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        <CompensationAmt>271097</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LIFEFORTE ASSOCIATE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 492</AddressLine1Txt>
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            <StateAbbreviationCd>SC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>146789</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDESTAR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1603 LBJ FREEWAY SUITE 700</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LOCUM COVERAGE</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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        <ProgramServicesAmt>353274</ProgramServicesAmt>
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        <ProgramServicesAmt>52074</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16444</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>551397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173065</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>390331</TotalAmt>
        <ProgramServicesAmt>296652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>93679</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>5166</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5166</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>23345</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23345</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1762485</TotalAmt>
        <ProgramServicesAmt>1461123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>301362</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>6056121</TotalAmt>
        <ProgramServicesAmt>5625016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>431105</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>322095</TotalAmt>
        <ProgramServicesAmt>289885</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32210</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>282576</TotalAmt>
        <ProgramServicesAmt>90638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191938</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>82560</TotalAmt>
        <ProgramServicesAmt>78311</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4249</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>44053</TotalAmt>
        <ProgramServicesAmt>39648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4405</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>15115456</TotalAmt>
        <ProgramServicesAmt>12557238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2558218</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>905010</BOYAmt>
        <EOYAmt>1364281</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>5452817</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1256026</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>335117</BOYAmt>
        <EOYAmt>482417</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>112322</BOYAmt>
        <EOYAmt>171449</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>6938831</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1967037</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4689990</BOYAmt>
        <EOYAmt>4971794</EOYAmt>
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      <IntangibleAssetsGrp>
        <EOYAmt>195930</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>28129</BOYAmt>
        <EOYAmt>35630</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>10003878</BOYAmt>
        <EOYAmt>13930344</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>770290</BOYAmt>
        <EOYAmt>1133976</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>62372</BOYAmt>
        <EOYAmt>16668</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1426477</BOYAmt>
        <EOYAmt>1398303</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2259139</BOYAmt>
        <EOYAmt>2548947</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>7719110</BOYAmt>
        <EOYAmt>11381397</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>25629</BOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7744739</BOYAmt>
        <EOYAmt>11381397</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10003878</BOYAmt>
        <EOYAmt>13930344</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3636658</ReconcilationRevenueExpnssAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="00000002" softwareId="16000371">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1831713</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1981256</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2084967</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2184604</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2644953</CurrentTaxYearAmt>
        <TotalAmt>10727493</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1831713</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1981256</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2084967</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2184604</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2644953</CurrentTaxYearAmt>
        <TotalAmt>10727493</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>10727493</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>14290</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14322</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14723</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15781</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10770</CurrentTaxYearAmt>
        <TotalAmt>69886</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10797379</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>52165129</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99350</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99270</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="00000003" softwareId="16000371">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>649929</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>649929</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>5256622</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>1240623</DepreciationAmt>
        <BookValueAmt>4015999</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>1032280</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>726414</DepreciationAmt>
        <BookValueAmt>305866</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>4971794</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18752114</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>18752114</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>18752114</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15115456</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>15115456</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>15115456</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="00000004">
      <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>CHRISTOPHER DIXON</PersonNm>
        <BaseCompensationFilingOrgAmt>162741</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4095</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9498</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>176334</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRYSTAL MAXWELL</PersonNm>
        <BaseCompensationFilingOrgAmt>224786</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6206</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7632</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238624</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="00000005" softwareId="16000371">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PERFORMED ANNUALLY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>AND SALARY INCREASES ARE BOARD APPROVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD IS APPRISED ANNUALLY OF THE POLICY. DISCUSSIONS THAT MAY GIVE A MEMBER A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>POSSIBLE CONFLICT, REQUIRE THE MEMBER TO STEP OUT OF THE BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO, CFO AND FINANCE COMMITTEE OVERSEE FINANCIAL STATEMENT PREPARATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>AND AUDIT ENGAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>A BOARD MEMBER IS CO-OWNER IN THE PHARMACY WHICH ADMINISTERS THE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>340 (B) DRUG PROGRAM. THIS PHARMACY ALSO RENTS SPACE FROM THE ORGANIZATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR $1000 PER MONTH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>