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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IRVIN ROBATUE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY THOMAS</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH JOHNSON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIE SYLVESTER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DINORA ARRIAGA</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHANDRA JONES</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY MAY</PersonNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEBERT FLOWERS</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2248055</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>230534</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>34</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON DRUG</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3301 POLLOK DRIVE</AddressLine1Txt>
            <CityNm>CONROE</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHARMACEUTICAL</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LABCORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 12140</AddressLine1Txt>
            <CityNm>BURLINGTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>272162140</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>954057</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KHOU</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 660919</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>752660919</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING</ServicesDesc>
        <CompensationAmt>711585</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STAFFCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 281923</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303841923</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
        <CompensationAmt>194611</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEMPAY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 327</AddressLine1Txt>
            <CityNm>WILLIAMSVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>14231</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SERVICES</ServicesDesc>
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      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>11965575</GovernmentGrantsAmt>
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      <TotalContributionsAmt>11967126</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>446110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>34508097</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSURANCE AND PATIENT CO-PAY</Desc>
        <BusinessCd>524298</BusinessCd>
        <TotalRevenueColumnAmt>3010904</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3010904</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REVENUE - RESEARCH</Desc>
        <BusinessCd>541700</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>822363</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>38341364</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>16221</TotalRevenueColumnAmt>
        <ExclusionAmt>16221</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>128840</TotalRevenueColumnAmt>
        <ExclusionAmt>128840</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>128840</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>50453551</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38341364</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>145061</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>2500</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PensionPlanContributionsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>11778</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>38900</TotalAmt>
        <ManagementAndGeneralAmt>38900</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>49362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119515</ManagementAndGeneralAmt>
        <FundraisingAmt>3554</FundraisingAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>835702</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>228205</ProgramServicesAmt>
        <ManagementAndGeneralAmt>409410</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>199462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>387419</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>1451001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45199</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>971</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165180</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>9320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>217978</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>129636</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>333635</ProgramServicesAmt>
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        <ProgramServicesAmt>162746</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9098</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>24741718</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
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        <ProgramServicesAmt>507815</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>128592</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35941</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1423</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90102</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>87714</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>40368328</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>5742769</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>450199</EOYAmt>
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        <EOYAmt>35000</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>4544091</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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      <SubstAndDsqlfyPrsnsTotGrp>
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        <CurrentTaxYearMinus2YearsAmt>1683</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>37098</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16221</CurrentTaxYearAmt>
        <TotalAmt>57087</TotalAmt>
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      <OtherIncome509Grp>
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        <TotalAmt>128840</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>25503865</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>31609986</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43719041</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>50453551</CurrentTaxYearAmt>
