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      <Form990PartVIISectionAGrp>
        <PersonNm>CLAUDIA G CONVERSE</PersonNm>
        <TitleTxt>FAMILY NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>123014</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16680</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1254142</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>151623</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NETSMART TECHNOLOGIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4950 COLLEGE BLVD</AddressLine1Txt>
            <CityNm>OVERLAND PARK</CityNm>
            <StateAbbreviationCd>KS</StateAbbreviationCd>
            <ZIPCd>66211</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHNOLOGY</ServicesDesc>
        <CompensationAmt>254707</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ZUMASYS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9245 RESEARCH DRIVE</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92618</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER CONSULTING</ServicesDesc>
        <CompensationAmt>165160</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WELLSPRING MEDICAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 488</AddressLine1Txt>
            <CityNm>GILBERT</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85299</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>159925</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON MEDICAL SURGICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7343 S HARDY DRIVE 101</AddressLine1Txt>
            <CityNm>TEMPE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85283</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>122980</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALL CLEAN SERVICES PRESCOTT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2111 GULFSTREAM SUITE 101</AddressLine1Txt>
            <CityNm>PRESCOTT</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>86301</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>116867</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>17321973</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>80247</AllOtherContributionsAmt>
      <TotalContributionsAmt>17402220</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT &amp; CLIENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3145536</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3145536</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GRANTS &amp; CONTRACTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>41251</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41251</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY RENT</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>7838</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7838</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3194625</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>122131</TotalRevenueColumnAmt>
        <ExclusionAmt>122131</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1177</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1177</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1177</TotalRevenueColumnAmt>
        <ExclusionAmt>1177</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2141540</SecuritiesAmt>
        <OtherAmt>28231</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1786690</SecuritiesAmt>
        <OtherAmt>28447</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>354850</SecuritiesAmt>
        <OtherAmt>-216</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>354634</TotalRevenueColumnAmt>
        <ExclusionAmt>354634</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>CAFE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>86657</TotalRevenueColumnAmt>
        <ExclusionAmt>86657</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>9079</TotalRevenueColumnAmt>
        <ExclusionAmt>9079</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>95736</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>21170523</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3194625</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>573678</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>379488</TotalAmt>
        <ProgramServicesAmt>369979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9509</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9552338</TotalAmt>
        <ProgramServicesAmt>9335121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>217217</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>352991</TotalAmt>
        <ProgramServicesAmt>338177</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14814</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1924957</TotalAmt>
        <ProgramServicesAmt>1844174</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80783</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>716967</TotalAmt>
        <ProgramServicesAmt>686879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30088</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>84486</TotalAmt>
        <ProgramServicesAmt>82284</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2202</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>92317</TotalAmt>
        <ProgramServicesAmt>89911</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2406</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>45300</TotalAmt>
        <ProgramServicesAmt>44119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1181</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>37595</TotalAmt>
        <ProgramServicesAmt>36615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>980</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>5536172</TotalAmt>
        <ProgramServicesAmt>5391885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144287</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>202257</TotalAmt>
        <ProgramServicesAmt>198585</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3672</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>170750</TotalAmt>
        <ProgramServicesAmt>167650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3100</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>693955</TotalAmt>
        <ProgramServicesAmt>681356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12599</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>935025</TotalAmt>
