAmt>
        <FundraisingAmt>6068</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8627672</TotalAmt>
        <ProgramServicesAmt>7598841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>894502</ManagementAndGeneralAmt>
        <FundraisingAmt>134329</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1384564</TotalAmt>
        <ProgramServicesAmt>1219459</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143548</ManagementAndGeneralAmt>
        <FundraisingAmt>21557</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>680090</TotalAmt>
        <ProgramServicesAmt>598991</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70510</ManagementAndGeneralAmt>
        <FundraisingAmt>10589</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>363441</TotalAmt>
        <ProgramServicesAmt>3045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360396</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>861000</TotalAmt>
        <ProgramServicesAmt>187689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>673311</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>46050</TotalAmt>
        <ProgramServicesAmt>46050</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1609894</TotalAmt>
        <ProgramServicesAmt>1264865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>296396</ManagementAndGeneralAmt>
        <FundraisingAmt>48633</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>260178</TotalAmt>
        <ProgramServicesAmt>113600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137182</ManagementAndGeneralAmt>
        <FundraisingAmt>9396</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1440479</TotalAmt>
        <ProgramServicesAmt>1124356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>311297</ManagementAndGeneralAmt>
        <FundraisingAmt>4826</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>471299</TotalAmt>
        <ProgramServicesAmt>10826</ProgramServicesAmt>
        <ManagementAndGeneralAmt>460473</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2037519</TotalAmt>
        <ProgramServicesAmt>1714650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>301455</ManagementAndGeneralAmt>
        <FundraisingAmt>21414</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>60552</TotalAmt>
        <ProgramServicesAmt>18096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39543</ManagementAndGeneralAmt>
        <FundraisingAmt>2913</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>96802</TotalAmt>
        <ProgramServicesAmt>28928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63217</ManagementAndGeneralAmt>
        <FundraisingAmt>4657</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>92525</TotalAmt>
        <ProgramServicesAmt>92525</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1163860</TotalAmt>
        <ProgramServicesAmt>1062352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94257</ManagementAndGeneralAmt>
        <FundraisingAmt>7251</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>168049</TotalAmt>
        <ProgramServicesAmt>14099</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153950</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY AND CONSUMABLE</Desc>
        <TotalAmt>17879640</TotalAmt>
        <ProgramServicesAmt>17107533</ProgramServicesAmt>
        <ManagementAndGeneralAmt>772107</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>409483</TotalAmt>
        <ProgramServicesAmt>302526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101025</ManagementAndGeneralAmt>
        <FundraisingAmt>5932</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT ASSISTANCE</Desc>
        <TotalAmt>166317</TotalAmt>
        <ProgramServicesAmt>129680</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36553</ManagementAndGeneralAmt>
        <FundraisingAmt>84</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PERSONNEL RECRUITING</Desc>
        <TotalAmt>130585</TotalAmt>
        <ProgramServicesAmt>72822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56863</ManagementAndGeneralAmt>
        <FundraisingAmt>900</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>360795</TotalAmt>
        <ProgramServicesAmt>68003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>292642</ManagementAndGeneralAmt>
        <FundraisingAmt>150</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>38700498</TotalAmt>
        <ProgramServicesAmt>33122168</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5299631</ManagementAndGeneralAmt>
        <FundraisingAmt>278699</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7554922</BOYAmt>
        <EOYAmt>12017380</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>7965273</BOYAmt>
        <EOYAmt>8511144</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2268067</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1532378</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>426541</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>239712</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15671018</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8016177</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8337030</BOYAmt>
        <EOYAmt>7654841</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>10581678</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>566729</BOYAmt>
        <EOYAmt>535226</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>43242867</BOYAmt>
        <EOYAmt>50831049</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2853524</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>8089777</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1978943</EOYAmt>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>24173113</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>24270355</BOYAmt>
        <EOYAmt>26657936</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>24270355</BOYAmt>
        <EOYAmt>26657936</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>43242867</BOYAmt>
        <EOYAmt>50831049</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2426583</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-39002</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>7136039</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8497608</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8673532</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11267105</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7559745</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>8497608</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8673532</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11267105</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7559745</CurrentTaxYearAmt>
