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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126406</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33620</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANA LAMBMERT</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118049</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28724</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1194990</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>246152</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CAROLINAS CENTER FOR MEDICAL EXCELLENCE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12040 REGENCY PARKWAY SUITE 100</AddressLine1Txt>
            <CityNm>CARY</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>275187708</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE CONSULTING</ServicesDesc>
        <CompensationAmt>953790</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KANSAS FOUNDATION FOR MEDICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>800 SW JACKSON SUITE 700</AddressLine1Txt>
            <CityNm>TOPEKA</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE CONSULTING</ServicesDesc>
        <CompensationAmt>358165</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KANSAS HEALTHCARE COLLABORATIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>623 SW 10TH AVE</AddressLine1Txt>
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            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66612</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>268746</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SOFTDEV CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21227</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE CONSULTING</ServicesDesc>
        <CompensationAmt>144654</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>997700</GovernmentGrantsAmt>
      <TotalContributionsAmt>997700</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>FEDERAL CONTRACTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>7104244</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7104244</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>FEDERAL GRANTS</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>965196</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CASE REVIEW, COMPLIANCE, &amp; OTHER</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>101397</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>101397</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8170837</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>136144</TotalRevenueColumnAmt>
        <ExclusionAmt>136144</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>10154946</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>430609</TotalRevenueColumnAmt>
        <ExclusionAmt>430609</ExclusionAmt>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>8170837</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>566753</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>120982</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>3323461</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>296274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1759</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1035330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6148</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>319264</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1896</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>3270</TotalAmt>
        <ProgramServicesAmt>3270</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>45199</TotalAmt>
        <ProgramServicesAmt>45199</ProgramServicesAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>33627</TotalAmt>
        <ManagementAndGeneralAmt>33627</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1343325</TotalAmt>
        <ProgramServicesAmt>1343325</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>204106</TotalAmt>
        <ProgramServicesAmt>203195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>911</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>10071</TotalAmt>
        <ProgramServicesAmt>10026</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>25946</TotalAmt>
        <ProgramServicesAmt>25830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>29402</TotalAmt>
        <ProgramServicesAmt>29343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>12756</TotalAmt>
        <ProgramServicesAmt>12699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>40092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>180</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES &amp; REGISTRATION</Desc>
        <TotalAmt>65099</TotalAmt>
        <ProgramServicesAmt>65078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>55329</TotalAmt>
        <ProgramServicesAmt>55329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>15858</TotalAmt>
        <ProgramServicesAmt>15787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NEW BUSINESS DEVELOPMEN</Desc>
        <TotalAmt>1425</TotalAmt>
        <ProgramServicesAmt>1419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>7701506</TotalAmt>
        <ProgramServicesAmt>7632795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68711</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6306196</BOYAmt>
        <EOYAmt>5567276</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1904700</BOYAmt>
        <EOYAmt>1157392</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>327103</BOYAmt>
        <EOYAmt>114697</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>45510</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>318164</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>310209</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>20711</BOYAmt>
        <EOYAmt>7955</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>4552399</BOYAmt>
        <EOYAmt>8134727</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <EOYAmt>15027557</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1095038</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>1934797</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>250000</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>375504</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3710228</BOYAmt>
        <EOYAmt>3279835</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9444162</BOYAmt>
        <EOYAmt>11747722</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9444162</BOYAmt>
        <EOYAmt>11747722</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13154390</BOYAmt>
        <EOYAmt>15027557</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>2033784</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>56427</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>213349</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearAmt>997700</CurrentTaxYearAmt>
        <TotalAmt>997700</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>9818828</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10041285</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10053806</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7715777</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8170837</CurrentTaxYearAmt>
        <TotalAmt>45800533</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>9818828</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10041285</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10053806</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7715777</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9168537</CurrentTaxYearAmt>
        <TotalAmt>46798233</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>46798233</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>46937</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>76082</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>166288</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>126935</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>136144</CurrentTaxYearAmt>
        <TotalAmt>552386</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>46937</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>76082</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>166288</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>126935</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>136144</CurrentTaxYearAmt>
        <TotalAmt>552386</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus2YearsAmt>10220094</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7842712</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9304681</CurrentTaxYearAmt>
        <TotalAmt>47350619</TotalAmt>
