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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>David Helman</PersonNm>
        <TitleTxt>Finance Director</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>85230</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10958</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian Van Hall</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>160291</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8278</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Greg Bellig</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>189420</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34323</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brant Hansen</PersonNm>
        <TitleTxt>Storyteller</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>115344</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32435</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard Klein Jr</PersonNm>
        <TitleTxt>Sr. Vice President</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100521</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36367</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>650806</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>122361</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>6731307</FundraisingAmt>
      <GovernmentGrantsAmt>765759</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>14225699</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1329540</NoncashContributionsAmt>
      <TotalContributionsAmt>21722765</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>40552204</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40552204</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>40552204</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>40806</TotalRevenueColumnAmt>
        <ExclusionAmt>40806</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>2071275</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>2124595</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-53320</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-53320</TotalRevenueColumnAmt>
        <ExclusionAmt>-53320</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>299835</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>6731307</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>555121</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-255286</TotalRevenueColumnAmt>
        <ExclusionAmt>-255286</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Amortization Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>297330</TotalRevenueColumnAmt>
        <ExclusionAmt>297330</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>968123</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>966153</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1970</UnrelatedBusinessRevenueAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>1265453</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>63272622</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>41518357</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>1970</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>29530</ExclusionAmt>
      </TotalRevenueGrp>
      <ForeignGrantsGrp>
        <TotalAmt>3033234</TotalAmt>
        <ProgramServicesAmt>3033234</ProgramServicesAmt>
      </ForeignGrantsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>506635</TotalAmt>
        <ProgramServicesAmt>427994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57059</ManagementAndGeneralAmt>
        <FundraisingAmt>21582</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>27364728</TotalAmt>
        <ProgramServicesAmt>23086193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3179836</ManagementAndGeneralAmt>
        <FundraisingAmt>1098699</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>882019</TotalAmt>
        <ProgramServicesAmt>735048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87045</ManagementAndGeneralAmt>
        <FundraisingAmt>59926</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6127503</TotalAmt>
        <ProgramServicesAmt>5290508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>496777</ManagementAndGeneralAmt>
        <FundraisingAmt>340218</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>318743</TotalAmt>
        <ProgramServicesAmt>199736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36743</ManagementAndGeneralAmt>
        <FundraisingAmt>82264</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>313983</TotalAmt>
        <ProgramServicesAmt>209332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54259</ManagementAndGeneralAmt>
        <FundraisingAmt>50392</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>107669</TotalAmt>
        <ProgramServicesAmt>71783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18606</ManagementAndGeneralAmt>
        <FundraisingAmt>17280</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>60250</TotalAmt>
        <FundraisingAmt>60250</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>2162561</TotalAmt>
        <ProgramServicesAmt>1188649</ProgramServicesAmt>
        <ManagementAndGeneralAmt>740128</ManagementAndGeneralAmt>
        <FundraisingAmt>233784</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>485508</TotalAmt>
        <ProgramServicesAmt>140915</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174145</ManagementAndGeneralAmt>
        <FundraisingAmt>170448</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1403798</TotalAmt>
        <ProgramServicesAmt>407442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>503521</ManagementAndGeneralAmt>
        <FundraisingAmt>492835</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1666758</TotalAmt>
        <ProgramServicesAmt>1666758</ProgramServicesAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2234966</TotalAmt>
        <ProgramServicesAmt>1558657</ProgramServicesAmt>
        <ManagementAndGeneralAmt>670667</ManagementAndGeneralAmt>
        <FundraisingAmt>5642</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>2080516</TotalAmt>
        <ProgramServicesAmt>1124166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>210995</ManagementAndGeneralAmt>
