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      <Desc>PATIENT SERVICES: AXESSPOINTE IS A FEDERALLY QUALIFIED HEALTH CENTER THAT BEGAN OPERATING IN 1995. WE PROVIDED APPROXIMATELY 61,000 MEDICAL, DENTAL, BEHAVIORAL, AND WOMEN'S HEALTHCARE VISITS TO OVER 20,000 PATIENTS IN FIVE HEALTH CENTERS LOCATED IN SUMMIT AND PORTAGE COUNTIES. OUR HEALTH CENTERS ARE IN KENT, AKRON, AND BARBERTON. WE HAVE A FULL 340(B) PHARMACY PROGRAM AT FOUR OF OUR FIVE HEALTH CENTERS. WE SERVE ALL PATIENTS, PEDIATRIC THROUGH GERIATRIC AGES. ONCE YOU ARE A PATIENT OF AXESSPOINTE, THERE IS NO NEED FOR ANY FAMILY MEMBER TO SEEK PRIMARY CARE TREATMENT OUTSIDE OF OUR HEALTH CENTERS. WE FOCUS ON THE MEDICALLY UNDERSERVED POPULATIONS IN SUMMIT AND PORTAGE COUNTIES INCLUDING MEDICAID AND UNINSURED PATIENTS. WE OFFER A SLIDING-FEE-SCALE TO PATIENTS WHO QUALIFY DEPENDENT ON HOUSEHOLD SIZE AND INCOME. OUR PATIENT POPULATION IS APPROXIMATELY 55% MEDICAID, 15% SELF-PAY, 15% MEDICARE, AND 15% SELF-PAY. NO PATIENT IS TURNED AWAY FOR CARE REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. WE HAVE PARTNERSHIPS WITH THE LOCAL HOSPITALS AND EXCHANGE HEALTH INFORMATION FOR CONTINUITY OF CARE IN AND OUT OF OUR HEALTH CENTERS. FINALLY, WE OFFER WRAP-AROUND SERVICES TO TREAT THE SOCIAL DETERMINANTS OF HEALTH. OUR HEALTH CENTERS HAVE STAFF THAT ASSISTS WITH OBTAINING MEDICAID AND MEDICARE HEALTH INSURANCE, EVEN ON THE DAY OF THE APPOINTMENT. MOST OF OUR HEALTH CENTERS ALSO HAVE PERSONAL HYGIENE CLOSETS INCLUDING FEMININE HYGIENE PRODUCTS, TOILETRIES, LAUNDRY DETERGENT, AND OTHER HOUSEHOLD ITEMS. WE AT AXESSPOINTE HAVE TAKEN THE EXTRA STEP TO REACH OUT TO OUR PATIENTS JUST TO "CHECK-IN AND WHENEVER POSSIBLE, OUR TEAM DELIVERS ITEMS TO ENSURE THAT OUR PATIENTS KNOW HOW MUCH WE VALUE THAT RELATIONSHIP.MEDICAL: WE PROVIDED APPROXIMATELY 51,000 MEDICAL, BEHAVIORAL, AND WOMEN'S HEALTH VISITS TO OUR PATIENTS. ALL OF OUR LOCATIONS (ARLINGTON, BARBERTON, KENT, BROADWAY, AND PORTAGE PATH) PROVIDE MEDICAL CARE TO OUR PATIENT POPULATION. OUR SERVICES INCLUDE ADULT AND PEDIATRIC CARE, CHRONIC DISEASE MANAGEMENT, VACCINES AND IMMUNIZATIONS, GERIATRIC CARE, MEDICATION-ASSISTED TREATMENT, MENTAL HEALTH COUNSELING, OB/GYN, PHYSICALS AND HEALTH SCREENINGS, RAPID HIV SCREENING, STD TESTING AND TREATMENT, VISION SCREENING AS WELL AS HEARING TESTING. WE OFFER TELEHEALTH SERVICES FOR MOST TYPES OF VISITS IF TRANSPORTATION IS A BARRIER TO CARE.OUR BEHAVIORAL HEALTH PROGRAM IS AN INTEGRATED BEHAVIORAL HEALTH PROGRAM WHERE PATIENTS THAT PRESENT A NEED CAN SEE A COUNSELOR ON THE SAME DAY. THIS PROGRAM MINIMIZES THE IMPACT ON PATIENTS FOR EXTERNAL REFERRALS AND AVOIDS ANY TRANSPORTATION ISSUES.WE OFFER SAME-DAY APPOINTMENTS FOR PATIENTS WITH EMERGENT CONDITIONS. SELECTED OUTREACH EVENTS INCLUDE WOMEN'S HEALTH DAYS FOR FREE MAMMOGRAMS AND PAP SCREENINGS. WE HAVE A PRESENCE AT THE EXCHANGE HOUSE IN THE NORTH HILL AREA OF AKRON THAT PRIMARILY SERVES THE NEPALI POPULATION.</Desc>
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        <Desc>PHARMACY - 3,900 OF OUR PATIENTS UTILIZE THE ORGANIZATION'S 340(B) PHARMACY PROGRAM LOCATED IN OUR ARLINGTON, KENT, BARBERTON, AND BROADWAY HEALTH CENTERS. IT PROVIDES CONVENIENCE, COUNSELING, AND TIMELY FILL OF PRESCRIPTIONS IN ADDITION TO SUBSTANTIAL SAVINGS OVER TRADITIONAL PHARMACIES. IN 2020, WE FILLED APPROXIMATELY 83,000 INDIVIDUAL PRESCRIPTIONS. OF THE TOTAL PRESCRIPTIONS, 10% WERE TO SLIDING-FEE-SCALE PATIENTS. OUR PHARMACISTS PROVIDED PATIENT CONSULTATIONS FOR MEDICATION THERAPY MANAGEMENT, SPIROMETRY, ANTICOAGULATION, AND OTHER PATIENT SERVICES. ADDITIONALLY, OVER 13,000 INDIVIDUAL TELEPHONE ENCOUNTERS WERE PROVIDED FOR PATIENT FOLLOW-UP INTERVENTIONS. BEYOND YOUR LOCAL PICK-UP AT OUR PHARMACIES, WE OFFER FREE DELIVERY AND MAIL ORDER DELIVERY TO PATIENTS WHO DO NOT HAVE ADEQUATE ACCESS TO TRANSPORTATION. WE HAD 12,750 DELIVERIES FOR APPROXIMATELY 64,000 SCRIPTS. THE 340(B) PROGRAM PASSES COST SAVINGS TO UNINSURED PATIENTS AND ENHANCES THEIR ACCESS TO NEEDED MEDICATIONS. FINALLY, OUR PHARMACY TEAM WORKS COLLABORATIVELY WITH OUR CLINICAL TEAM FOR EXPEDITED RESOLUTION FOR OUR PATIENTS.</Desc>
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        <Desc>DENTAL: WE PROVIDED APPROXIMATELY 11,000 DENTAL VISITS TO OUR PATIENTS. OUR THREE CORE LOCATIONS (ARLINGTON, BARBERTON, AND KENT) PROVIDE DENTAL CARE TO OUR PATIENT POPULATION. OUR DENTAL PROGRAM INCLUDES TRADITIONAL EXAMS, ENDODONTICS, EXTRACTIONS, RESTORATIVE SERVICES, PEDIATRIC SEALANTS, AND FLUORIDE TREATMENTS. WE TREAT BOTH ADULT AND PEDIATRIC PATIENTS. OUR PROVIDERS ALSO OFFER AN OUTREACH SERVICE TO HEAD START PROGRAMS AT LOCAL SCHOOLS FOR BOTH INSURED AND UNINSURED PATIENTS FOR DENTAL SCREENINGS. FINALLY, WE OFFER FREE SERVICES UNDER OUR "GIVE KIDS A SMILE" PROGRAM ONCE A YEAR TO APPROXIMATELY 50 CHILDREN AT OUR ARLINGTON HEALTH CENTER.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROULA BRAIDY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRETA LAX</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK FRISONE</PersonNm>
        <TitleTxt>BOARD MEMBER (RESIGNED 12/20/2020)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LOWRY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIE CURRY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY CHADWICK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN MULLEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWIN HUBBARD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LATRICE SNODGRASS</PersonNm>
