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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR LEILA HAMPTON</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>158658</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5452</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR DANIEL MOSCOW</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134747</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25849</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES CRAWFORD</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>135029</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12626</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CURTIS A HAYNES</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110034</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10729</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>804885</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>84094</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>6</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GREENWAY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 204485</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRONIC HEALTH RECORDS</ServicesDesc>
        <CompensationAmt>219127</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RYANT A STUART</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>700 EAST TOWNSHIP LINE RD</AddressLine1Txt>
            <CityNm>HAVERFORD</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19083</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTANT</ServicesDesc>
        <CompensationAmt>122616</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MED CLAIM COMPREHENSIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18264 LAKE HARBOR LANE</AddressLine1Txt>
            <CityNm>PRAIRIEVILLE</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70769</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING SERVICES</ServicesDesc>
        <CompensationAmt>112507</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3149878</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>650</AllOtherContributionsAmt>
      <TotalContributionsAmt>3150528</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID REIMBURSEMENT</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>3838088</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3838088</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE RE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>825135</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>825135</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF PAY</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>99657</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>99657</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>4762880</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>101566</TotalRevenueColumnAmt>
        <ExclusionAmt>101566</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>137906</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>137906</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISC. REVENUE</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>27601</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27601</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>165507</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8180481</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>164299</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>3769456</TotalAmt>
        <ProgramServicesAmt>2911934</ProgramServicesAmt>
        <ManagementAndGeneralAmt>857522</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>565222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174499</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>174220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53787</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>42919</TotalAmt>
        <ProgramServicesAmt>34335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8584</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>25600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6400</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>573421</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>11635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2870</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>399030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55165</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>122616</TotalAmt>
        <ProgramServicesAmt>98093</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24523</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>720202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222344</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>11169</TotalAmt>
        <ProgramServicesAmt>8492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2677</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>23963</TotalAmt>
        <ProgramServicesAmt>18310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5653</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>433090</TotalAmt>
        <ProgramServicesAmt>330929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>102161</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>135396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41801</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>83746</TotalAmt>
        <ProgramServicesAmt>63906</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19840</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LABORATORY SERVICES</Desc>
        <TotalAmt>103897</TotalAmt>
        <ProgramServicesAmt>103897</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>39540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12206</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DONATIONS</Desc>
        <TotalAmt>35825</TotalAmt>
        <ProgramServicesAmt>27376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8449</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>6241538</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1853067</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>176105</BOYAmt>
        <EOYAmt>81851</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>2747</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>643605</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>10163696</EOYAmt>
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        <EOYAmt>13393</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>56778</EOYAmt>
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        <BOYAmt>197985</BOYAmt>
        <EOYAmt>2209835</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>22500</EOYAmt>
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        <EOYAmt>102500</EOYAmt>
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        <EOYAmt>1748356</EOYAmt>
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        <EOYAmt>11029089</EOYAmt>
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        <EOYAmt>2267816</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>13296905</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>85876</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContrisRcvd509Grp>
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        <CurrentTaxYearMinus3YearsAmt>2165950</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5716473</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2500821</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3150528</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>4197147</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3797347</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3906875</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4900786</CurrentTaxYearAmt>