        <FundraisingAmt>745355</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>417215</TotalAmt>
        <ProgramServicesAmt>312852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58719</ManagementAndGeneralAmt>
        <FundraisingAmt>45644</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>470324</TotalAmt>
        <ManagementAndGeneralAmt>470324</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>14613086</TotalAmt>
        <ProgramServicesAmt>12019712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2587523</ManagementAndGeneralAmt>
        <FundraisingAmt>5851</FundraisingAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>Hospital supplies</Desc>
        <TotalAmt>8324939</TotalAmt>
        <ProgramServicesAmt>8324939</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs/maintenance</Desc>
        <TotalAmt>2701673</TotalAmt>
        <ProgramServicesAmt>2175004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>522275</ManagementAndGeneralAmt>
        <FundraisingAmt>4394</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad debt expense</Desc>
        <TotalAmt>32770</TotalAmt>
        <ManagementAndGeneralAmt>32770</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>638102</TotalAmt>
        <ProgramServicesAmt>521873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114227</ManagementAndGeneralAmt>
        <FundraisingAmt>2002</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>75946980</TotalAmt>
        <ProgramServicesAmt>62494795</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10015619</ManagementAndGeneralAmt>
        <FundraisingAmt>3436566</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <EOYAmt>1387106</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>8314691</BOYAmt>
        <EOYAmt>7240527</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1365310</BOYAmt>
        <EOYAmt>5585824</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>5100314</BOYAmt>
        <EOYAmt>9894907</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2795100</BOYAmt>
        <EOYAmt>2652135</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1657443</BOYAmt>
        <EOYAmt>1410976</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>138518663</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>62410986</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>90670029</BOYAmt>
        <EOYAmt>76107677</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>6093</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1966350</BOYAmt>
        <EOYAmt>24521750</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>111869237</BOYAmt>
        <EOYAmt>128806995</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>10228533</BOYAmt>
        <EOYAmt>11187206</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>6805074</BOYAmt>
        <EOYAmt>6507744</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>4618760</BOYAmt>
        <EOYAmt>7521022</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>1077107</BOYAmt>
        <EOYAmt>220096</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2627568</BOYAmt>
        <EOYAmt>2671125</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>25357042</BOYAmt>
        <EOYAmt>28107193</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>83535219</BOYAmt>
        <EOYAmt>68357977</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>2976976</BOYAmt>
        <EOYAmt>32341825</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>86512195</BOYAmt>
        <EOYAmt>100699802</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>111869237</BOYAmt>
        <EOYAmt>128806995</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-12674358</ReconcilationRevenueExpnssAmt>
      <DonatedServicesAndUseFcltsAmt>391264</DonatedServicesAndUseFcltsAmt>
      <PriorPeriodAdjustmentsAmt>27676604</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>-1205903</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>21628450</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21315657</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23035192</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21717296</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21722765</CurrentTaxYearAmt>
        <TotalAmt>109419360</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>21628450</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21315657</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23035192</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21717296</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21722765</CurrentTaxYearAmt>
        <TotalAmt>109419360</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>15976502</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>93442858</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>9974</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>9579</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3274</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>34122</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>40806</CurrentTaxYearAmt>
        <TotalAmt>97755</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>443542</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>222140</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1501224</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1849247</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1563318</CurrentTaxYearAmt>
        <TotalAmt>5579471</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>115096586</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>114475953</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.81190</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.88960</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>Other income - 2013 Amount: $ 191,628. 2014 Amount: $ 10,675. 2015 Amount: $ 1,175,664. 2016 Amount: $ 1,532,269. 2017 Amount: $ 1,263,483. Fundraising events - 2013 Amount: $ 251,914. 2014 Amount: $ 211,465. 2015 Amount: $ 325,560. 2016 Amount: $ 316,978. 2017 Amount: $ 299,835.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>95388</OtherCostOrOtherBasisAmt>
        <BookValueAmt>95388</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>75191501</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>24646762</DepreciationAmt>
