﻿<?xml version="1.0" encoding="utf-8"?>
<Return returnVersion="2016v3.0" xmlns="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2017-08-15T11:12:22-04:00</ReturnTs>
    <TaxPeriodEndDt>2017-01-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>592907578</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>Holland &amp; Reilly</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>601 N Fern Creek Avenue Suite 200</AddressLine1Txt>
        <CityNm>Orlando</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>32803</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2016-02-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>591480970</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>Community Health Centers Inc</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COMM</BusinessNameControlTxt>
      <USAddress>
        <AddressLine1Txt>110 S Woodland Street</AddressLine1Txt>
        <CityNm>Winter Garden</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>34787</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>Margaret Brennan</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>4079058827</PhoneNum>
      <SignatureDt>2017-08-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Thomas F Reilly</PreparerPersonNm>
      <PTIN>P00147922</PTIN>
      <PhoneNum>4078946803</PhoneNum>
      <PreparationDt>2017-08-15</PreparationDt>
      <SelfEmployedInd>X</SelfEmployedInd>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>184.171.140.17</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2017-08-15</IPDt>
      <IPTm>11:15:40</IPTm>
      <FederalOriginalSubmissionId>5992202017227iuhrcwa</FederalOriginalSubmissionId>
      <FederalOriginalSubmissionIdDt>2017-08-15</FederalOriginalSubmissionIdDt>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>57084C4CF6D3A4E5EA603055D8CA16089E1D28B9</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>57084C4CF6D3A4E5EA603055D8CA16089E1D28B9</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2016</TaxYr>
    <BuildTS>2021-01-29 14:40:06Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="IRS990">
      <PrincipalOfficerNm>Margaret Brennan</PrincipalOfficerNm>
      <GrossReceiptsAmt>48554711</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>CHCFL.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1972</FormationYr>
      <LegalDomicileStateCd>FL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>To provide quality and compassionate primary and preventive medical, dental, and pharmaceutical services to Central Florida economically and culturally diverse communities.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>583</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>11632169</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>12670071</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>31371574</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>35792682</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>680366</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-188093</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>59843</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>44132</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>43743952</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>48318792</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>28535450</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>32391942</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>816256</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>11872768</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>12513220</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>40408218</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>44905162</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>3335734</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3413630</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>32741442</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>36887075</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>11524591</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>12256594</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>21216851</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>24630481</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>To provide quality and compassionate primary and preventive medical, dental, and pharmaceutical services to Central Florida economically and culturally diverse communities.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>21655101</ExpenseAmt>
      <RevenueAmt>18067549</RevenueAmt>
      <Desc>Medical services - CHC extends over six communities and has ten medical sites and seven pharmacies. CHC provided primary medical services to 51,818 patients during the year through 152,872 visits for medical reasons, 484 patients through 2,231 visits for mental health reasons, and 3,729 patients through 4,003 visits for vision. CHC received donated use of medical facilities of $271,641.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>7512191</ExpenseAmt>
        <RevenueAmt>5651034</RevenueAmt>
        <Desc>Dental services - CHC provides comprehensive dental services to both adults and pediatric patients at eight sites. CHC provided 47,863 visits for 18,891 patients this year. Dental services provided include dentures, bridges, fillings, periodontial services, children services, and dental hygiene. The dental services received donated use of facilities of $32,820.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>4994720</ExpenseAmt>
        <RevenueAmt>12074099</RevenueAmt>
        <Desc>Pharmacy services - CHC receives 340B pricing which allows affordable prescriptions to our patients. During the year 224,383 prescriptions were filled at our seven pharmacies. Over $1,000,000 worth of prescriptions were dispensed to patients under the Share the Care program and several Prescription Assistance Programs at no cost to our patients.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>34162012</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="990A">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="990C">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd>false</DonorAdvisedFundInd>
      <ConservationEasementsInd>false</ConservationEasementsInd>
      <CollectionsOfArtInd>false</CollectionsOfArtInd>
      <CreditCounselingInd>false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd>false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="990D">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd>false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd>false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd>false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd>false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd>false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="990D">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd>false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="990G">true</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="990J">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd>false</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>25</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>583</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>FL</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>Mark Dickinson</PersonNm>
        <PhoneNum>4079058827</PhoneNum>
        <USAddress>
          <AddressLine1Txt>110 S Woodland Street</AddressLine1Txt>
          <CityNm>Winter Garden</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>34787</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ray Schleichkorn</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mercedes Fonseca</PersonNm>
        <TitleTxt>Past chairperson</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Karla R</PersonNm>
        <TitleTxt>2nd Vice Chairperson</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nathaniel Friends</PersonNm>
        <TitleTxt>Treasurer</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lauren Josephs</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sonya Young</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Sanders</PersonNm>
        <TitleTxt>Chairperson</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Adler Labossiere</PersonNm>
        <TitleTxt>Secretary</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy Walker</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Louise Zeuli</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Melissa Singh</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy McKinney</PersonNm>
