﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" returnVersion="2015v2.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2016-06-27T08:42:30-04:00</ReturnTs>
    <TaxPeriodEndDt>2016-01-31</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>2015-02-01</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>2016-06-24</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>Thomas F Reilly</PreparerPersonNm>
      <PTIN>P00147922</PTIN>
      <PhoneNum>4078946803</PhoneNum>
      <PreparationDt>2016-06-27</PreparationDt>
      <SelfEmployedInd>X</SelfEmployedInd>
    </PreparerPersonGrp>
    <TaxYr>2015</TaxYr>
    <BuildTS>2016-09-27 15:27:22Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="IRS990">
      <PrincipalOfficerNm>Margaret Brennan</PrincipalOfficerNm>
      <GrossReceiptsAmt>43941577</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>CHCFL.org</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1972</FormationYr>
      <LegalDomicileStateCd>FL</LegalDomicileStateCd>
      <ActivityOrMissionDesc>Provide quality and compassionate primary and preventive medical, dental, and pharmaceutical services to Central Florida economically and culturally diverse communities.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>545</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>11372996</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>11632169</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>24873421</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>31371574</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>153869</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>680366</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>48943</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>59843</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>36449229</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>43743952</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>25577974</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>28535450</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>633616</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>9838349</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>11872768</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>35416323</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>40408218</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1032906</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>3335734</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>29344668</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>32770259</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>11463551</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>11553408</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>17881117</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>21216851</NetAssetsOrFundBalancesEOYAmt>
      <MissionDesc>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>20197508</ExpenseAmt>
      <RevenueAmt>18498396</RevenueAmt>
      <Desc>Medical services - CHC extends over six communities and has eleven medical sites and six pharmacies. CHC provided primary medical services to 48,634 patients during the year through 148,862 visits for medical reasons, 333 patients through 1,144 visits for mental health reasons, and 3,061 patients through 3,205 visits for vision. CHC received donated use of medical facilities of $290,249.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>6509388</ExpenseAmt>
        <RevenueAmt>3975436</RevenueAmt>
        <Desc>Dental services - CHC provides comprehensive dental services to both adults and pediatric patients at eight sites. CHC provided 45,369 visits for 16,981 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>4166165</ExpenseAmt>
        <RevenueAmt>8897742</RevenueAmt>
        <Desc>Pharmacy services - CHC receives 340b pricing which allows affordable prescriptions to our patients. During the year over 192,000 prescriptions were filled at our six pharmacies and collaberating with some retail pharmacies filled over 11,000 prescriptions. Over $237,000 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>30873061</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="990A">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>false</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="990C">true</LobbyingActivitiesInd>
      <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>20</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>545</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>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</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>Pascale Vincent</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>Timothy McKinney</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>Adler Labossiere</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>Karla Radka</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>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>Nathaniel Friends</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>Mark Dickinson</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>221990</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13143</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Ham-Ying</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>308559</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18749</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Bowman</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>144237</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11405</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret Brennan</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>221706</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11546</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Gregg Stewart</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>236903</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17372</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lei Ying</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>323589</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6968</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Felix Oyola</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>282642</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17254</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Juan Ravelo</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>288700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13786</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Genelle Walters</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>248607</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17149</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Crisanto Delgado</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>220046</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13128</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2496979</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>140500</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>54</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Swann Hadley Stump Dietrich et al</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 1961</AddressLine1Txt>
            <CityNm>Winter Park</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32790</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Legal services</ServicesDesc>
        <CompensationAmt>110071</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>57854</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>10678978</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>895337</AllOtherContributionsAmt>
      <TotalContributionsAmt>11632169</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient fees</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>31371574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>31371574</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>31371574</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>25062</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25062</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>838367</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>183063</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>655304</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>655304</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>655304</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>74405</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>14562</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>59843</TotalRevenueColumnAmt>
        <ExclusionAmt>59843</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>43743952</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32051940</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>59843</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1271957</TotalAmt>
        <ProgramServicesAmt>581269</ProgramServicesAmt>
        <ManagementAndGeneralAmt>678335</ManagementAndGeneralAmt>
        <FundraisingAmt>12353</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>22425224</TotalAmt>
        <ProgramServicesAmt>17960376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4100710</ManagementAndGeneralAmt>
        <FundraisingAmt>364138</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>406236</TotalAmt>
        <ProgramServicesAmt>298861</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100904</ManagementAndGeneralAmt>
        <FundraisingAmt>6471</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2835146</TotalAmt>
        <ProgramServicesAmt>2238077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>551704</ManagementAndGeneralAmt>
        <FundraisingAmt>45365</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1596887</TotalAmt>
        <ProgramServicesAmt>1251028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>320462</ManagementAndGeneralAmt>
        <FundraisingAmt>25397</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>164980</TotalAmt>
        <ManagementAndGeneralAmt>164980</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>44706</TotalAmt>
        <ManagementAndGeneralAmt>44706</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1894085</TotalAmt>
        <ProgramServicesAmt>1004302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>889783</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>152350</TotalAmt>
        <ProgramServicesAmt>20310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15412</ManagementAndGeneralAmt>
        <FundraisingAmt>116628</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>734842</TotalAmt>
        <ProgramServicesAmt>239519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>495149</ManagementAndGeneralAmt>
        <FundraisingAmt>174</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1470060</TotalAmt>
        <ProgramServicesAmt>1008813</ProgramServicesAmt>
        <ManagementAndGeneralAmt>461159</ManagementAndGeneralAmt>
        <FundraisingAmt>88</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>270228</TotalAmt>
        <ProgramServicesAmt>123216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125183</ManagementAndGeneralAmt>
        <FundraisingAmt>21829</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>204338</TotalAmt>
        <ProgramServicesAmt>54501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>148039</ManagementAndGeneralAmt>
