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      <Desc>PATIENT SERVICES: AXESSPOINTE IS A FEDERALLY QUALIFIED HEALTH CENTER THAT BEGAN OPERATING IN 1995. WE PROVIDED APPROXIMATELY 11,000 COVID VACCINES AND 53,000 MEDICAL, DENTAL, BEHAVIORAL, AND WOMEN'S HEALTHCARE VISITS TO OVER 22,000 PATIENTS IN FIVE HEALTH CENTERS LOCATED IN SUMMIT AND PORTAGE COUNTIES. OUR HEALTH CENTERS ARE IN KENT, AKRON, AND BARBERTON. IN JUNE 2021, OUR BROADWAY HEALTH CENTER CLOSED. 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 DEPENDENT ON HOUSEHOLD SIZE AND INCOME. OUR PATIENT POPULATION IS APPROXIMATELY 55% MEDICAID, 15% SELF-PAY, 15% MEDICARE, AND 15% SELF-PAY. NO PATIENT IS TURNED AWAY FOR CARE REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. WE HAVE PARTNERSHIPS WITH THE LOCAL HOSPITALS TO SERVICES BEYOND OUR SCOPE AND EXCHANGE HEALTH INFORMATION FOR CONTINUITY OF CARE IN AND OUT OF OUR HEALTH CENTERS. FINALLY, WE OFFER WRAP-AROUND SERVICES TO TREAT THE SOCIAL DETERMINANTS OF HEALTH. 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, BROADWAY [CLOSED 06/30/2021], 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.AXESSPOINTE RESPONDED TO THE COMMUNITY NEED FOR COVID VACCINES IN EARLY 2021. WE PARTNERED WITH LOCAL ORGANIZATIONS TO HOST MASS COVID VACCINE EVENTS TO INOCULATE 500 RESIDENTS AT EACH EVENT. WE OFFERED VACCINE CLINICS ON SATURDAYS AT OUR ARLINGTON STREET HEALTH CENTER. VACCINES ARE AVAILABLE IN OUR PHARMACY AND DURING MEDICAL APPOINTMENTS. OVER 11,000 COVID VACCINES WERE ADMINISTERED BY OUR TEAMS IN 2021.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 WITH EMERGENT CONDITIONS. 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 OVER 4,000 OF OUR PATIENTS UTILIZE THE ORGANIZATION'S 340(B) PHARMACY PROGRAM LOCATED IN OUR ARLINGTON, KENT, BARBERTON, AND BROADWAY HEALTH CENTERS. IT PROVIDES CONVENIENCE, COUNSELING, AND TIMELY FILL OF PRESCRIPTIONS IN ADDITION TO SUBSTANTIAL SAVINGS OVER TRADITIONAL PHARMACIES FOR OUR UNISURED PATIENTS. IN 2021, WE FILLED APPROXIMATELY 86,000 INDIVIDUAL PRESCRIPTIONS. OF THE TOTAL PRESCRIPTIONS, 10% WERE TO SLIDING-FEE-SCALE PATIENTS. OUR PHARMACISTS PROVIDED PATIENT CONSULTATIONS FOR MEDICATION THERAPY MANAGEMENT, SPIROMETRY, ANTICOAGULATION, AND OTHER PATIENT SERVICES. ADDITIONALLY, OVER 15,000 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 ABOUT 15,000 DELIVERIES FOR APPROXIMATELY 60,000 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 APPROXIMATELY 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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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRETA LAX</PersonNm>
        <TitleTxt>BOARD MEMBER (RESIGNED 5/31/2021)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LOWRY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIE CURRY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY CHADWICK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWIN HUBBARD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIDGET SUSEL</PersonNm>
        <TitleTxt>BOARD MEMBER (BEGAN 4/28/2021)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM CHILDERS</PersonNm>
        <TitleTxt>BOARD MEMBER (BEGAN 4/28/2021)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SARAH LANG</PersonNm>
        <TitleTxt>BOARD MEMBER (BEGAN 4/28/2021)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK FRISONE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>72404</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER HAYES</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>147663</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD D SCOTT MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>259867</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIE L ENGLER-LYNAUGH</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168260</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIKIL K GIRDHAR</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>223042</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TABITHA DAVIS-STELLATO</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>159128</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AYESHA ERFAN</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>20.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>148285</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE SCHMEISER</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>25.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>171639</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN M GRANEY</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163722</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1514010</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>22</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLEVELAND CLINIC FOUNDATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 92983</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>441942983</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEASED/CONTRACTED PROVIDERS &amp; RENT</ServicesDesc>
        <CompensationAmt>467261</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDIC MANAGEMENT GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>275 SPRINGSIDE DRIVE SUITE 100</AddressLine1Txt>
            <CityNm>AKRON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44333</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
        <CompensationAmt>363952</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARLINGTON PLAZA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1585 FREDERICK BLVD</AddressLine1Txt>
            <CityNm>AKRON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENT</ServicesDesc>
        <CompensationAmt>301211</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY &amp; COMMUNITY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>705 OAKWOOD ST STE 115</AddressLine1Txt>
            <CityNm>RAVENNA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEASED/CONTRACTED PROVIDERS &amp; RENT</ServicesDesc>
        <CompensationAmt>222965</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIGITAL INTEGRATED SYSTEMS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3046 BRECKSVILLE RD</AddressLine1Txt>
            <CityNm>RICHVILLE</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44286</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>156304</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5849727</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>211032</AllOtherContributionsAmt>