        <BookValueAmt>50544739</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>62050438</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>37548846</DepreciationAmt>
        <BookValueAmt>24501592</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1181336</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>215378</DepreciationAmt>
        <BookValueAmt>965958</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>76107677</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Unconditional promise to give - assets</Desc>
        <BookValueAmt>24026604</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Assets held for sale</Desc>
        <BookValueAmt>454004</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Due from affiliates</Desc>
        <BookValueAmt>23571</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Other current assets</Desc>
        <BookValueAmt>17571</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>24521750</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Severance Payable</Desc>
        <Amt>2671125</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2671125</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc1040500001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Middle East and North Africa</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>485</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Hospital Operations</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>35812471</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>18</OfficesCnt>
        <EmployeeCnt>729</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Hospital Operations</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>11788298</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grants to recipients located in region</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>1846521</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>2</OfficesCnt>
        <EmployeeCnt>315</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Hospital Operations/Clinics</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>2240686</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>South Asia</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grants to recipients located in region</TypeOfActivitiesConductedTxt>
        <RegionTotalExpendituresAmt>696959</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>2</OfficesCnt>
        <EmployeeCnt>71</EmployeeCnt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>East Asia and the Pacific</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Grants to recipients located in region</TypeOfActivitiesConductedTxt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Central America and the Caribbean</RegionTxt>
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        <EmployeeCnt>15</EmployeeCnt>
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      <AccountActivitiesOutsideUSGrp>
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        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
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      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Europe (Including Iceland &amp; Greenland)</RegionTxt>
        <OfficesCnt>0</OfficesCnt>
        <EmployeeCnt>0</EmployeeCnt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>North America - Canada and Mexico</RegionTxt>
        <OfficesCnt>1</OfficesCnt>
        <EmployeeCnt>1</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Fundraising</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Professional Services, Travel</SpecificServicesProvidedTxt>
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      <ContinuationTotalEmployeeCnt>1</ContinuationTotalEmployeeCnt>
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      <ContinuationSpentAmt>191877</ContinuationSpentAmt>
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      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
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      <GrantsToOrgOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <PurposeOfGrantTxt>Ministry support</PurposeOfGrantTxt>
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      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
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      <ForeignPartnershipInd>0</ForeignPartnershipInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization receives monthly financial and statistical information from each grantee. This information includes a comparison of actual to budgeted report.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenditures are accounted for using the accrual basis of accounting.</ExplanationTxt>
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      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
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        </OrganizationBusinessName>
        <USAddress>
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          <CityNm>Franklin</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37067</ZIPCd>
        </USAddress>
        <ActivityTxt>Entertainment Management</ActivityTxt>
        <FundraiserControlOfFundsInd>0</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>0</GrossReceiptsAmt>
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      <FundraiserActivityInfoGrp>
        <OrganizationBusinessName>
          <BusinessNameLine1Txt>Velocity Production</BusinessNameLine1Txt>
        </OrganizationBusinessName>
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          <AddressLine1Txt>PO Box 1169</AddressLine1Txt>
          <CityNm>Cumming</CityNm>
          <StateAbbreviationCd>GA</StateAbbreviationCd>
          <ZIPCd>30028</ZIPCd>
        </USAddress>
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      </FundraiserActivityInfoGrp>
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      <LicensedStatesCd>AK</LicensedStatesCd>
      <LicensedStatesCd>AL</LicensedStatesCd>
      <LicensedStatesCd>AR</LicensedStatesCd>
      <LicensedStatesCd>CA</LicensedStatesCd>
      <LicensedStatesCd>CT</LicensedStatesCd>
      <LicensedStatesCd>CO</LicensedStatesCd>
      <LicensedStatesCd>FL</LicensedStatesCd>
      <LicensedStatesCd>GA</LicensedStatesCd>
