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        <OtherCompensationAmt>13461</OtherCompensationAmt>
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        <PersonNm>GABA NANCY D</PersonNm>
        <TitleTxt>CHAIR TRUSTEE AND SECRETARY</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>627827</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22799</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHESSER ROBERT CHAIRMAIN</PersonNm>
        <TitleTxt>DEPARTMENT OF EMERGENCY MEDICINCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>624352</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23797</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BENDER STEVEN B</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>417159</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31309</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHOPRA PRAVEEN K</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>411476</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33114</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MACDONALD STEPHEN</PersonNm>
        <TitleTxt>CFO (THROUGH MAY 2019)</TitleTxt>
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        <ReportableCompFromOrgAmt>409562</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11491</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MCCLAIN PAMELA B CHIEF OPERATIONS</PersonNm>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5648</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WHITMORE RODNEY W CHIEF</PersonNm>
        <TitleTxt>HUMAN RESCOURCES OFFICER</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>307995</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27557</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BERRIGAN MICHAEL J CHAIRMAN DEPT</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>123337</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8522</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALBERT MARC</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRACKIN D WAYNE</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARBONELL NELSON A JR</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOELSON DEBORAH</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KADASI ROSALIND</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE PAMELA</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>POPIEL RICHARD</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ZANE ELLEN CHAIR OF THE</PersonNm>
        <TitleTxt>BOARD AND TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BASS BARBARA CEO DEAN OF GW</PersonNm>
        <TitleTxt>SMHS - EX OFFICIO (JAN. 2020)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>50.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>13000620</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>1849132</TotReportableCompRltdOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON SPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15212 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CHEMOTHERAPY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLSCRIPTS LLC - CHICAGO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24630 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON DRUG CO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 75698</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>28275</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>6204304</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIBLEY MEDICAL ASSOCIATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5255 LOUGHBORD ROAD NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20026</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>5164567</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CVS PHARMACY CAREMARK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>950 E SHEA BLVD MC 019</AddressLine1Txt>
            <CityNm>SCOTTSDALE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85260</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACY BENEFIT PROVIDER</ServicesDesc>
        <CompensationAmt>5008473</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>132</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8991349</GovernmentGrantsAmt>
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      <TotalContributionsAmt>9512845</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>396512452</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>396512452</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL EDUCATION</Desc>
        <BusinessCd>611310</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>16253513</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RESEARCH</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>5534325</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5534325</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>418300290</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>857591</TotalRevenueColumnAmt>
        <ExclusionAmt>857591</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>5152309</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>5986097</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-833788</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-833788</TotalRevenueColumnAmt>
        <ExclusionAmt>-833788</ExclusionAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>47813</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-47813</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-47813</TotalRevenueColumnAmt>
        <ExclusionAmt>-47813</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>427789125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>418300290</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-24010</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>6883152</TotalAmt>
        <ProgramServicesAmt>3821145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3062007</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>258657191</TotalAmt>
        <ProgramServicesAmt>230313532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28343659</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>7983352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1103282</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>7807838</TotalAmt>