      <TotalContributionsAmt>6060759</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>6286894</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6286894</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY SALES</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>4391911</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4391911</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TEACHING SUBSIDY</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>789411</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>789411</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY - 340B</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>239825</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>239825</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIMARY CARE WORKFORCE INCENTIVES</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>37750</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37750</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11745791</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>100118</TotalRevenueColumnAmt>
        <ExclusionAmt>100118</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>5374720</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5230886</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>143834</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>143834</TotalRevenueColumnAmt>
        <ExclusionAmt>143834</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER OPERATING REVENUE</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>711093</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>711093</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>COVID-19 REVENUE</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>70798</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>70798</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>781891</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18832393</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12527682</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>243952</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>648194</TotalAmt>
        <ProgramServicesAmt>473341</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174853</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6357065</TotalAmt>
        <ProgramServicesAmt>5054759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1302306</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>200995</TotalAmt>
        <ProgramServicesAmt>167374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33621</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>629076</TotalAmt>
        <ProgramServicesAmt>523848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105228</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>537092</TotalAmt>
        <ProgramServicesAmt>392330</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144762</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>45091</TotalAmt>
        <ManagementAndGeneralAmt>45091</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47445</TotalAmt>
        <ManagementAndGeneralAmt>47445</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>17503</TotalAmt>
        <ManagementAndGeneralAmt>17503</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1421071</TotalAmt>
        <ProgramServicesAmt>1398768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22303</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>103023</TotalAmt>
        <ProgramServicesAmt>23624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79399</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>326424</TotalAmt>
        <ProgramServicesAmt>303576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22848</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1095133</TotalAmt>
        <ProgramServicesAmt>928232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166901</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>34818</TotalAmt>
        <ProgramServicesAmt>13177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21641</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>36986</TotalAmt>
        <ProgramServicesAmt>13998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22988</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>591582</TotalAmt>
        <ProgramServicesAmt>516467</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75115</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>78425</TotalAmt>
        <ProgramServicesAmt>78383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1722179</TotalAmt>
        <ProgramServicesAmt>1664460</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57719</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TRANSLATION AND LABORAT</Desc>
        <TotalAmt>93411</TotalAmt>
        <ProgramServicesAmt>91215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2196</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>90689</TotalAmt>
        <ProgramServicesAmt>29949</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60740</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>87379</TotalAmt>
        <ProgramServicesAmt>87379</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>109144</TotalAmt>
        <ProgramServicesAmt>52781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56363</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>14272725</TotalAmt>
        <ProgramServicesAmt>11813661</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2459064</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>5158921</BOYAmt>
        <EOYAmt>7363076</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1373274</BOYAmt>
        <EOYAmt>640023</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>178471</BOYAmt>
        <EOYAmt>169845</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>277127</BOYAmt>
        <EOYAmt>156769</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7734044</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4727673</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2999363</BOYAmt>
        <EOYAmt>3006371</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2953564</BOYAmt>
        <EOYAmt>5795154</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>12940720</BOYAmt>
        <EOYAmt>17131238</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1181014</BOYAmt>
        <EOYAmt>958595</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>205215</BOYAmt>
        <EOYAmt>78299</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1486655</BOYAmt>
        <EOYAmt>1455000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>267</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2872884</BOYAmt>
        <EOYAmt>2492161</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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