      <LicensedStatesCd>HI</LicensedStatesCd>
      <LicensedStatesCd>IL</LicensedStatesCd>
      <LicensedStatesCd>KS</LicensedStatesCd>
      <LicensedStatesCd>KY</LicensedStatesCd>
      <LicensedStatesCd>MA</LicensedStatesCd>
      <LicensedStatesCd>MD</LicensedStatesCd>
      <LicensedStatesCd>ME</LicensedStatesCd>
      <LicensedStatesCd>MI</LicensedStatesCd>
      <LicensedStatesCd>MN</LicensedStatesCd>
      <LicensedStatesCd>MS</LicensedStatesCd>
      <LicensedStatesCd>NC</LicensedStatesCd>
      <LicensedStatesCd>ND</LicensedStatesCd>
      <LicensedStatesCd>NH</LicensedStatesCd>
      <LicensedStatesCd>NJ</LicensedStatesCd>
      <LicensedStatesCd>NM</LicensedStatesCd>
      <LicensedStatesCd>NV</LicensedStatesCd>
      <LicensedStatesCd>NY</LicensedStatesCd>
      <LicensedStatesCd>OH</LicensedStatesCd>
      <LicensedStatesCd>OK</LicensedStatesCd>
      <LicensedStatesCd>OR</LicensedStatesCd>
      <LicensedStatesCd>PA</LicensedStatesCd>
      <LicensedStatesCd>RI</LicensedStatesCd>
      <LicensedStatesCd>SC</LicensedStatesCd>
      <LicensedStatesCd>TN</LicensedStatesCd>
      <LicensedStatesCd>UT</LicensedStatesCd>
      <LicensedStatesCd>VA</LicensedStatesCd>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <LicensedStatesCd>WI</LicensedStatesCd>
      <LicensedStatesCd>WV</LicensedStatesCd>
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        <OtherDirectExpensesEvent1Amt>78198</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>7031142</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>6731307</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>299835</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>161786</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>237111</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>78026</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>78198</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>555121</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-255286</NetIncomeSummaryAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule G, Part I, Line 2b, column (iv):</FormAndLineReferenceDesc>
        <ExplanationTxt>The professional fundraising services were consulting in nature, no gross receipts were directly generated from the services provided.</ExplanationTxt>
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        <PersonNm>Greg Bellig</PersonNm>
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          <PersonNm>Greg Bellig</PersonNm>
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        <TransactionAmt>230718</TransactionAmt>
        <TransactionDesc>Compensation and benefits</TransactionDesc>
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        <ContributionCnt>18</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Fair market value</MethodOfDeterminingRevenuesTxt>
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      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
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        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions represent the number of contributions received, not the number of items donated.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Judy Bellig, Director and Greg Bellig, Chief Medical Officer have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent CPA firm and reviewed in detail by the organization's top management. The reviewed Form 990 is then provided to the board of directors prior to filing with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each director, principal officer, member, and key employee shall annually sign a statement which affirms that such person: (a) has received a copy of the conflict of interest policy; (b) has read and understands the policy; (c) has agreed to comply with this policy, and (d) understands that the corporation is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>A human resources compensation review is performed using 990 information from other comparable organizations to determine the compensation of the organization's officers and key employees. Compensation is approved by independent board members during the budget approval process and is document in the board minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's financial statements are available to the public on the organization's web site. The governing documents and conflict of interest policy are made available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on foreign currency exchange -1,205,903.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's Board assumes responsibility for oversight of the audit of its financial statements and selection of its independent accountant. This process has not changed since the prior year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 8 - Prior period adjustment</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain errors resulting in improperly recording donated land leases were identified in the current year.CURE was recording the fair value of the current year's donated leases as gift-in-kind revenue and expense rather than recording the fair value of the rent to be received, discounted to its present value, as a gift-in-kind revenue and contributions receivable in the year the leases were executed. Therefore, a retrospective adjustment has been made to correct beginning net assets by approximately $24,000,000 and record a contribution receivable, net of the related discount on the consolidated statement of financial position as of June 30, 2018. Additionally, CURE adopted ASU 2018-08, changing the way grants receivable are recorded resulting in a $3,650,000 adjustment to beginning net assets.</ExplanationTxt>
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          <AddressLine1Txt>PO Box 36961</AddressLine1Txt>
          <CityNm>Lusaka</CityNm>
          <CountryCd>ZA</CountryCd>
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      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>City</CityNm>
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        </ForeignAddress>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
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        <InvolvedAmt>255565</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>