        <TotalAmt>43134029</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>43134029</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearAmt>499527</CurrentTaxYearAmt>
        <TotalAmt>731553</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>369243</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22081</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>147077</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>110061</CurrentTaxYearAmt>
        <TotalAmt>1024446</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>44890028</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>72658668</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.96090</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.44340</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2019 AMOUNT: $ 375,984. 2020 AMOUNT: $ 369,243. 2021 AMOUNT: $ 22,081. 2022 AMOUNT: $ 147,077. 2023 AMOUNT: $ 110,061.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>46050</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>46050</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
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      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>773619</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>833497</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>839626</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>3446742</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>5170113</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>127156</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>43675</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>40525</CurrentYearMinus1Amt>
        <CurrentYearAmt>46050</CurrentYearAmt>
        <TotalAmt>257406</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>193405</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>208374</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>209907</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>861686</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1292529</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>5835586</DepreciationAmt>
        <BookValueAmt>6939130</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2139115</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1491669</DepreciationAmt>
        <BookValueAmt>647446</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>688922</DepreciationAmt>
        <BookValueAmt>68265</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>7654841</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>11250869</Amt>
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      <TotalLiabilityAmt>11250869</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>41088079</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-39002</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-39002</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>41127081</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>41127081</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>38700498</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>38700498</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>38700498</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2021 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERESITA RODRIGUEZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>321472</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14960</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>336432</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RAYMUND SISON</PersonNm>
        <TitleTxt>DIRECTOR OF INFECTIOUS DISEASES</TitleTxt>
        <BaseCompensationFilingOrgAmt>275573</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1040</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>279613</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL CHAMBLISS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>33761</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235366</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSANNE N RENDEIRO-DOBLE</PersonNm>
        <TitleTxt>ASSOCIATE DIRECTOR OF MEDICINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>170540</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>47181</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>223721</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YUMIKO SANO</PersonNm>
        <TitleTxt>CHIEF OF PROGRAM DATA OPERATIONS OFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>166972</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18200</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191172</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSE DAVID BARRETT</PersonNm>
        <TitleTxt>DIRECTOR OF DENTAL PROGRAM</TitleTxt>
        <BaseCompensationFilingOrgAmt>158746</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>650</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>531</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159927</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON UNION STAFF RECEIVED A DISCRETIONARY LONGEVITY OR TENURE BONUS, DETERMINED BY YEARS OF SERVICE, WHICH IS APPROVED BY CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION OUTSOURCES THE ROLE OF ITS CFO AND OTHER FISCAL DUTIES TO NATIONAL HEALTHCARE CONSULTING, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE &amp; THE FULL BOARD FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>APICHA CHC REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICTS OF INTEREST POLICY, WHICH WAS APPROVED BY ITS BOARD OF DIRECTORS, AND APPLIES TO ALL BOARD MEMBERS AND KEY MANAGEMENT, AMONG OTHERS. ALL BOARD MEMBERS AND KEY MANAGEMENT ANNUALLY COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE THAT REQUIRES THEM TO DISCLOSE ANY INFORMATION THAT COULD GIVE RISE TO CONFLICTS OF INTEREST, AND INCLUDES A COPY OF THE CONFLICTS OF INTEREST POLICY. DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS ARE THE RESPONSIBILITY OF THE BOARD OF DIRECTORS. THE CONFLICTS OF INTEREST POLICY REQUIRES THAT AN AFFECTED INDIVIDUAL BE EXCLUDED FROM PARTICIPATION IN BOARD OF DIRECTORS DELIBERATIONS ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FULL BOARD GOES INTO EXECUTIVE SESSION TO REVIEW AND EVALUATE THE CEO'S COMPENSATION, AND THE FULL BOARD VOTES AND APPROVES THAT COMPENSATION. THE CEO IS RESPONSIBLE FOR REVIEW, EVALUATION AND APPROVAL OF OTHER KEY EMPLOYEES COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SIMILAR TO THE FORM 990, THE ORGANIZATIONS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ANNUAL REPORT WHICH INCLUDES KEY FINANCIAL ELEMENTS IS POSTED TO THE ORGANIZATIONS WEBSITE AND IS ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>