        <TitleTxt>1st Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark Dickinson</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>200449</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14197</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret Brennan</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>259023</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14577</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeff Bowman</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>161037</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13369</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gregg Stewart</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>243975</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17604</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Debra Andree</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>292106</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20331</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ying Lei</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>323751</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18970</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Juan Ravelo</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>293190</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14871</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Felix Oyola</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>276641</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18536</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Genelle Walters</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>257027</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18970</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Arthur Dalley</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>200449</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17092</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2507648</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>168517</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>60</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Swann Hadley Stump Dietrich et al</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 E New England Ave Ste 300</AddressLine1Txt>
            <CityNm>Winter Park</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32789</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Legal services</ServicesDesc>
        <CompensationAmt>104303</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>62567</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>10664655</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1942849</AllOtherContributionsAmt>
      <TotalContributionsAmt>12670071</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient fees</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>35792682</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35792682</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>35792682</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>30070</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30070</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>218163</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-218163</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-218163</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-218163</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>61888</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>17756</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>44132</TotalRevenueColumnAmt>
        <ExclusionAmt>44132</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>48318792</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35604589</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>44132</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1238003</TotalAmt>
        <ProgramServicesAmt>539197</ProgramServicesAmt>
        <ManagementAndGeneralAmt>685500</ManagementAndGeneralAmt>
        <FundraisingAmt>13306</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>25459615</TotalAmt>
        <ProgramServicesAmt>19868562</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5157097</ManagementAndGeneralAmt>
        <FundraisingAmt>433956</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>451785</TotalAmt>
        <ProgramServicesAmt>328196</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115893</ManagementAndGeneralAmt>
        <FundraisingAmt>7696</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3455804</TotalAmt>
        <ProgramServicesAmt>2663110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>734361</ManagementAndGeneralAmt>
        <FundraisingAmt>58333</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1786735</TotalAmt>
        <ProgramServicesAmt>1367471</ProgramServicesAmt>
        <ManagementAndGeneralAmt>389297</ManagementAndGeneralAmt>
        <FundraisingAmt>29967</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>168188</TotalAmt>
        <ManagementAndGeneralAmt>168188</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>45400</TotalAmt>
        <ManagementAndGeneralAmt>45400</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>20840</TotalAmt>
        <ManagementAndGeneralAmt>20840</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1274360</TotalAmt>
        <ProgramServicesAmt>970253</ProgramServicesAmt>
        <ManagementAndGeneralAmt>302745</ManagementAndGeneralAmt>
        <FundraisingAmt>1362</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>200661</TotalAmt>
        <ProgramServicesAmt>21506</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7038</ManagementAndGeneralAmt>
        <FundraisingAmt>172117</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>879159</TotalAmt>
        <ProgramServicesAmt>197748</ProgramServicesAmt>
        <ManagementAndGeneralAmt>681374</ManagementAndGeneralAmt>
        <FundraisingAmt>37</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1860829</TotalAmt>
        <ProgramServicesAmt>1236976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>622873</ManagementAndGeneralAmt>
        <FundraisingAmt>980</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>274420</TotalAmt>
        <ProgramServicesAmt>133306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110636</ManagementAndGeneralAmt>
        <FundraisingAmt>30478</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>189522</TotalAmt>
        <ProgramServicesAmt>65234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>121938</ManagementAndGeneralAmt>
        <FundraisingAmt>2350</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>344022</TotalAmt>
        <ProgramServicesAmt>317421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26601</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1457076</TotalAmt>
        <ProgramServicesAmt>1253125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181736</ManagementAndGeneralAmt>
        <FundraisingAmt>22215</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>210252</TotalAmt>
        <ProgramServicesAmt>88916</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119316</ManagementAndGeneralAmt>
        <FundraisingAmt>2020</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>4028773</TotalAmt>
        <ProgramServicesAmt>4028773</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and maintenance</Desc>
        <TotalAmt>1153955</TotalAmt>
        <ProgramServicesAmt>940352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213597</ManagementAndGeneralAmt>
        <FundraisingAmt>6</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and subscriptions</Desc>
        <TotalAmt>152374</TotalAmt>
        <ProgramServicesAmt>81121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66374</ManagementAndGeneralAmt>
        <FundraisingAmt>4879</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Postage and printing</Desc>
        <TotalAmt>187542</TotalAmt>
        <ProgramServicesAmt>52013</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99030</ManagementAndGeneralAmt>
        <FundraisingAmt>36499</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>65847</TotalAmt>
        <ProgramServicesAmt>8732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57060</ManagementAndGeneralAmt>
        <FundraisingAmt>55</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>44905162</TotalAmt>
        <ProgramServicesAmt>34162012</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9926894</ManagementAndGeneralAmt>
        <FundraisingAmt>816256</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>10116</BOYAmt>
        <EOYAmt>7235</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>10329564</BOYAmt>
        <EOYAmt>12939152</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>449055</BOYAmt>
        <EOYAmt>1525695</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3830916</BOYAmt>
        <EOYAmt>4285657</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>191398</BOYAmt>
        <EOYAmt>246725</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>209557</BOYAmt>
        <EOYAmt>196548</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>26047257</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8435443</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>17659327</BOYAmt>
        <EOYAmt>17611814</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>61509</BOYAmt>
        <EOYAmt>74249</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>32741442</BOYAmt>
        <EOYAmt>36887075</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2671607</BOYAmt>
        <EOYAmt>3713076</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>100000</BOYAmt>
        <EOYAmt>377155</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>8752984</BOYAmt>
        <EOYAmt>8166363</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11524591</BOYAmt>
        <EOYAmt>12256594</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>21203351</BOYAmt>