        <TitleTxt>COO (RESIGNED 01/31/2020)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>69032</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>80</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER RICHARDSON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>157059</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4409</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER HAYES</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>135421</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3904</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD D SCOTT MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>220011</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6900</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIE L ENGLER-LYNAUGH</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>153737</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4731</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIKIL K GIRDHAR</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>186897</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TABITHA DAVIS-STELLATO</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>153836</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4543</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AYESHA ERFAN</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>29.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>141250</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4250</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE SCHMEISER</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>129581</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1822</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN M GRANEY</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>147235</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4595</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1494059</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>35234</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLEVELAND CLINIC FOUNDATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 92983</AddressLine1Txt>
            <CityNm>CLEVELAND</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>441942983</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEASED/CONTRACTED PROVIDERS &amp; RENT</ServicesDesc>
        <CompensationAmt>973342</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUALITY IP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>145 S RIVER STREET</AddressLine1Txt>
            <CityNm>KENT</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44240</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>541316</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDIC MANAGEMENT GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>275 SPRINGSIDE DRIVE SUITE 100</AddressLine1Txt>
            <CityNm>AKRON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44333</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING</ServicesDesc>
        <CompensationAmt>466456</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 847950</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE</ServicesDesc>
        <CompensationAmt>279996</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FAMILY &amp; COMMUNITY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>705 OAKWOOD ST STE 115</AddressLine1Txt>
            <CityNm>RAVENNA</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEASED/CONTRACTED PROVIDERS &amp; RENT</ServicesDesc>
        <CompensationAmt>263332</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>22</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>71019</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>3941602</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>338845</AllOtherContributionsAmt>
      <NoncashContributionsAmt>72</NoncashContributionsAmt>
      <TotalContributionsAmt>4351466</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>6913859</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6913859</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY SALES</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>4373629</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4373629</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TEACHING SUBSIDY</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>1693327</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1693327</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY - 340B</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>252730</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>252730</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIMARY CARE WORKFORCE INCENTIVES</Desc>
        <BusinessCd>611420</BusinessCd>
        <TotalRevenueColumnAmt>47112</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>47112</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13280657</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>106800</TotalRevenueColumnAmt>
