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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23428</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Foster NP</PersonNm>
        <TitleTxt>Nurse practitioner</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>104700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14194</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>April Fife NP</PersonNm>
        <TitleTxt>Nurse practitioner</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>104543</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14173</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeanne Wilton NP</PersonNm>
        <TitleTxt>Nurse practitioner</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100985</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13691</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1320068</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>178960</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Quality Systems IncNextgen Healthcare</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18111 Von Karman Ave Suite 700</AddressLine1Txt>
            <CityNm>Irvine</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Support and Maint.</ServicesDesc>
        <CompensationAmt>262594</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>D Brandenburg Contruction LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>510 W 250 N</AddressLine1Txt>
            <CityNm>Lebanon</CityNm>
            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46052</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Building Renovation</ServicesDesc>
        <CompensationAmt>164619</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Mckesson Medical Surgical</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9954 Maryland Dr Ste 400</AddressLine1Txt>
            <CityNm>Richmond</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23233</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Clinical equipment and supplies</ServicesDesc>
        <CompensationAmt>120233</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>200000</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>3351140</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1136732</AllOtherContributionsAmt>
      <NoncashContributionsAmt>987372</NoncashContributionsAmt>
      <TotalContributionsAmt>4687872</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Service</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>7579395</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7579395</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Managed Health Care Srvs</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>66152</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66152</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Med Assist Processing</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>19902</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19902</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7665449</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6558</TotalRevenueColumnAmt>
        <ExclusionAmt>6558</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>30504</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>29769</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>735</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>735</TotalRevenueColumnAmt>
        <ExclusionAmt>735</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1457</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-1457</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1457</TotalRevenueColumnAmt>
        <ExclusionAmt>-1457</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>44220</TotalRevenueColumnAmt>
        <ExclusionAmt>44220</ExclusionAmt>
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      <OtherRevenueTotalAmt>44220</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12403377</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7665449</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>50056</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>739400</TotalAmt>
        <ProgramServicesAmt>530813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>208587</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5484481</TotalAmt>
        <ProgramServicesAmt>3922059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1562422</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>77963</TotalAmt>
        <ProgramServicesAmt>57566</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20397</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>686535</TotalAmt>
        <ProgramServicesAmt>506923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>179612</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>437896</TotalAmt>
        <ProgramServicesAmt>323333</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114563</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <OfficeExpensesGrp>
        <TotalAmt>169015</TotalAmt>
        <ProgramServicesAmt>55096</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113919</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>310431</TotalAmt>
        <ProgramServicesAmt>35728</ProgramServicesAmt>
        <ManagementAndGeneralAmt>274703</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>38533</TotalAmt>
        <ProgramServicesAmt>10891</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27642</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>603894</TotalAmt>
        <ProgramServicesAmt>508782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95112</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>58385</TotalAmt>
        <ManagementAndGeneralAmt>58385</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Donated labs &amp; meds</Desc>
        <TotalAmt>1007274</TotalAmt>
        <ProgramServicesAmt>978709</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28565</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Professional services</Desc>
        <TotalAmt>633698</TotalAmt>
        <ProgramServicesAmt>134817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>498881</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad debt expense</Desc>
        <TotalAmt>499119</TotalAmt>
        <ProgramServicesAmt>499119</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical supplies</Desc>
        <TotalAmt>131803</TotalAmt>
        <ProgramServicesAmt>131659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>172495</TotalAmt>
        <ProgramServicesAmt>103523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68972</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>11050922</TotalAmt>
        <ProgramServicesAmt>7799018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3251904</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4192039</BOYAmt>
        <EOYAmt>5153084</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>892318</BOYAmt>
        <EOYAmt>869994</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>122225</BOYAmt>
        <EOYAmt>178102</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>766103</BOYAmt>
        <EOYAmt>1121666</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>159581</BOYAmt>
        <EOYAmt>137902</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>14423369</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5597526</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8940014</BOYAmt>
        <EOYAmt>8825843</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>15072280</BOYAmt>
        <EOYAmt>16286591</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>500371</BOYAmt>
        <EOYAmt>362227</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>2542</BOYAmt>
        <EOYAmt>2542</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>502913</BOYAmt>