        <ProgramServicesAmt>6859825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>948013</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>15930613</TotalAmt>
        <ProgramServicesAmt>13996348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1934265</ManagementAndGeneralAmt>
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        <TotalAmt>1352648</TotalAmt>
        <ProgramServicesAmt>113152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1239496</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>169479</TotalAmt>
        <ManagementAndGeneralAmt>169479</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
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        <FundraisingAmt>758240</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>29162</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>14273753</ProgramServicesAmt>
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        <ProgramServicesAmt>588697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>316161</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>2976068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>471437</ManagementAndGeneralAmt>
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        <TotalAmt>12142316</TotalAmt>
        <ProgramServicesAmt>801652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11340664</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>14787214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6002434</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1366496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144850</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>329708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44930</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>656627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3736057</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4537808</ProgramServicesAmt>
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        <ProgramServicesAmt>3927521</ProgramServicesAmt>
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        <ProgramServicesAmt>11576015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1780382</ManagementAndGeneralAmt>
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        <Desc>PATIENT CARE SUPPLIES</Desc>
        <TotalAmt>49541188</TotalAmt>
        <ProgramServicesAmt>49541188</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>25451893</TotalAmt>
        <ProgramServicesAmt>25451893</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
        <TotalAmt>2310628</TotalAmt>
        <ProgramServicesAmt>2030072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>280556</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TEACHING SUPPLIES AND E</Desc>
        <TotalAmt>1122731</TotalAmt>
        <ProgramServicesAmt>1122731</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>2543996</TotalAmt>
        <ProgramServicesAmt>1262263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1281733</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>471027865</TotalAmt>
        <ProgramServicesAmt>398317060</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71952565</ManagementAndGeneralAmt>
        <FundraisingAmt>758240</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>23715</BOYAmt>
        <EOYAmt>1323715</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>56732478</BOYAmt>
        <EOYAmt>31207367</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1012908</BOYAmt>
        <EOYAmt>816525</EOYAmt>
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        <BOYAmt>4472882</BOYAmt>
        <EOYAmt>2583468</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>211998673</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>88914565</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>64724174</BOYAmt>
        <EOYAmt>123084108</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>14329217</BOYAmt>
        <EOYAmt>13266300</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>120000</BOYAmt>
        <EOYAmt>120000</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>7870718</BOYAmt>
        <EOYAmt>8128746</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>149286092</BOYAmt>
        <EOYAmt>180530229</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>37591458</BOYAmt>
        <EOYAmt>27868637</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>4271048</BOYAmt>
        <EOYAmt>15653385</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>35351802</BOYAmt>
        <EOYAmt>34415755</EOYAmt>
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        <NontaxableBenefitsRltdOrgsAmt>23356</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>944833</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WASSERMAN ALAN G CHAIRMAN</PersonNm>
        <TitleTxt>DEPARTMENT OF MEDICINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>825570</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4097</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>39750</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2763</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3913</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>876093</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RHEE JONATHAN J</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>434635</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>383670</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11200</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15365</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>844870</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SOTOMAYOR EDUARDO M</PersonNm>
        <TitleTxt>CHAIR TRUSTEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>722185</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>50000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25534</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2550</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29998</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>830267</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY ROBERT E CEO</PersonNm>