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      <PublicSupportCY509Pct>0.98830</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98970</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01170</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01030</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>50736</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>50736</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>259473</DepreciationAmt>
        <BookValueAmt>7955</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>7955</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>9757595</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>56427</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>-33627</OtherRevenueAmt>
      <RevenueNotReportedAmt>22800</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>9734795</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>495</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>495</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>9735290</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>7454035</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>-213844</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>-213844</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7667879</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>33627</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>33627</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>7701506</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS EVALUATED THE EFFECT OF U.S. GAAP GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES THAT ARE CURRENTLY IN EFFECT. HQI IS EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT HQI CONTINUES TO SATISFY THE REQUIREMENTS OF A TAX-EXEMPT ORGANIZATION AT SEPTEMBER 30, 2021. MANAGEMENT HAS EVALUATED ALL OTHER TAX POSITIONS THAT COULD HAVE A SIGNIFICANT EFFECT ON THE FINANCIAL STATEMENTS AND DETERMINED THAT HQI HAD NO SIGNIFICANT UNCERTAIN INCOME TAX POSITIONS AT SEPTEMBER 30, 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT EXPENSES NET AGAINST REVENUE ON FINANCIAL STATEMENTS -33,627.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON SALE OF EQUIPMENT NET WITH EXPENSES ON FINANCIAL STATEMENTS 495.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON SALE OF EQUIPMENT NET WITH EXPENSES ON FINANCIAL STATEMENTS -495. BAD DEBT RECOVERY -213,349.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT EXPENSES NET AGAINST REVENUE ON FINANCIAL STATEMENTS 33,627.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
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          <BusinessNameLine1Txt>VIRGINIA COMMONWEALTH UNIVERSITY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>800 EAST LEIGH ST SUITE 3100</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>232980568</ZIPCd>
        </USAddress>
        <RecipientEIN>546001758</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>80819</CashGrantAmt>
        <PurposeOfGrantTxt>SCREENED AND NAVIGATED MEDICAID/MEDICARE BENEFICIARIES WITH NEEDS ASSOCIATED WITH SOCIAL DETERMINANTS OF HEALTH (SHELTER, FOOD, TRANSPORTAION, UTILITIES, DOMESTIC VIOLENCE ISSUES) TO AVAILABLE COMMUNITY RESOURCES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BON SECOURS HEALTH SYSTEM- RICHMOND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7229 FOREST AVENUE SUITE 212</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23226</ZIPCd>
        </USAddress>
        <RecipientEIN>521988421</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>23213</CashGrantAmt>
        <PurposeOfGrantTxt>SCREENED AND NAVIGATED MEDICAID/MEDICARE BENEFICIARIES WITH NEEDS ASSOCIATED WITH SOCIAL DETERMINANTS OF HEALTH (SHELTER, FOOD, TRANSPORTAION, UTILITIES, DOMESTIC VIOLENCE ISSUES) TO AVAILABLE COMMUNITY RESOURCES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RICHMOND BEHAVIORAL HEALTH AUTHORITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>107 SOUTH 5TH STREET</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23219</ZIPCd>
        </USAddress>
        <RecipientEIN>541804146</RecipientEIN>
        <IRCSectionDesc>GOVT ENTITY</IRCSectionDesc>
        <CashGrantAmt>16950</CashGrantAmt>
        <PurposeOfGrantTxt>SCREENED AND NAVIGATED MEDICAID/MEDICARE BENEFICIARIES WITH NEEDS ASSOCIATED WITH SOCIAL DETERMINANTS OF HEALTH (SHELTER, FOOD, TRANSPORTAION, UTILITIES, DOMESTIC VIOLENCE ISSUES) TO AVAILABLE COMMUNITY RESOURCES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>3</Total501c3OrgCnt>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <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>DONALD GLOZER</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>251513</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2376</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26169</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11834</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>307092</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THELMA BAKER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>163656</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2214</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18549</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3462</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>207881</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARYN HUNT</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>142723</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1990</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15128</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21566</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181407</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEILA MCLEAN</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>125812</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>594</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13317</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20303</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160026</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER BROCKMAN</PersonNm>
        <TitleTxt>VP, GROWTH &amp; DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>111435</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1441</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13144</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14619</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155639</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>WE HAVE ACCRUED FOR CEO'S OTHER INCENTIVE COMPENSATION ELEMENTS INCLUDING AN EMPLOYEE SATISFACTION SURVEY, MEETING CLIENT EXPECTATIONS ON CONTRACTS FOR 3 LARGEST CONTRACT/GRANTS, INITIATING CONTRACTS WITH NEW ENTITIES THE COMPANY HAS NEVER DONE BUSINESS WITH AND EXCEEDING THE BUDGETED OPERATING PROFITS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY BEFORE FILING THE RETURN. THE AUDIT COMMITTEE, CEO AND CFO REVIEW AND APPROVE THE RETURN PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>HQI PROVIDES ANNUAL TRAINING TO THE BOARD AND STAFF AND THEN ASKS THEM TO VERIFY THAT THEY INDEED HAVE NO CONFLICTS. IN THE EVENT OF A CONFLICT, A MITIGATION PLAN IS PUT INTO EFFECT. EITHER THE BOARD MEMBER RECUSES HIMSELF OR HERSELF FROM VOTING ON ANY RELATED MATTER OR IN THE CASE OF AN EMPLOYEE, OTHER EMPLOYEES OR BOARD MEMBERS WOULD STEP IN TO OVERSEE THE MATTER. HQI HAS A COMPLIANCE OFFICER WHO ENSURES ALL POTENTIAL CONFLICTS ARE REPORTED, AND ALSO MONITORS POTENTIAL NEW WORK TO MAKE SURE IT DOES NOT INVOLVE ANY COMPETING OR CONFLICTING OBJECTIVES WITH EXISTING WORK.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMPENSATION COMMITTEE (ALL INDEPENDENT BOARD MEMBERS) OF THE BOARD REVIEWS THE PRESIDENT'S/CEO'S COMPENSATION. THEY MEET ANNUALLY AND REVIEW HIS PERFORMANCE BASED ON GOALS SET AT THE BEGINNING OF THE YEAR AND THEN DETERMINE HIS RAISE, IF ANY, FOR THE YEAR AND WHAT BONUS, IF ANY, HE SHOULD RECEIVE. THEY CONSIDER THE COMPENSATION PAID TO PRESIDENTS AND CEOS OF OTHER SIMILAR NONPROFIT ORGANIZATIONS. HQI REVIEWS 990S OF OTHER QUALITY IMPROVEMENT ORGANIZATIONS TO COMPARE SALARIES OF SIMILAR EXECUTIVES, KEY PERSONNEL AT THOSE ORGANIZATIONS. THE ORGANIZATION ALSO PARTICIPATES IN THE GREATER RICHMOND COMPENSATION SURVEY. THIS INFORMATION IS USED TO ENSURE THAT THE SALARIES PAID TO OFFICERS AND ALL EMPLOYEES ARE REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HQI MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FORM 990 AVAILABLE UPON REQUEST TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES: PROGRAM SERVICE EXPENSES 1,343,325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,343,325.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT RECOVERY 213,349.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