        <ProgramServicesAmt>862523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72502</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>310006</TotalAmt>
        <ProgramServicesAmt>305075</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4931</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>53089</TotalAmt>
        <ProgramServicesAmt>52125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>964</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>100739</TotalAmt>
        <ManagementAndGeneralAmt>100739</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>508894</TotalAmt>
        <ProgramServicesAmt>492943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15951</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>78135</TotalAmt>
        <ProgramServicesAmt>76716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1419</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>119417</TotalAmt>
        <ManagementAndGeneralAmt>119417</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>82855</TotalAmt>
        <ProgramServicesAmt>81351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1504</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>76362</TotalAmt>
        <ProgramServicesAmt>74975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1387</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>POSTAGE</Desc>
        <TotalAmt>26990</TotalAmt>
        <ProgramServicesAmt>26500</ProgramServicesAmt>
        <ManagementAndGeneralAmt>490</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>476118</TotalAmt>
        <ProgramServicesAmt>467475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8643</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>22557203</TotalAmt>
        <ProgramServicesAmt>21706418</ProgramServicesAmt>
        <ManagementAndGeneralAmt>850785</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>884232</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>90006</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>7881957</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3091603</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>129504</EOYAmt>
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        <EOYAmt>16500</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>13466732</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1165938</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>1339838</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>600000</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>4244689</BOYAmt>
        <EOYAmt>4020571</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>9446161</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>10980606</BOYAmt>
        <EOYAmt>9446161</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15225295</BOYAmt>
        <EOYAmt>13466732</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1386680</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-147765</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3391116</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15719307</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15370569</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19084841</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17402220</CurrentTaxYearAmt>
        <TotalAmt>70968053</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>15719307</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15370569</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19084841</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17402220</CurrentTaxYearAmt>
        <TotalAmt>70968053</TotalAmt>
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      <PublicSupportTotal170Amt>70968053</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>38710</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>284040</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>258717</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>152105</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>123308</CurrentTaxYearAmt>
        <TotalAmt>856880</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>9728</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16031</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>43827</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>163976</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95736</CurrentTaxYearAmt>
        <TotalAmt>329298</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>72154231</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>8551899</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98360</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98200</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>VENDING MACHINE - 2013 AMOUNT: $ 260. 2014 AMOUNT: $ 59. 2015 AMOUNT: $ 699. OTHER REVENUE - 2013 AMOUNT: $ 8,600. 2014 AMOUNT: $ 6. 2015 AMOUNT: $ 44. 2016 AMOUNT: $ 4,654. 2017 AMOUNT: $ 9,079. INSURANCE REFUND - 2013 AMOUNT: $ 868. CAFE REVENUE - 2014 AMOUNT: $ 15,966. 2015 AMOUNT: $ 43,084. 2016 AMOUNT: $ 53,072. 2017 AMOUNT: $ 86,657. INCENTIVES - 2016 AMOUNT: $ 106,250.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, SECTION A AND B, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>7/1/2014 TO 9/30/2014 SHORT YEAR; THE SHORT YEAR RESULTS FROM A CHANGE IN THE ORGANIZATION'S FISCAL YEAR END FROM JUNE 30 TO SEPTEMBER 30.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>447046</OtherCostOrOtherBasisAmt>
        <BookValueAmt>513343</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>3392796</DepreciationAmt>
        <BookValueAmt>5672528</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>144962</DepreciationAmt>
        <BookValueAmt>223233</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2271510</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1781881</DepreciationAmt>
        <BookValueAmt>489629</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>983224</OtherCostOrOtherBasisAmt>