        <EOYAmt>24616981</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>13500</BOYAmt>
        <EOYAmt>13500</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>21216851</BOYAmt>
        <EOYAmt>24630481</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>32741442</BOYAmt>
        <EOYAmt>36887075</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3413630</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>11631914</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12145162</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11372996</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11632169</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12670071</CurrentTaxYearAmt>
        <TotalAmt>59452312</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>330323</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>311798</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>317847</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>323069</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>304461</CurrentTaxYearAmt>
        <TotalAmt>1587498</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>11962237</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12456960</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11690843</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11955238</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12974532</CurrentTaxYearAmt>
        <TotalAmt>61039810</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>61039810</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>246978</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7494</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>153869</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>680366</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30070</CurrentTaxYearAmt>
        <TotalAmt>1118777</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>55695</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>64049</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>48943</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>59843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>44132</CurrentTaxYearAmt>
        <TotalAmt>272662</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>62431249</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>131265265</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97770</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97750</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Loss on disposition of property and equipment ($218,163)</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="990C">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>20840</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>20840</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1582575</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1582575</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>12531481</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3815163</DepreciationAmt>
        <BookValueAmt>8716318</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>6071516</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1222347</DepreciationAmt>
        <BookValueAmt>4849169</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5163209</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3395931</DepreciationAmt>
        <BookValueAmt>1767278</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>698476</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2002</DepreciationAmt>
        <BookValueAmt>696474</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17611814</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>74249</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>74249</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>48623253</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>304461</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>304461</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>48318792</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>48318792</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>45209623</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>304461</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>304461</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>44905162</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>44905162</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G">
      <FundraisingEventInformationGrp>
        <Event1Nm>Golf tourney</Event1Nm>
        <GrossReceiptsEvent1Amt>61888</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>61888</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>5604</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>5096</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>7056</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>61888</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>61888</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>5604</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>5096</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>7056</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>17756</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>44132</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="990J">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Dickinson</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>194850</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5599</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>14197</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>214646</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Margaret Brennan</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>239023</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>20000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>14577</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>273600</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeff Bowman</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>156478</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4559</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>13369</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>174406</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ying Lei</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>239224</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>84527</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>18970</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>342721</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Juan Ravelo</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>235928</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>57262</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>14871</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>308061</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Felix Oyola</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>230354</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46287</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>18536</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>295177</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Genelle Walters</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>222336</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34691</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>18970</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>275997</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Arthur Dalley</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>194850</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5599</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>17092</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>217541</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregg Stewart</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>237257</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>6718</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>17604</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>261579</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Debra Andree</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>283691</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8415</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>20331</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312437</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The IRS Form 990 is reviewed by the Board of Directors and its submittal is approved by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis, all employees and members of the Board of Directors are required to review the conflict of interest policy and complete disclosure forms as necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>See the process described for line 15b below.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Comparative data is utilized among HFMA, NACHC, FACHC, and national independent surveys and applied according to size and revenue for other not-for-profit organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing document, conflict of interest policy, and financial statements are made available to the public upon written request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>