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        <PersonNm>DEMINICA CRAWLEY</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCEE JACKSOB WHITE</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>255108</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD GREENE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>216580</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2489</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIRIAM VEGA</PersonNm>
        <TitleTxt>EXECUTIVE VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>200382</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN BELLAMY</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>188784</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GWENDOLYN YOUNG</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>175108</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN BAILEY</PersonNm>
        <TitleTxt>CTO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>160122</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>466</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VENZIL RAWNE BROWNE</PersonNm>
        <TitleTxt>DIRECTOR OF REVENUE CYCLE MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>124669</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>504</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADETORO ORIAIFO</PersonNm>
        <TitleTxt>DIRECTOR OF PHARMACY</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>157433</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>752</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BEATRICE DENEFIELD</PersonNm>
        <TitleTxt>PSYCHAITRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>271852</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMUEL WILLIAMS</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR BEHAVORIAL HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>240683</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3042</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN KELLLY</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>205535</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2840</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY SCHULTZ</PersonNm>
        <TitleTxt>PHYSICAN FAMILY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2762</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KHALID EL-BEDAWI</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>198304</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2594092</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>12855</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>13</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9693222</GovernmentGrantsAmt>
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      <TotalContributionsAmt>9755358</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>34248748</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>34248748</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER REVENUE</Desc>
        <TotalRevenueColumnAmt>1398918</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1398918</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>803949</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>644000</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
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        <ManagementAndGeneralAmt>100232</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>2785668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>813309</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>966647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>322960</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>197249</TotalAmt>
        <ManagementAndGeneralAmt>197249</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>238777</TotalAmt>
        <ManagementAndGeneralAmt>238777</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>51329</TotalAmt>
        <ManagementAndGeneralAmt>51329</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>3763676</TotalAmt>
        <ProgramServicesAmt>1989208</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1769993</ManagementAndGeneralAmt>
        <FundraisingAmt>4475</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>63502</TotalAmt>
        <ManagementAndGeneralAmt>63502</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>284660</TotalAmt>
        <ProgramServicesAmt>113560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>171100</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>644996</TotalAmt>
        <ProgramServicesAmt>7131</ProgramServicesAmt>
        <ManagementAndGeneralAmt>637865</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2806957</TotalAmt>
        <ProgramServicesAmt>1483700</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1323257</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>26951</TotalAmt>
        <ProgramServicesAmt>22671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4280</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>35146</TotalAmt>
        <ProgramServicesAmt>8451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26695</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>6545</TotalAmt>
        <ManagementAndGeneralAmt>6545</ManagementAndGeneralAmt>
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        <TotalAmt>532561</TotalAmt>
        <ProgramServicesAmt>532561</ProgramServicesAmt>
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        <ProgramServicesAmt>5329</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>9693682</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIR &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>5688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>434494</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>37388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>104797</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>33324593</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>946374</BOYAmt>
        <EOYAmt>4951409</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1399439</BOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2012038</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1421963</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>306602</EOYAmt>
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        <EOYAmt>3587249</EOYAmt>
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        <EOYAmt>11673711</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>30971790</EOYAmt>
