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      <Form990PartVIISectionAGrp>
        <PersonNm>Zada Hyatt</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Larry McCoy</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Christopher Price Sr</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kenneth Sipiora</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Garland Rolling</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jerald Adams</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>R Lewis Smith</PersonNm>
        <TitleTxt>Chair Elect</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>3</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Elizabeth Weiss</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>James Williams</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Henrick</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Marohn</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Mustaller McMillan</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rebecca Carson</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>3</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1025104</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>72377</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Southern Medical Staffing</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 Metro Drive</AddressLine1Txt>
            <CityNm>Alexandria</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Nursing Staffing Services</ServicesDesc>
        <CompensationAmt>154040</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>All Trust Insurance</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2965 Alt 19</AddressLine1Txt>
            <CityNm>Palm Harbor</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34683</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Health Insurance Services</ServicesDesc>
        <CompensationAmt>236601</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Hoover Family Dentistry</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12192 U S 190</AddressLine1Txt>
            <CityNm>Hammond</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Dental Care Services</ServicesDesc>
        <CompensationAmt>111738</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Lassiter-Ware Insurance</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1317 Citizens Blvd</AddressLine1Txt>
            <CityNm>Leesburg</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>34748</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Prop/Liab Ins Services</ServicesDesc>
        <CompensationAmt>250000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Heard McElroy and Vestal LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>333 Texas Street</AddressLine1Txt>
            <AddressLine2Txt>Suite 1525</AddressLine2Txt>
            <CityNm>Shreveport</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>71101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Audit Services</ServicesDesc>
        <CompensationAmt>112400</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>575734</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>0</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>634760</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>1210494</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>State Medicaid Program Fees</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>64006945</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64006945</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>64006945</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>23310</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23310</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>0</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>49275</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>49275</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>49275</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49275</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>150228</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>75827</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
        <OtherAmt>74401</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>74401</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>74401</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>190892</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>52230</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>138662</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>138662</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>HUD Reimbursements</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>82206</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>82206</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Room &amp; Board</Desc>
        <BusinessCd>623990</BusinessCd>
        <TotalRevenueColumnAmt>45891</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45891</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>143488</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>143488</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>271585</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>65774672</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>64425516</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>138662</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1143116</TotalAmt>
        <ProgramServicesAmt>317197</ProgramServicesAmt>
        <ManagementAndGeneralAmt>825919</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>32120829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2551008</ManagementAndGeneralAmt>
        <FundraisingAmt>436657</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>152781</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31662</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3271338</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1180471</ManagementAndGeneralAmt>
        <FundraisingAmt>27485</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2110011</ProgramServicesAmt>
        <ManagementAndGeneralAmt>569935</ManagementAndGeneralAmt>
        <FundraisingAmt>32511</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>17438</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>112533</TotalAmt>
        <ManagementAndGeneralAmt>112533</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>6169</ProgramServicesAmt>
        <ManagementAndGeneralAmt>227776</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>3341287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>569355</ManagementAndGeneralAmt>
        <FundraisingAmt>191408</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>386694</ManagementAndGeneralAmt>
        <FundraisingAmt>12170</FundraisingAmt>
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        <ProgramServicesAmt>1961629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1467662</ManagementAndGeneralAmt>
        <FundraisingAmt>6920</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>906040</TotalAmt>
        <ProgramServicesAmt>552162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>335214</ManagementAndGeneralAmt>
        <FundraisingAmt>18664</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>2010</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30623</ManagementAndGeneralAmt>
        <FundraisingAmt>2496</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>425066</TotalAmt>
        <ProgramServicesAmt>314599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110467</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1112079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>422177</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>723969</TotalAmt>
        <ProgramServicesAmt>680250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39084</ManagementAndGeneralAmt>
        <FundraisingAmt>4635</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Consultants and contracts for outside services</Desc>
        <TotalAmt>4880159</TotalAmt>
        <ProgramServicesAmt>4732580</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106939</ManagementAndGeneralAmt>
        <FundraisingAmt>40640</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Day Program Services</Desc>
        <TotalAmt>2155995</TotalAmt>
        <ProgramServicesAmt>2155995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Individual Client Meds</Desc>
        <TotalAmt>165433</TotalAmt>
        <ProgramServicesAmt>165433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Routine Medical Services</Desc>
        <TotalAmt>141332</TotalAmt>
        <ProgramServicesAmt>141332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>370554</TotalAmt>
        <ProgramServicesAmt>370554</ProgramServicesAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>63267225</TotalAmt>
        <ProgramServicesAmt>53508682</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8984957</ManagementAndGeneralAmt>
        <FundraisingAmt>773586</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2744687</BOYAmt>
        <EOYAmt>7060632</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>627552</BOYAmt>
        <EOYAmt>633757</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>6394786</BOYAmt>
        <EOYAmt>5204195</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>22029</BOYAmt>
        <EOYAmt>20715</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>730473</BOYAmt>
        <EOYAmt>306322</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000008" softwareId="19009572" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors are members of the organization.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Evergreen Presbyterian Ministries Inc has a covenant relationship with the Synod of the Sun, Presbyterian Church, (USA) The Synod of the Sun appoints a liaison (non-voting member) to Evergreen's Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Section B, Line 11b - The 990 is prepared internally by staff and is reviewed by the Executive Vice-President - CFO. The 990 is then reviewed by the CEO and other senior management. Then the final draft of the completed return is provided to each board member via email. The board members are given the opportunity to review the 990 and pose any questions which are answered by the Executive Vice President-CFO before the final filing of the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Section B, Line 12c - Annually, each member of the Board of Directors is required to review and sign the conflict of interest policy. Any potential conflicts of interest are required to be disclosed at that time. The signed policies are retained in the corporate records. Officers and other employees are required by policy to request approval from the CEO if there are any relationships or activities that could give rise to potential conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Section B, Line 15 - The Board Operations committee which is made up of board members meet annually to evaluate the job performance of the CEO. Comparability data concerning compensation is assessed. A three year fixed compensation contract is established for the CEO by the board operations committee. The three year annual CEO contract is approved by vote of the full Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part VI, Section C, Line 19 - Documents are available to interested parties by request.</ExplanationTxt>
      </SupplementalInformationDetail>
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