        <TotalAmt>20938720</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>6415816</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6363097</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9513820</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6407696</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>36751743</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>28137</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>105960</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>107602</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>101768</CurrentTaxYearMinus1YearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>105960</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>107602</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>101768</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>101566</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus4YearsAmt>392923</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>618907</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27224</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>37761</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>27601</CurrentTaxYearAmt>
        <TotalAmt>1104416</TotalAmt>
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      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>6836876</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7087964</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9648646</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6547225</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY509Pct>0.96130</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.01160</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00700</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2011 AMOUNT: $ 392,923. 2012 AMOUNT: $ 618,907. 2013 AMOUNT: $ 27,224. 2014 AMOUNT: $ 37,761. 2015 AMOUNT: $ 27,601.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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">
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        <OtherCostOrOtherBasisAmt>126854</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92603</DepreciationAmt>
        <BookValueAmt>34251</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3682630</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1507046</DepreciationAmt>
        <BookValueAmt>2175584</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2209835</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT OBLIGATION</Desc>
        <Amt>600000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>2214592</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2814592</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>8180481</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>8180481</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>8180481</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>8094605</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>8094605</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>8094605</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>CODE AND IS EXEMPT FROM STATE INCOME TAXES UNDER THE COMMONWEALTH OF PENNSYLVANIA STATUTES. THE AGENCY FOLLOWS THE PROVISIONS OF THE INCOME TAX ACCOUNTING STANDARDS REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. IT IS THE AGENCY'S POLICY TO ACCOUNT FOR ANY INTEREST OR PENALTIES ASSESSED RELATING TO UNCERTAIN TAX POSITIONS, IF ANY, AS GENERAL AND ADMINISTRATIVE EXPENSES. THE AGENCY DID NOT INCUR ANY INTEREST OR PENALTIES FOR THE YEARS ENDED JUNE 30, 2016 OR 2015. THE APPLICATION OF THESE PROVISIONS HAS NO IMPACT ON THE AGENCY'S FINANCIAL STATEMENTS. THE AGENCY'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE AGENCY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE AGENCY IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES.</ExplanationTxt>
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        <PersonNm>DR LEILA HAMPTON</PersonNm>
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        <PersonNm>DR DANIEL MOSCOW</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE BOARD CHAIRPERSON, ONE OR MORE VICE CHAIRS WITH THE FIRST VICE CHAIR AS CHAIR ELECT, SECRETARY, TREASURER, IMMEDIATE PAST CHAIRPERSON AND CHAIRS OF ALL STANDING COMMITTEES. THE EXECUTIVE COMMITTEE SHALL BE RESPONSIBLE FOR APPROVING AND PROVIDING ADVICE AND RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING POLICIES, PRACTICES, GOVERNANCE, AND OPERATIONS OF THE CORPORATION, AND SHALL CONDUCT THE ANNUAL REVIEW OF THE PERFORMANCE AND COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND A SELF-EVALUATION OF THE BOARD, EXCEPT AS LIMITED BY THESE BY-LAWS AND BY THE LAW. THE EXECUTIVE COMMITTEE SHALL HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS DURING INTERVALS BETWEEN MEETINGS OF THE BOARD, AS DETERMINED TO BE NECESSARY BY THE CHAIRPERSON AND SUBJECT TO THE RATIFICATION OF SUCH ACTS BY THE COMMITTEE SHALL MAKE A FULL REPORT OF ALL ACTIONS AT THE NEXT MEETING OF THE BOARD OF DIRECTORS AND ITS ACTIONS ARE SUBJECT TO RATIFICATION BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS AT A MONTHLY MEETING PRIOR TO FILING WITH THE IRS. A COPY OF THE FORM 990 IS PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR HAS A DUTY TO DISCLOSE TO THE BOARD OF DIRECTORS ANY AND ALL POTENTIAL CONFLICTS OF INTEREST IN ANY CONTRACT OR TRANSACTION BETWEEN THE CORPORATION, ANOTHER BUSINESS ENTITY AGENCY OF GOVERNMENT OR INDIVIDUAL AND, IN THE ABSENCE OF FRAUD, NO CONTRACT OR OTHER TRANSACTION OF THE CORPORATION SHALL BE AFFECTED OR INVALIDATED IN ANY WAY BY THE FACT THAT ANY DIRECTOR OF THE CORPORATION IS IN ANY WAY INTERESTED OR CONNECTED WITH ANY OTHER PARTY OF SAID CONTRACT OR TRANSACTION, PROVIDED THAT SUCH INTEREST SHALL BE FULLY DISCLOSED OR OTHERWISE KNOWN TO THE BOARD OF DIRECTORS. AT THE MEETING OF THE BOARD AT WHICH SUCH CONTRACT OR TRANSACTION IS AUTHORIZED OR CONFIRMED, AND PROVIDED FURTHER THAT AT SUCH MEETING THERE SHALL BE PRESENT A QUORUM OF DIRECTORS NOT SO INTERESTED OR CONNECTED WITH THE CONTRACT OR TRANSACTION WHICH SHALL BE APPROVED BY A MAJORITY OF SUCH DIRECTORS, WHICH MAJORITY SHALL CONSIST OF DIRECTORS NOT SO INTERESTED OR CONNECTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE IS A SALARY COMPENSATION PLAN THAT IS IN PLACE THAT IS PERIODICALLY REVIEWED AND COMPARED AGAINST COMPARABLE SALARY DATA AT THE REGIONAL AND LOCAL LEVELS BY AN OUTSIDE CONSULTANT. THE PROCESS: MARKET PRICING - THE CONSULTANT USES JOB DESCRIPTIONS TO MATCH JOBS TO THE EXTERNAL MARKET. THE CONSULTANT USES A MIX OF NON-PROFIT AND FOR-PROFIT DATA FROM REGIONAL AND LOCAL SALARY SURVEYS AS WELL AS HEALTH CARE DATA. THE CONSULTANT SEARCHES FOR MARKET DATA THAT MATCHES THE ORGANIZATION'S POSITIONS AND THEN ABSTRACTS SALARY DATA FROM THE 25TH, 50TH AND 75TH PERCENTILE OF THE MARKET FOR EACH POSITION FOUND. THIS DATA IS THEN USED TO UPDATE SALARY STRUCTURES. A COMPARISON IS MADE OF THE MEDIAN MARKET VALUES TO THE MIDPOINT OF THE CURRENT PAY STRUCTURES, WHICH INDICATES WHERE THE POSITION FALLS WITHIN THE MARKET. CEO, CFO, DIRECTORS, AND KEY EMPLOYEE COMPENSATION WAS LAST REVIEWED IN MAY, 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>SHS COMMUNITY HEALTH INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>5201 HAVERFORD AVENUE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19139</ZIPCd>
        </USAddress>
        <EIN>300713501</EIN>
        <PrimaryActivitiesTxt>TO OPERATE AND MAINTAIN THE BUILDING AT HAVERFORD AVENUE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
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        </DirectControllingEntityName>
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      <IdRelatedTaxExemptOrgGrp>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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</Return>