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        <EOYAmt>277100</EOYAmt>
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        <EOYAmt>2780624</EOYAmt>
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        <EOYAmt>7497402</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>3774622</EOYAmt>
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        <EOYAmt>23474388</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>8723992</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11694399</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9121309</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>11694399</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9121309</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>39335618</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>706744</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>207216</CurrentTaxYearAmt>
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      <GrossReceiptsRltdActivitiesAmt>115653940</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.43460</PublicSupportCY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>776200</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>13908525</DepreciationAmt>
        <BookValueAmt>1697844</BookValueAmt>
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        <DepreciationAmt>5992716</DepreciationAmt>
        <BookValueAmt>772878</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>784282</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>443955</DepreciationAmt>
        <BookValueAmt>340327</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3587249</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>SHORT TERM INVESMENTS</Desc>
        <BookValueAmt>3376327</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>3376327</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>SUPPLIES</Desc>
        <BookValueAmt>360604</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>EXTERNALLY RESTRICTED BY DONORS</Desc>
        <BookValueAmt>212771</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS</Desc>
        <BookValueAmt>40000</BookValueAmt>
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        <Desc>DEPOSITS AND OTHER ASSETS</Desc>
        <BookValueAmt>37256</BookValueAmt>
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        <BookValueAmt>2991860</BookValueAmt>
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        <Desc>DUE TO RELATED PARTY</Desc>
        <Amt>924</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>PPP</Desc>
        <Amt>2779700</Amt>
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      <RevenueSubtotalAmt>45848963</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>45848963</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>46365608</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>46365608</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUID ANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIA L UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHASE BREXTON HEALTH SERVICES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>1111 N CHARLES ST</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21201</ZIPCd>
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        <RecipientEIN>521638592</RecipientEIN>
        <IRCSectionDesc>501(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>PASS THROUGH GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY HEALTH CENTERS OF BALTIMORE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>631 CHERRY HILL RD</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21225</ZIPCd>
        </USAddress>
        <RecipientEIN>521118424</RecipientEIN>
        <IRCSectionDesc>501(3)</IRCSectionDesc>
        <CashGrantAmt>145503</CashGrantAmt>
        <PurposeOfGrantTxt>PASS THROUGH GRANT</PurposeOfGrantTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADETORO ORIAIFO</PersonNm>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE FINAL DRAFT FOR FORM 990 IS REVIEWED BY THE CEO AND CFO, THEN SUBSEQUENTLY PRESENTED TO THE FULL BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: TOTAL HEAL TH CARE, INC. HAS A WRITTEN CONFLICT OF INTEREST PO LICY. KEY EMPLOYEES, OFFICERS AND DIRECTORS UPDATE ANNUALLY THEIR DISCLOSURE STATEMENTS. A NY CONFLICTS ARE REVIEWED BY THE BOARD. IF THE POTENTIAL CONFLICT INVOLVES A BOARD MEMBER, THE POTENTIALLY CONFLICTED BOARD MEMBER SHALL ABSTAIN FROM PARTICIPATING IN THE DETERMINA TION OF WHETHER A CONFLICT OF INTEREST EXISTS. THE DECISIONS OF THE BOARD IS FINAL. IF THE BOARD DETERMINES A CONFLICT DOES NOT EXIST, THE INTERESTED PERSON MAY PROCEED WITH THE TR ANSACTION; HOWEVER, HE OR SHE WILL NOT BE ELIGIBLE TO VOTE ON RELATED ISSUES SHOULD THEY A RISE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR COMPENSATION REVIEW: THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE BOARD OF DIRECTORS AND IS DETERMINED ANNUALLY. CHANGES TO THE GEO'S BASE COMPENSATION AS W ELL AS ANY APPLICABLE BONUS PAYOUTS ARE MADE BASED UPON THE GEO'S PERFORMANCE FOR THE YEAR BEING EVALUATED.PERIODICALLY THE BOARD OF DIRECTORS CONDUCTS A MARKET SURVEY OF COMPARAB LE COMPENSATION DATA TO ENSURE THAT THE CEO IS BEING FAIRLY COMPENSATED RELATIVE TO MARKET TRENDS. THE BOARD OF DIRECTORS RECORDS AND APPROVES THE TOTAL COMPENSATION PACKAGE FOR TH E CEO ON AN ANNUAL BASIS. THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTED A COMPENSATION RE VIEW IN 2018.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: ALL ORGANIZATIONAL DOCUMENTS, FINANCIAL STATEMENTS, AND ITS CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOS URE AS SET FORTH IN SECTION 6104(0).</ExplanationTxt>
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        <USAddress>
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          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21216</ZIPCd>
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        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>TOTAL HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUERK HOUSE PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>730 ASHBURTON STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21216</ZIPCd>
        </USAddress>
        <EIN>521839817</EIN>
        <PrimaryActivitiesTxt>RE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TUERK HOUSE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>