        <TitleTxt>EX-OFFICIO (THROUGH JAN 2020)</TitleTxt>
        <BaseCompensationFilingOrgAmt>766635</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>30276</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>2667</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>24119</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>823697</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ZEMAN ROBERT K</PersonNm>
        <TitleTxt>CHAIR TRUSTEE</TitleTxt>
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        <OtherCompensationFilingOrgAmt>17678</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>2047</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23646</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>678526</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERGER JEFFREY S CHAIRMAN DEPT</PersonNm>
        <TitleTxt>OF ANESTHESIOLOGY (DEC. 2019)</TitleTxt>
        <BaseCompensationFilingOrgAmt>639120</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5651</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>1500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2281</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11180</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>659732</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GABA NANCY D</PersonNm>
        <TitleTxt>CHAIR TRUSTEE AND SECRETARY</TitleTxt>
        <BaseCompensationFilingOrgAmt>599598</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3229</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2033</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20766</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>650626</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHESSER ROBERT CHAIRMAIN</PersonNm>
        <TitleTxt>DEPARTMENT OF EMERGENCY MEDICINCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>534915</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>73511</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15926</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1833</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21964</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>648149</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BENDER STEVEN B</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>415027</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2132</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3686</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27623</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>448468</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHOPRA PRAVEEN K</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>368317</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>43159</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3677</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29437</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>444590</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MACDONALD STEPHEN</PersonNm>
        <TitleTxt>CFO (THROUGH MAY 2019)</TitleTxt>
        <BaseCompensationFilingOrgAmt>198814</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>210748</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11491</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>421053</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MCCLAIN PAMELA B CHIEF OPERATIONS</PersonNm>
        <TitleTxt>OFFICER (THROUGH DEC. 2019)</TitleTxt>
        <BaseCompensationFilingOrgAmt>361820</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5577</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4462</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>1186</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>373045</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WHITMORE RODNEY W CHIEF</PersonNm>
        <TitleTxt>HUMAN RESCOURCES OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>305032</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2963</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5477</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22080</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335552</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERRIGAN MICHAEL J CHAIRMAN DEPT</PersonNm>
        <TitleTxt>OF ANESTHESIOLOGY (THROUGH JUN 2019)</TitleTxt>
        <BaseCompensationFilingOrgAmt>110940</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1029</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11368</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8522</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>131859</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>STEPHEN MACDONALD, RECEIVED SEVERANCE PAY OF $210,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MFA OFFERS AN ANNUAL INCENTIVE PLAN FOR CERTAIN EXECUTIVES. THE ANNUAL AWARD OPPORTUNITY IS CAPPED AT A PERCENTAGE OF THEIR SALARY. THE PLAN IS BASED ON ACHIEVEMENT OF PRE-ESTABLISHED MEASURES AND IS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE MAY BE AN EXECUTIVE COMMITTEE CONSISTING ENTIRELY OF TRUSTEES THAT SHALL EXERCISE ALL THE POWERS OF THE BOARD OF TRUSTEES PERMITTED UNDER APPLICABLE LAW DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE SHALL REPORT ON ITS ACTIONS TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES SHALL HAVE THE POWER TO RESCIND ANY VOTE OR RESOLUTION OF THE EXECUTIVE COMMITTEE, BUT NO SUCH RECESSION SHALL HAVE RETROACTIVE EFFECT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>GEORGE WASHINGTON UNIVERSITY BECAME THE SOLE MEMBER OF MFA ON DECEMBER 14, 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER OF MFA, GEORGE WASHINGTON UNIVERSITY HAS THE CONTROL TO REMOVE OR REPLACE A MAJORITY OF THE DIRECTORS OR TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER, GEORGE WASHINGTON UNIVERSITY HAS THE RIGHT TO APPROVE THE APPOINTMENT AND REMOVAL OF THE CEO, APPROVAL OF THE ANNUAL BUDGET, APPROVAL OF SIGNIFICANT AFFILIATIONS AND BUSINESS RELATIONSHIPS AND APPROVAL TO THE ARTICLES AND BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY AN EXTERNAL, INDEPENDENT, PROFESSIONAL SERVICES FIRM WITH THE ASSISTANCE BY