        <TotalAmt>174830384</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99240</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99970</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00030</InvestmentIncomeCYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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    </IRS990ScheduleB>
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        <Desc>INTEREST PAYABLE</Desc>
        <Amt>4917</Amt>
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        <PersonNm>RODNEY GOODIE</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEONNA MARSHALL</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <PersonNm>SHEILA BRISCOE</PersonNm>
        <TitleTxt>FAMILY MEDICINE MD</TitleTxt>
        <BaseCompensationFilingOrgAmt>186680</BaseCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>LAVEDA ROBERTS</PersonNm>
        <TitleTxt>PCMH/QI DIRECTOR/NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>164408</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LATRECIA PRINCE</PersonNm>
        <TitleTxt>DIRECTOR OF CLINIC OPERATION/NURSE P</TitleTxt>
        <BaseCompensationFilingOrgAmt>167874</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4800</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARON LYLES</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>161333</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ISAIAH HARRIS</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER/DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>169775</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NOURHANE BADAWI</PersonNm>
        <TitleTxt>CHIEF PHARMACY OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>180552</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>LIKE MANY OTHER ORGANIZATIONS, THE ST. HOPE FOUNDATION EXPERIENCED QUITE A BIT OF EVOLUTION AND STRENGTHENING OF OUR PROGRAMS DURING THE COVID-19 PANDEMIC. EVOLUTION: DENTAL PROGRAM WAS SEVERELY IMPACTED LAST YEAR DUE TO COVID-19 WHERE GOVERNOR ABBOTT'S MANDATE IN APRIL 2020 REDUCED DENTAL TREATMENT BY OVER 80%. SEVERAL LOCATIONS REDUCED SCHEDULES TO 2 DAYS PER WEEK AND THE ORGANIZATION WAS FORCED TO LAY-OFF DENTAL STAFF FOR 45 DAYS. EVOLVING: MEDICAL PROGRAM WAS IMPACTED BY PATIENTS TRANSITIONING TO TELEHEALTH VISITS. ELDERLY PATIENTS STRUGGLED WITH TELEHEALTH AND THE ORGANIZATION UTILIZED CASE MANAGERS WHO AT TIMES WOULD TRAVEL TO PATIENT'S HOME TO ENSURE THE TELEHEALTH APPOINTMENT WAS SUCCESSFUL AND THE PATIENT'S MEDICAL NEEDS WERE ADDRESSED. THE TRANSITION TO TELEHEALTH MAY SOUND SIMPLE, BUT MANY PROVIDERS STRUGGLED WITH BUILDING RAPPORT WITH PATIENTS THROUGH THIS DIGITAL PLATFORM. CONNECTIVITY WAS A CENTRAL PROBLEM FOR PATIENTS. STRENGTHENED: THE MENTAL HEALTH PROVIDER TEAM INCREASED TO SERVE THE OVERWHELMING MENTAL NEEDS IN 2020. TELEHEALTH ALLOWED US TO MEET THOSE NEEDS AND THE PHARMACY PROGRAM PROVIDED MEDICATIONS THROUGH HOME DELIVERY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE BOARD OFFICERS, WITH THE CEO SERVING AS AN EX-OFFICIO MEMBER. ONLY IN EMERGENCY SITUATIONS SHOULD THE EXECUTIVE COMMITTEE MAKE POLICY DECISIONS. THE COMMITTEE THEN REPORTS ITS ACTIONS TO THE BOARD AT ITS NEXT MEETING. THE EXECUTIVE COMMITTEE WILL REVIEW THE CEO'S PERFORMANCE ANNUALLY AS PART OF THE BOARD'S OVERSIGHT OF CORPORATE OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DRAFT OF FORM 990 IS FIRST REVIEWED IN DETAIL BY TOP MANAGEMENT AND RECOMMENDATIONS FOR CHANGES ARE MADE. ONCE CHANGES ARE MADE, THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990(WITH CHANGES, IF REQUIRED). ONCE FINAL CHANGES ARE MADE, THE FINAL FORM 990 IS SUBMITTED TO THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICTS ARE EVALUATED MONTHLY DURING RISK MANAGEMENT MEETINGS BY THE RISK MANAGEMENT COMMITTEE. ANNUALLY, BOARD MEMBERS ARE REQUIRED TO REVIEW AND SIGN THE CONFLICTS OF INTEREST AGREEMENT. BOARD MEMBERS ARE REQUIRED TO DECLARE WHEN A CONFLICT OF INTEREST MAY BE PRESENT DURING ANY BOARD MEETING. THE BOARD EVALUATES THE EXPRESSED CONFLICT AND DOCUMENTS IN THE MINUTES ITS DECISION REGARDING THE CONFLICT. THE BOARD REVIEW PERCEIVED CONFLICTS DURING ITS NORMAL BOARD MEETINGS AND DOCUMENT ACTIONS TAKEN, IF ANY, WITHIN THE MEETING MINUTES. VENDORS COMPLETE A BUSINESS ASSOCIATE AGREEMENT THAT EXPRESSES THE ENTITY HAS NO REAL, TANGIBLE CONFLICTS CONDUCTING BUSINESS WITH THE ORGANIZATION. IN CASES WHERE A VENDOR MAY HAVE A PERCEIVED CONFLICT, THE VENDOR IS REQUIRED TO REPORT THE CONFLICT TO MANAGEMENT AND THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION PROCESS FOR CEO, EXECUTIVE DIRECTORS OR TOP OFFICIALS: A COMMITTEE OF THE BOARD OF DIRECTORS COMPILES AND REVIEWS INFORMATION FROM OTHER ORGANIZATION'S FORM 990S, LOCAL INDEPENDENT COMPENSATION STUDIES, AND THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE OF THE PAST TWELVE MONTHS, ASSISTED BY A LOCAL INDEPENDENT CONSULTANT, TO SET COMPENSATION. THE ASSESSMENT IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS AND A LEVEL OF COMPENSATION IS RECOMMENDED. BOARD MEMBERS ARE NOT COMPENSATED. THE COMPENSATION IS RECORDED IN THE BOARD MEETING MINUTES. COMPENSATION PROCESS FOR OTHER OFFICIALS AND KEY EMPLOYEES: THE CEO AND BOARD MEMBERS REVIEW LOCAL ORGANIZATION'S COMPENSATION AMOUNTS FOR COMPARABLE POSITIONS, HEALTHCARE INDUSTRY PUBLIC DATE, LOCAL INDEPENDENT COMPENSATION STUDIES, AND JOB RESPONSIBILITIES TO DETERMINE COMPENSATION LEVELS FOR KEY EMPLOYEES. THE EMPLOYEE JOB PERFORMANCE IS REVIEWED TO COME TO A COMPENSATION PACKAGE FOR EACH EMPLOYEE. THE COMPENSATION INFORMATION IS REVIEWED BY AN INDEPENDENT CONSULTANT. THE PROCESS DESCRIBED ABOVE WAS LAST PERFORMED IN 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS DISCLOSURE EXPLINATION THE FORM 990 AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST AND WWW.GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>AUTOMOBILE: PROGRAM SERVICE EXPENSES 54,682. MANAGEMENT AND GENERAL EXPENSES 33,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,251. BANK AND FINANCE CHARGES: PROGRAM SERVICE EXPENSES 26,624. MANAGEMENT AND GENERAL EXPENSES 43,107. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,731. OTHER FEES: PROGRAM SERVICE EXPENSES -673. MANAGEMENT AND GENERAL EXPENSES 40,673. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,000. LICENSE &amp; PERMITS: PROGRAM SERVICE EXPENSES 7,081. MANAGEMENT AND GENERAL EXPENSES 7,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,080.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
