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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>89489</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUVEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 8067</AddressLine1Txt>
            <CityNm>Carol Stream</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601978067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B Pharmacy TPA</ServicesDesc>
        <CompensationAmt>107603</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Universal Data Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1312 Distributors Row</AddressLine1Txt>
            <CityNm>New Orleans</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70123</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Technical Data Svc</ServicesDesc>
        <CompensationAmt>260500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Synergy Billing LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1200 Synergy Way</AddressLine1Txt>
            <CityNm>Daytona Beach</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32117</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Billing Services</ServicesDesc>
        <CompensationAmt>307766</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>eClinical Works</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7011 Koll Center Pkwy</AddressLine1Txt>
            <CityNm>Pleasanton</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94566</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR Services</ServicesDesc>
        <CompensationAmt>303588</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4915213</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>566455</AllOtherContributionsAmt>
      <NoncashContributionsAmt>562205</NoncashContributionsAmt>
      <TotalContributionsAmt>5481668</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>6226403</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6226403</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy Income</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>240498</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>240498</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Contract Revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>314644</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>314644</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Managed Care Incentives</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>150899</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>150899</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>6932444</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>44517</TotalRevenueColumnAmt>
        <ExclusionAmt>44517</ExclusionAmt>
      </InvestmentIncomeGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>41411</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41411</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>41411</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12500040</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6973855</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>44517</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>771349</TotalAmt>
        <ProgramServicesAmt>632506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138843</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6385522</TotalAmt>
        <ProgramServicesAmt>4952772</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1432750</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>186431</TotalAmt>
        <ProgramServicesAmt>100673</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85758</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>425576</TotalAmt>
        <ProgramServicesAmt>229811</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195765</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>542281</TotalAmt>
        <ProgramServicesAmt>436662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105619</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>11764</TotalAmt>
        <ProgramServicesAmt>3529</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8235</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>46600</TotalAmt>
        <ProgramServicesAmt>13980</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32620</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>707497</TotalAmt>
        <ProgramServicesAmt>650897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56600</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>104768</TotalAmt>
        <ProgramServicesAmt>104768</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>160715</TotalAmt>
        <ProgramServicesAmt>136507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24208</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>601371</TotalAmt>
        <ProgramServicesAmt>553261</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48110</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>175747</TotalAmt>
        <ProgramServicesAmt>155028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20719</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>123696</TotalAmt>
        <ProgramServicesAmt>68390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55306</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>89627</TotalAmt>
        <ProgramServicesAmt>76183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13444</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>620504</TotalAmt>
        <ProgramServicesAmt>434353</ProgramServicesAmt>
        <ManagementAndGeneralAmt>186151</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>207842</TotalAmt>
        <ProgramServicesAmt>176666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31176</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Pharmacy and Medical Supply</Desc>
        <TotalAmt>1476826</TotalAmt>
        <ProgramServicesAmt>1476826</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>120083</TotalAmt>
        <ProgramServicesAmt>49112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>70971</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>273373</TotalAmt>
        <ProgramServicesAmt>232367</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41006</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Professional Development</Desc>
        <TotalAmt>64054</TotalAmt>
        <ProgramServicesAmt>22265</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41789</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>75571</TotalAmt>
        <ProgramServicesAmt>14859</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60712</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>13171197</TotalAmt>
        <ProgramServicesAmt>10521415</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2649782</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1413932</BOYAmt>
        <EOYAmt>1135306</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>421956</BOYAmt>
        <EOYAmt>387373</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>545337</BOYAmt>
        <EOYAmt>471655</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>93443</BOYAmt>
        <EOYAmt>136629</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>183882</BOYAmt>
        <EOYAmt>182511</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>16087048</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>6853944</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9799870</BOYAmt>
        <EOYAmt>9233104</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>128041</BOYAmt>
        <EOYAmt>122542</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>15279</BOYAmt>
        <EOYAmt>8771</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>12601740</BOYAmt>
        <EOYAmt>11677891</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>780837</BOYAmt>
        <EOYAmt>559030</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2047455</BOYAmt>
        <EOYAmt>2058072</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>432692</BOYAmt>
        <EOYAmt>396689</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3260984</BOYAmt>
        <EOYAmt>3013791</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>9340756</BOYAmt>
        <EOYAmt>8664100</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9340756</BOYAmt>
        <EOYAmt>8664100</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>12601740</BOYAmt>
        <EOYAmt>11677891</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-671157</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-5499</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>6833646</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6232295</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5986926</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6876658</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5481668</CurrentTaxYearAmt>
        <TotalAmt>31411193</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>4452460</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6560221</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5979148</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5533072</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6932444</CurrentTaxYearAmt>
        <TotalAmt>29457345</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>11286106</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12792516</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11966074</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12409730</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12414112</CurrentTaxYearAmt>
        <TotalAmt>60868538</TotalAmt>
      </Total509Grp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>60868538</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>23072</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>133</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>105</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>141891</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>44517</CurrentTaxYearAmt>
        <TotalAmt>209718</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>23072</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>133</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>105</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>141891</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>44517</CurrentTaxYearAmt>
        <TotalAmt>209718</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus1YearAmt>-24699</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>41411</CurrentTaxYearAmt>
        <TotalAmt>16712</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>11309178</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12792649</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11966179</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12526922</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12500040</CurrentTaxYearAmt>
        <TotalAmt>61094968</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99630</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99750</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Legal Settlement $16,145Miscellaneous Income 25,266Total Other Income $41,411</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>851224</OtherCostOrOtherBasisAmt>
        <BookValueAmt>851224</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>2855276</DepreciationAmt>
        <BookValueAmt>7626718</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>13777</OtherCostOrOtherBasisAmt>
        <BookValueAmt>13777</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4685416</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3944031</DepreciationAmt>
        <BookValueAmt>741385</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>54637</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9233104</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to IRS</Desc>
        <Amt>390782</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Interest Payable</Desc>
        <Amt>3284</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities</Desc>
        <Amt>2623</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>396689</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>12494541</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-5499</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-5499</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12500040</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>12500040</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13171197</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>13171197</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>13171197</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alecia Cyprien PhD</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>196364</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11441</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5211</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>213016</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Corey Hall MD</PersonNm>
        <TitleTxt>Chief Clinical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>227616</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6199</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>241615</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeevan K Yenuganti DDS</PersonNm>
        <TitleTxt>Dental Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>173429</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5112</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>178541</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marvin Trotter DPM</PersonNm>
        <TitleTxt>Podiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>173932</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3886</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>177827</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Denise Thomas DNP</PersonNm>
        <TitleTxt>Psychiatric Nurse Practitioner</TitleTxt>
        <BaseCompensationFilingOrgAmt>152685</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8233</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5004</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165922</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>25780</ContributionCnt>
        <NoncashContributionsRptF990Amt>562205</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Retail Value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members will review an electronic copy of Form 990 prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflicts of interest are monitored and enforced on an ongoing basis by human resources and the CEO. Vendors are selected to provide a service for the health center and are chosen based on need, cost and quality of services, not by their relationship status to any employee, director, etc. Management strives to not only have no conflicts of interest in accordance with its policies, but to avoid any appearance of conflicts whatsoever.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors reviews the qualifications of the Chief Executive Officer and decides on compensation based on experience and qualifications, along with salary scales developed by the National Association of Community Health Centers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors reviews the qualifications of the key employees and decides on compensation based on experience and qualifications, along with salary scales developed by the National Association of Community Health Centers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations governing documents and various policies are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>