        <EOYAmt>364769</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>14468367</BOYAmt>
        <EOYAmt>15821822</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>101000</BOYAmt>
        <EOYAmt>100000</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14569367</BOYAmt>
        <EOYAmt>15921822</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15072280</BOYAmt>
        <EOYAmt>16286591</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1352455</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>9003602</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6376758</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4492535</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4711867</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4687872</CurrentTaxYearAmt>
        <TotalAmt>29272634</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>5051103</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5339969</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6683339</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7544212</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7665449</CurrentTaxYearAmt>
        <TotalAmt>32284072</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>14054705</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11716727</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11175874</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12256079</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12353321</CurrentTaxYearAmt>
        <TotalAmt>61556706</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>61556706</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>13629</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5849</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35684</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>35977</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>37062</CurrentTaxYearAmt>
        <TotalAmt>128201</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>13629</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5849</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35684</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>35977</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>37062</CurrentTaxYearAmt>
        <TotalAmt>128201</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>27084</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>26785</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>33877</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>36433</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>44220</CurrentTaxYearAmt>
        <TotalAmt>168399</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>14095418</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11749361</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11245435</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12328489</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12434603</CurrentTaxYearAmt>
        <TotalAmt>61853306</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99520</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99620</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00210</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00180</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part III, Line 12, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>Other - 2012 Amount: $ 27,084. 2013 Amount: $ 26,785. 2014 Amount: $ 33,877. 2015 Amount: $ 36,433. 2016 Amount: $ 44,220.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1000350</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1000350</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9615557</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4066832</DepreciationAmt>
        <BookValueAmt>5548725</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3807462</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1530694</DepreciationAmt>
        <BookValueAmt>2276768</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>8825843</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>11945861</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>10377</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>31226</OtherRevenueAmt>
      <RevenueNotReportedAmt>41603</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>11904258</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>499119</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>499119</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12403377</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10593406</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>10377</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>31226</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>41603</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10551803</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>499119</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>499119</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>11050922</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Riggs Community Health Center, Inc. (Center) is exempt from income taxes under section 501 of the Internal Revenue Code and a similar provision of Indiana law. However, the Center is subject to federal income tax on any unrelated business taxable income. The Center is not aware of any activities that are subject to tax on unrelated business income, excise or other taxes. The Center's IRS Form 990 is subject to review and examination by federal and state authorities. The Center believes it has appropriate support for any tax positions taken, and therefore, does not have any uncertain income tax positions that are material to the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclassify rental expense 29,769. Reclassify loss on disposal of assets from expense to revenue 1,457.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debts reclassed to expenses 499,119.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reclassify rental expense 29,769. Reclassify loss on disposal of assets from expense to revenue 1,457.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debts reclassed to expenses 499,119.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>Suma Nagaraj MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregory French MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>16</ContributionCnt>
        <NoncashContributionsRptF990Amt>987372</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Riggs Community Health Center, Inc. Form 990 and all related schedules, statements and attachments are reviewed and approved by officer(s) and the appropriate representative(s) from the Board of Director's Executive Committee prior to finalizing and filing these tax returns with the Internal Revenue Service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Riggs Community Health Center, Inc. has conflict of interest policy. Enforcement of these policies depend on the situation that may create a potential issue. The identification and evaluation of those issues are discussed with the appropriate level of management or members of the Board of Directors in meetings and annual reviews.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Riggs Community Health Center, Inc.'s Board of Directors determines and sets all staffing compensation rates after a thorough review of all related issues, consultation with independent persons, review of comparable data and deliberation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Riggs Community Health Center, Inc. makes its governing documents, conflict of interest policy and financial statements, as applicable, available to the public upon written request made to the attention of our President/Chief Executive Officer and received at our corporate office address.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>