MFA'S FINANCE TEAM. ONCE THE FORM 990 WAS COMPLETED, IT WAS SHARED ELECTRONICALLY WITH THE BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF TRUSTEES ANNUALLY. EMPLOYEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS ANNUALLY. THE COMPLIANCE DEPARTMENT REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE THE POLICY BY: REQUIRING THE ANNUAL DISCLOSURE; REVIEWING ALL POTENTIAL CONFLICTS; AND PUTTING IN PLACE APPROPRIATE MEASURES TO MANAGE POTENTIAL CONFLICTS. MFA EMPLOYEES ARE REQUIRED TO REPORT TO THE COMPLIANCE OFFICER ANY ACTUAL OR POTENTIAL CONFLICTS OF INTERST THAT ARISE IN CONNECTION WITH THEIR EMPLOYMENT IMMEDIATELY UPON BEING AWARE OF SAME, INCLUDING, BUT NOT LIMITED TO, ANY OFFERS OR INCENTIVE PAYMENT OR FREE ITEMS OR SERVICES OFFERED BY SUPPLIERS OR VENDORS, AND OUTSIDE ENTITIES IN WHICH THE MFA EMPLOYEE OR HIS/HER IMMEDIATE FAMILY MEMBER HAS A FINANCIAL OR COMPENSATION INTEREST. THE INDIVIDUAL MUST DISCLOSE ALL MATERIAL FACTS REGARDING THE POTENTIAL CONFLICT AND RESPOND TO ANY INQUIRIES OF THE COMPLIANCE OFFICER. FOR ACTUAL OR POTENTIAL CONFLICTS OF FACULTY AND STAFF, THE COMPLIANCE OFFICER IN COLLABORATION WITH THE DEPARTMENT CHAIR WILL REVIEW THE DISCLOSURE RECORD AND DETERMINE WHETER A CONFLICT EXISTS. FOR CHAIRS AND SENIOR MANAGEMENT, THE COMPLIANCE OFFICER, IN COLLABORATION WITH THE MFA'S PRESIDENT, CEO AND GENERAL COUNSEL WILL REVIEW THE DISCLOSURE RECORD AND DETERMINE WHETHER A CONFLICT EXISTS. FOR THE COMPLIANCE OFFICER AND GENERAL COUNSEL, THE MFA'S PRESIDENT AND CEO WILL REVIEW THE DISLOSURE RECORD AND DETERMINE WHETHER A CONFLICT EXISTS. FOR THE MFA'S PRESIDENT AND CEO, OUTSIDE COUNSEL WILL BE CONSULTED, THE DISCLOSURE RECORD WILL BE REVIEWED AND DETERMINATION WILL BE MADE BY THE CHAIR OF MFA'S AUDIT COMMITTEE WHETHER A CONFLICT EXISTS. IF A CONFLICT IS FOUND TO EXIST IN AN OUTSIDE INTEREST OR THE OUTSIDE INTEREST IS FOUND TO GIVE THE APPEARANCE OF A CONFLICT FOR FACULTY AND STAFF, THE CHAIR MAY PROHIBIT THE CONFLICT AND OUTSIDE INTEREST OR RECOMMEND TO THE MFA'S PRESIDENT AND CEO CONDITIONS OR RESTRICTIONS TO MANAGE THE CONFLICT. THE MFA'S PRESIDENT AND CEO SHALL DECIDE IN THEIR SOLE DISCRETION WHETHER TO ACCEPT SUCH RESTRICTIONS OR CONDITIONS, IMPLEMENT OTHERS, OR PROHIBIT THE CONFLICT OR OUTSIDE INTEREST. INTENTIONAL VIOLATION OF THE POLICY MAY BE SUBJECT TO DISCIPLINARY ACTION, UP TO AND AND INCLUDING TERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR CHIEF-LEVEL POSITIONS, THE CHIEF HUMAN RESOURCES OFFICER (CHRO) IDENTIFIES TOTAL CASH COMPENSATION RANGES FOR COMPARABLE ROLES WITHIN THE METRO DC AREA. THESE RANGES ARE PRESENTED TO CEO AND TO THE CHAIR OF THE BOARD OF TRUSTEES FOR APPROVAL BEFORE SALARY ADJUSTMENTS ARE MADE FOR INCUMBENTS AND BEFORE OFFERS ARE EXTENDED TO PROSPECTIVE EXECUTIVES. A COMPENSATION STUDY WAS DONE IN 2020 BY AN INDEPENDENT THIRD PARTY TO REVIEW THE EXECUTIVE TOTAL COMPENSATION. THE RESULTS OF THE STUDY DETERMINED THAT THE COMPENSATION PACKAGES WERE REASONABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. REQUESTS CAN BE MADE IN WRITING VIA REGULAR MAIL OR EMAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING ADJUSTMENT 1. PIC DIVIDENDS PAID 3,000,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>2300 M STREET LEASING LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2150 PENNSYLVANIA AVENUE NW SUITE 1</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20037</ZIPCd>
        </USAddress>
        <EIN>273552342</EIN>
        <PrimaryActivitiesTxt>RENTAL/LEASING ACTIVITIES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <TotalIncomeAmt>5556120</TotalIncomeAmt>
        <EndOfYearAssetsAmt>18386527</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEDICAL FACULTY ASSOCIATES INC</BusinessNameLine1Txt>
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      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ADVENTIST - MEDICAL FACULTY ASSOCIATES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8807 COLESVILLE ROAD SUITE 300</AddressLine1Txt>
          <CityNm>SILVER SPRING</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>20910</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>TO PROVIDE PROFESSIONAL PHYSICIAN SERVICES TO PATIENTS IN THE MD/DC AREA</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <TotalIncomeAmt>23105967</TotalIncomeAmt>
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          <BusinessNameLine1Txt>MEDICAL FACULTY ASSOCIATES INC</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
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          <BusinessNameLine1Txt>MFA INTERNATIONAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2150 PENNSYLVANIA AVENUE NW SUITE 1</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20037</ZIPCd>
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        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE GEORGE WASHINGTON UNIVERSITY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>C/O TAX DEPARTMENT 45155 RESEARCH P</AddressLine1Txt>
          <CityNm>ASHBURN</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>20147</ZIPCd>
        </USAddress>
        <EIN>530196584</EIN>
        <PrimaryActivitiesTxt>EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DC</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 2</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MFA PHYSICIANS INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <ForeignAddress>
          <AddressLine1Txt>PO BOX 1363</AddressLine1Txt>
          <ProvinceOrStateNm>GRAND CAYMAN KY1-</ProvinceOrStateNm>
          <CountryCd>CJ</CountryCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>TO PROVIDE CLAIMS-MADE INSURANCE COVERAGE TO MFA AND ITS PHYSICIANS</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MEDICAL FACULTY ASSOCIATES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>8659680</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>48251903</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>MFA PHYSICIANS INSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>13216682</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUARY ANALYSIS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>