        <BookValueAmt>983224</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7881957</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20815889</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20815889</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>354634</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>354634</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>21170523</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>22557203</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>22557203</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>22557203</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SHG QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES. IN ADDITION, SHG QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170 OF THE CODE AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. INCOME DETERMINED TO BE UNRELATED BUSINESS TAXABLE INCOME ("UBTI") WOULD BE TAXABLE. MANAGEMENT DOES NOT BELIEVE SHG HAS ANY UBTI FOR THE YEAR ENDED SEPTEMBER 30, 2018. SHG EVALUATES ITS UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF ITS POLICIES AND PROCEDURES, REVIEW OF ITS REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. SHG'S FEDERAL RETURN OF ORGANIZATIONS EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL 2015, 2016 AND 2017 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GAIN ON SALE OF SECURITIES 354,850. LOSS ON SALE OF FIXED ASSET -216.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>APRIL RHODES</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>160564</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7750</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10060</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17529</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195903</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COURTNEY KEKICH</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>197191</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3948</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10807</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17700</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229646</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BOHDAN HRECZNYJ</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>211908</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11315</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18224</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>241447</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAMIL JURA</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>175246</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5532</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10899</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9479</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201156</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE NUEZ</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>243586</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7261</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13654</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>738</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>265239</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS PAYMENTS ARE MADE BASED ON MEETING ORGANIZATIONAL GOALS AND ARE AT THE DISCRETION OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>THE INDUSTRIAL DEVELOP AUTHORITY OF COTTONWOOD AZ</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860718770</BondIssuerEIN>
        <CUSIPNum>NONEAVAIL</CUSIPNum>
        <BondIssuedDt>2010-06-30</BondIssuedDt>
        <IssuePriceAmt>2930585</IssuePriceAmt>
        <PurposeDesc>FACILITY CONSTRUCTION</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>2930585</TotalProceedsAmt>
        <RefundingEscrowAmt>565724</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>60000</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>2366740</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2009</SubstantialCompletionYr>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED 990 WILL BE REVIEWED BY THE CEO AND THE DIRECTOR OF FINANCE FOR ACCURACY BEFORE IT IS FILED AND THEN THE FILED 990 WILL BE PRESENTED AT THE NEXT REGULARLY SCHEDULED BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION (SHG) WILL VALIDATE THAT ALL CONTRACTS ARE IN COMPLIANCE WITH APPLICABLE LAWS, REGULATIONS, AND ACCREDITATION STANDARDS. THE SHG HAS A RESPONSIBILITY TO NOT ENTER INTO CONTRACTS OR AGREEMENTS WITH OUTSIDE INDIVIDUALS OR AGENCIES WHEN SUCH A RELATIONSHIP CREATES A CLEAR CONFLICT OF INTEREST, WHICH MAY NEGATIVELY IMPACT CLIENT CARE OR COMMUNITY INTERESTS. THE SHG'S MANAGEMENT TEAM REVIEWS ALL CONTRACT ARRANGEMENTS THAT THE AGENCY CONSIDERS ENTERING INTO, TO ASSESS THE FOLLOWING: - WHETHER A CONFLICT OF INTEREST EXISTS OR MAY POTENTIALLY EXIST. THIS IS ESPECIALLY TRUE FOR CONTRACTS THAT THE AGENCY ESTABLISHES WITH OUTSIDE PROVIDERS TO PROVIDE SERVICES ON BEHALF OF THE SHG. - IN THOSE CASES WHERE THE SHG CONTRACTS WITH ANOTHER PROVIDER TO PROVIDE TREATMENT SERVICES FOR SHG REFERRALS, THE MANAGEMENT TEAM REVIEWS THE CREDENTIALS OF THE PROVIDER TO VALIDATE THAT THE PROVIDER IS QUALIFIED TO PROVIDE THE DESIRED SERVICES. - REVIEW CONTRACTS THAT ARE AVAILABLE TO THE SHG TO DETERMINE WHETHER THE CONTACT REQUIREMENTS ARE ACCEPTABLE IN TERMS OF ETHICAL TREATMENT OF CONSUMERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BOARD OF DIRECTORS REVIEWS THE MOST CURRENTLY AVAILABLE SALARY SURVEYS AND OTHER COMPENSATION DATA, TO SET THE SALARY OF THE CEO. THE DATE OF THE LAST REVIEW WAS OCTOBER 2016. THE CEO SETS THE COMPENSATION FOR OTHER KEY EMPLOYEES AND WAS LAST REVIEWED OCTOBER 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S ARTICLES OF INCORPORATION, BY-LAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,093,377. MANAGEMENT AND GENERAL EXPENSES 82,779. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,176,156. CONTRACTED PHYSICIANS: PROGRAM SERVICE EXPENSES 667,976. MANAGEMENT AND GENERAL EXPENSES 17,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 685,851. MEDICATIONS: PROGRAM SERVICE EXPENSES 1,334,856. MANAGEMENT AND GENERAL EXPENSES 35,721. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,370,577. MISC. ADMIN SERVICES: PROGRAM SERVICE EXPENSES 30,139. MANAGEMENT AND GENERAL EXPENSES 806. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,945. COMPUTER SUPPORT: PROGRAM SERVICE EXPENSES 259,702. MANAGEMENT AND GENERAL EXPENSES 6,950. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,652. HCIC SUPPORT: PROGRAM SERVICE EXPENSES 1,363. MANAGEMENT AND GENERAL EXPENSES 36. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,399. PATIENT LAB FEES: PROGRAM SERVICE EXPENSES 4,472. MANAGEMENT AND GENERAL EXPENSES 120. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,592.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>