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        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>129419</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE POYNTER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>123006</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36070</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROWENA S AQUINO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>37.5</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126137</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37045</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1082263</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>297615</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>HR AFFILIATES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1930 Bishop Lane</AddressLine1>
            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40218</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY EMPLOYEES</ServicesDesc>
        <CompensationAmt>442808</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NATIONWIDE CONSTRUCTION</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>5089-B N PRESTON HWY</AddressLine1>
            <City>SHEPHERDVILLE</City>
            <State>KY</State>
            <ZIPCode>40165</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
        <CompensationAmt>229777</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEDICAL SOCIETY PROFESSIONAL SERVIC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <City>LOUISVILLE</City>
            <State>KY</State>
            <ZIPCode>40202</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY EMPLOYEES</ServicesDesc>
        <CompensationAmt>176485</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ASSOCIATES IN RESOURCE MANAGEMENT</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <City>JEFFERSONVILLE</City>
            <State>IN</State>
            <ZIPCode>47130</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>629219</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MEDICAL SOLUTIONS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 93436</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>303682332</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMPORARY EMPLOYEES</ServicesDesc>
        <CompensationAmt>106720</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>13305404</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2982</AllOtherContributionsAmt>
      <TotalContributionsAmt>13308386</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>14599693</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14599693</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PREMIUM REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>8618921</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PFIZER SHARE THE CARE PROGRAM</Desc>
        <BusinessCd>624200</BusinessCd>
        <TotalRevenueColumnAmt>74480</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>74480</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>23293094</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>185058</ExclusionAmt>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3593825</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>245202</TotalRevenueColumnAmt>
        <ExclusionAmt>245202</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
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      <NetIncomeFromGamingGrp>
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        <ExclusionAmt>170000</ExclusionAmt>
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        <ExclusionAmt>4773</ExclusionAmt>
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        <ExclusionAmt>618525</ExclusionAmt>
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        <ProgramServicesAmt>1995120</ProgramServicesAmt>
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        <ProgramServicesAmt>966783</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>88560</ProgramServicesAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>2310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38147</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>772710</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170386</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>197938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131252</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>571742</ProgramServicesAmt>
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        <ProgramServicesAmt>112298</ProgramServicesAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>20529</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>577679</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>-1166</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LAB EXPENSES</Desc>
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        <ProgramServicesAmt>202253</ProgramServicesAmt>
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        <ProgramServicesAmt>246691</ProgramServicesAmt>
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        <ProgramServicesAmt>26693282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1934543</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>2835757</EOYAmt>
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        <EOYAmt>3610931</EOYAmt>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <TotalRevEtcAuditedFinclStmtAmt>37296292</TotalRevEtcAuditedFinclStmtAmt>
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      <OtherRevenuesNotIncludedAmt>1500</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1500</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>28626325</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1500</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1500</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>28627825</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH. D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION TO AUDIT - REVENUE --------------------------------- CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $1,500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH. D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION TO AUDIT - EXPENSE --------------------------------- CONTRIBUTION EXPENSE NETTED AGAINST REVENUE PER AUDIT $1,500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCH. D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>INCOME TAXES ------------ The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under FIN48 (ASC 740). Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review,management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</ExplanationTxt>
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        <PersonNm>WILLIAM B WAGNER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <PersonNm>JULIA RICHERSON</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD D LARSON</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>11888</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>169842</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES JACKSON</PersonNm>
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        <DeferredCompensationFlngOrgAmt>29210</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>ROWENA S AQUINO</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25119</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>163182</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990 ------------------ A FULL COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD VIA EMAIL BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING THE CONFLICT OF INTEREST POLICY ------------------------------------------ ALL EMPLOYEES AND BOARD MEMBERS SIGN A CONFLICT OF INTEREST AND COMPLIANCE POLICY (NAMED STANDARD OF CONDUCT) ANNUALLY. REGARDING ANY CONTRACTS AND FHC BUSINESS, THE POLICIES ARE MONITORED AT THE VARIOUS COMMITTEE LEVELS AND ANY POTENTIAL CONFLICTS ARE COMMUNICATED TO THE COMPLIANCE COMMITTEE. THE COMPLIANCE RELATED DOCUMENTS ARE POSTED ON THE HEALTH CENTER'S INTRANET SITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR DETERMINING COMPENSATION ------------------------------------ THE EXECUTIVE DIRECTOR'S SALARY IS SET BY THE BOARD AND HIS JOB EVALUATION IS PERFORMED BY THE BOARD OF GOVERNORS. THIS IS DONE ANNUALLY AND WAS PERFORMED IN THE FISCAL YEAR ENDED 11/30/2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ---------------------------------------- THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A</FormAndLineReferenceDesc>
        <ExplanationTxt>PART YEAR OFFICERS ------------------ GARY DUERR SERVED AS DIRECTOR OF FINANCE UNTIL APRIL 30,2014 WHEN THE POSITION WAS FILLED BY SAMUEL RIDDICK.</ExplanationTxt>
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</Return>