        <ExclusionAmt>106800</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2354676</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2316364</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>38312</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>38312</TotalRevenueColumnAmt>
        <ExclusionAmt>38312</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17777235</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13280657</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>145112</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>755284</TotalAmt>
        <ProgramServicesAmt>226585</ProgramServicesAmt>
        <ManagementAndGeneralAmt>528699</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6713160</TotalAmt>
        <ProgramServicesAmt>6004422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>708738</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>101816</TotalAmt>
        <ProgramServicesAmt>88020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13796</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>727236</TotalAmt>
        <ProgramServicesAmt>561223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166013</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>581438</TotalAmt>
        <ProgramServicesAmt>470492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110946</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>47637</TotalAmt>
        <ManagementAndGeneralAmt>47637</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>77973</TotalAmt>
        <ManagementAndGeneralAmt>77973</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>20345</TotalAmt>
        <ManagementAndGeneralAmt>20345</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2003741</TotalAmt>
        <ProgramServicesAmt>1977187</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26554</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>180200</TotalAmt>
        <ProgramServicesAmt>63455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116745</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>355080</TotalAmt>
        <ProgramServicesAmt>330226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24854</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1135388</TotalAmt>
        <ProgramServicesAmt>905744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>229644</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>39157</TotalAmt>
        <ProgramServicesAmt>23045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16112</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>96285</TotalAmt>
        <ProgramServicesAmt>56666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39619</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>554227</TotalAmt>
        <ProgramServicesAmt>462412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91815</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>57912</TotalAmt>
        <ProgramServicesAmt>53858</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4054</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1908315</TotalAmt>
        <ProgramServicesAmt>1867624</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40691</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRANSLATION AND LABORAT</Desc>
        <TotalAmt>128388</TotalAmt>
        <ProgramServicesAmt>127342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1046</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>117445</TotalAmt>
        <ProgramServicesAmt>60181</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57264</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>75825</TotalAmt>
        <ProgramServicesAmt>75785</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>135641</TotalAmt>
        <ProgramServicesAmt>106205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29436</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15812493</TotalAmt>
        <ProgramServicesAmt>13460472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2352021</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>1325934</BOYAmt>
        <EOYAmt>5158921</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1453591</BOYAmt>
        <EOYAmt>1373274</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>168064</BOYAmt>
        <EOYAmt>178471</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>132596</BOYAmt>
        <EOYAmt>277127</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>7135454</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4136091</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3155176</BOYAmt>
        <EOYAmt>2999363</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2538659</BOYAmt>
        <EOYAmt>2953564</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>8774020</BOYAmt>
        <EOYAmt>12940720</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>771407</BOYAmt>
        <EOYAmt>1181014</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>54821</BOYAmt>
        <EOYAmt>205215</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>37693</BOYAmt>
        <EOYAmt>1486655</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>3589</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>867510</BOYAmt>
        <EOYAmt>2872884</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7906510</BOYAmt>
        <EOYAmt>10067836</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
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