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        <ServicesDesc>JANITORIAL</ServicesDesc>
        <CompensationAmt>170580</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MICHAEL H KIRKPATRICK</PersonNm>
        </ContractorName>
        <ContractorAddress />
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>120000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SECURITAS SECURITY SERVICE</PersonNm>
        </ContractorName>
        <ContractorAddress />
        <ServicesDesc>SITE SECURITY</ServicesDesc>
        <CompensationAmt>221177</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MURPHY AUSTIN ADAMS SCHOEN LLP</PersonNm>
        </ContractorName>
        <ContractorAddress />
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>138810</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7559739</GovernmentGrantsAmt>
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      <TotalContributionsAmt>7712995</TotalContributionsAmt>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>23998019</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>23998019</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>535500</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>737861</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>3802629</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>16496</ExclusionAmt>
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        <ProgramServicesAmt>19014418</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>330286</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>17800</FundraisingAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>399899</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>290608</ProgramServicesAmt>
        <ManagementAndGeneralAmt>764806</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>99859</ManagementAndGeneralAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <GrossInvestmentIncome170Grp>
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      </EquipmentGrp>
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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5087443</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      <RevenueNotReportedFinclStmtAmt>10500</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>470560</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (470,560) BAD DEBT EXPENSE 20,000 TEMPORARILY RESTRICTED NET ASSETS RELEASED ------------ $ (450,560)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
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        <PersonNm>BENJAMIN MORRISON MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STANLEY MORRISON MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES PARKER</PersonNm>
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        <PersonNm>MARINETTE G BERNARDO</PersonNm>
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    </IRS990ScheduleJ>
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        </IssuerName>
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        <CUSIPNum>13033FVU1</CUSIPNum>
        <BondIssuedDt>2005-04-12</BondIssuedDt>
        <IssuePriceAmt>3220000</IssuePriceAmt>
        <PurposeDesc>REDEEM 1994 SERIES B BONDS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>true</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
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        <BondDefeasedAmt>0</BondDefeasedAmt>
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        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>2948679</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>63125</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>208196</CreditEnhancementAmt>
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        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
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          <BusinessNameLine1>0</BusinessNameLine1>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>DATE REBATE COMPUTATION PERFORMED: THE REBATE COMPUTATION WAS PERFORMED 04/12/2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE ACCOMPLISHMENTS: WE OFFER AN EXTENSIVE ARRAY OF SERVICES TO ALL - REGARDLESS OF THEIR CIRCUMSTANCES. WE ALSO CONTINUE TO ADD NEW MEDICAL TECHNOLOGIES, RECRUIT OUTSTANDING PHYSICIANS IN NEW SPECIALTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATION OF CONTROL: AN INTERIM CEO WAS HIRED FROM A HEALTH CARE FINANCIAL CONSULTING AGENCY AND WAS REPLACED BY A NEW PERMANENT-EMPLOYEE CEO JUST AFTER THE CLOSE OF THE FISCAL YEAR. AN INTERIM CFO WAS CONTRACTED THROUGH A CONSULTING FIRM AND THEN BECAME AN EMPLOYEE DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED INTERNALLY BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION'S LEGAL COUNSEL HAS PROVIDED ASSISTANCE TO THE BOARD TO ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST AND THE ORGANIZATION'S BYLAWS. WHEN CONFLICT OF INTEREST ISSUES ARISE, THE BOARD OF DIRECTORS WITH THE DIRECTOR OF THEIR LEGAL COUNSEL ADDRESSES THE ISSUES ACCORDINGLY. THE BOARD HAS BEEN MADE AWARE OF THE CONFLICT OF INTEREST REQUIREMENTS BY THEIR LEGAL COUNSEL. NO DIRECTOR, OFFICER, EMPLOYEE OR AGENT SHALL PARTICIPATE IN THE SELECTION, AWARD OR ADMINISTRATION OF ANY CONTRACT OR OTHER AFFILIATION RELATING TO OPERATIONS CONDUCTED BY THE CORPORATION OR FOR THE FURNISHING OF SERVICES OR SUPPLIES TO THE CORPORATION, IN WHICH HE OR SHE OR HIS/HER IMMEDIATE FAMILY OR BUSINESS PARTNER HAS A REAL OR POTENTIAL CONFLICT OF INTEREST OR INVOLVING AN ORGANIZATION WITH WHOM HE OR SHE IS NEGOTIATING OR HAS ANY ARRANGEMENT CONCERNING EMPLOYMENT. IF A CONTRACT OR AFFILIATION EXISTS, IT MAY BE APPROVED OR AUTHORIZED BY A MAJORITY OF THE DISINTERESTED DIRECTORS IF THE FACTS OF ANY SUCH INTEREST BY A DIRECTOR SHALL HAVE BEEN DISCLOSED TO THE BOARD BY THE INTERESTED DIRECTOR. SUCH INTERESTED DIRECTOR ABSTAINS FROM VOTING IN THAT REGARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION REVIEW POLICY: INDUSTRY COMPENSATION SURVEYS FOR LIKE ORGANIZATIONS IN SIMILAR GEOGRAPHIC AREAS ARE REVIEWED BY THE BOARD AND THE CEO TO DETERMINE KEY EMPLOYEE COMPENSATION . THE LAST REVIEWS WERE DONE IN JANUARY AND JUNE OF 2014. THE BOARD OF DIRECTORS ESTABLISHED THE CEO'S SALARY. SIMILAR METHODOLOGIES WERE USED TO DETERMINE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. THREE REVIEWS WERE DONE. ONE WAS PERFORMED BY CORPORATE COUNSEL, ONE WAS COMPLETED BY THE HUMAN RESOURCES DEPARTMENT, AND ONE WAS CONTRACTED BY THE BOARD TO BE DONE BY A HEALTH CARE CONSULTING AGENCY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ADMINISTRATIVE OFFICES</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT DISPUTE: A DEMAND WAS ASSERTED BY COMMUNITY MEDICAL CENTERS FOR REPAYMENT OF FUNDS PAID TO LUCY REIMCHE AND FHG PARTNERS, LLP, DURING THE PERIOD JANUARY 1, 2013, AND SEPTEMBER 12, 2013, IN THE AMOUNT OF $461,793.09, PLUS INTEREST. THE DEMAND WAS MADE ON JULY 17, 2014, AND WAS SUBSEQUENTLY REJECTED, WITH SETTLEMENT NEGOTIATIONS CURRENTLY AT AN IMPASSE. THE CLAIM AROSE FROM THE CIRCUMSTANCES OF MS. REIMCHE'S CONTRACTING WITH THE COMPANY, THE LACK OF BOARD APPROVAL OF THE CHIEF FINANCIAL OFFICER'S SERVICES CONTRACT UNDER WHICH THE PAYMENTS WERE MADE, AND THE AMOUNT OF PAYMENTS. THE COMPANY IS IN THE PROCESS OF ASSESSING ITS RIGHTS AND OBLIGATIONS WITH RESPECT TO THE PAYMENTS MADE TO MS. REIMCHE/FHG PARTNERS, LLP, AND IT IS BELIEVED TO BE PROBABLE THAT ALL OR PART OF THE FUNDS WILL ULTIMATELY BE RECOVERED BY THE COMPANY.</ExplanationTxt>
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</Return>