        <FundraisingAmt>1798</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>355165</TotalAmt>
        <ProgramServicesAmt>303068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52097</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1347961</TotalAmt>
        <ProgramServicesAmt>1130697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195089</ManagementAndGeneralAmt>
        <FundraisingAmt>22175</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>181833</TotalAmt>
        <ProgramServicesAmt>70628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109712</ManagementAndGeneralAmt>
        <FundraisingAmt>1493</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>3465312</TotalAmt>
        <ProgramServicesAmt>3465312</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and maintenance</Desc>
        <TotalAmt>1131243</TotalAmt>
        <ProgramServicesAmt>932681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198562</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and subscriptions</Desc>
        <TotalAmt>152839</TotalAmt>
        <ProgramServicesAmt>89200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59970</ManagementAndGeneralAmt>
        <FundraisingAmt>3669</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Postage and printing</Desc>
        <TotalAmt>201412</TotalAmt>
        <ProgramServicesAmt>87327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>110631</ManagementAndGeneralAmt>
        <FundraisingAmt>3454</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>101414</TotalAmt>
        <ProgramServicesAmt>13876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78954</ManagementAndGeneralAmt>
        <FundraisingAmt>8584</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>40408218</TotalAmt>
        <ProgramServicesAmt>30873061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8901541</ManagementAndGeneralAmt>
        <FundraisingAmt>633616</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>9619</BOYAmt>
        <EOYAmt>10116</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6103134</BOYAmt>
        <EOYAmt>10329564</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1790651</BOYAmt>
        <EOYAmt>449055</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4089495</BOYAmt>
        <EOYAmt>3830916</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>148550</BOYAmt>
        <EOYAmt>191398</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>124086</BOYAmt>
        <EOYAmt>209557</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>26127793</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8468466</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16888775</BOYAmt>
        <EOYAmt>17659327</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>190358</BOYAmt>
        <EOYAmt>90326</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>29344668</BOYAmt>
        <EOYAmt>32770259</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2581048</BOYAmt>
        <EOYAmt>2671607</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>216634</BOYAmt>
        <EOYAmt>100000</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>8665869</BOYAmt>
        <EOYAmt>8781801</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11463551</BOYAmt>
        <EOYAmt>11553408</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>17641614</BOYAmt>
        <EOYAmt>21203351</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>239503</BOYAmt>
        <EOYAmt>13500</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>17881117</BOYAmt>
        <EOYAmt>21216851</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>29344668</BOYAmt>
        <EOYAmt>32770259</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>3335734</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>12676015</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11631914</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12145162</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11372996</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11632169</CurrentTaxYearAmt>
        <TotalAmt>59458256</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>327634</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>330323</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>311798</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>317847</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>323069</CurrentTaxYearAmt>
        <TotalAmt>1610671</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>13003649</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11962237</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12456960</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11690843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11955238</CurrentTaxYearAmt>
        <TotalAmt>61068927</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>61068927</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>34396</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>246978</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7494</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>153869</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>680366</CurrentTaxYearAmt>
        <TotalAmt>1123103</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>56023</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>55695</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>64049</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>48943</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>59843</CurrentTaxYearAmt>
        <TotalAmt>284553</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>62476583</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>114514011</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97750</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98810</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1538373</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1538373</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>12429720</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3396208</DepreciationAmt>
        <BookValueAmt>9033512</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>7409973</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2003803</DepreciationAmt>
        <BookValueAmt>5406170</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4695121</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3068455</DepreciationAmt>
        <BookValueAmt>1626666</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>54606</OtherCostOrOtherBasisAmt>
        <BookValueAmt>54606</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>17659327</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>61509</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Loan costs net</Desc>
        <BookValueAmt>28817</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>90326</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>44067021</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>323069</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>323069</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>43743952</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>43743952</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>40731287</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>323069</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>323069</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>40408218</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>40408218</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G">
      <FundraisingEventInformationGrp>
        <Event1Nm>Golf tourney</Event1Nm>
        <GrossReceiptsEvent1Amt>74405</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>74405</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>5300</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>4356</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>4906</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>74405</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>74405</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>5300</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>4356</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>4906</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>14562</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>59843</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>195990</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>26000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>13143</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>235133</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael Ham-Ying</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>308559</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18749</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>327308</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Bowman</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>144237</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11405</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155642</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lei Ying</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>252152</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>71437</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>6968</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>330557</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Felix Oyola</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>236433</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>46209</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>17254</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>299896</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Juan Ravelo</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>243801</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>44899</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>13786</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>302486</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Genelle Walters</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>224736</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23871</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>17149</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>265756</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Crisanto Delgado</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>196426</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23620</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>13128</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>233174</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Margaret Brennan</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>221706</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11546</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>233252</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregg Stewart</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>236903</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17372</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>254275</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is presented to the Finance Committee annually and the Finance Committee recommends approval to the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>On an annual basis, everyone is asked to review the conflict of interest policy and complete 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>