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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16987</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Juan Ravelo</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>253489</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13391</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Genelle Walters</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>230029</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16887</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Franks</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>210969</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12625</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2305851</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>137256</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>48</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FederatedCampaignsAmt>42238</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>10031433</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1299325</AllOtherContributionsAmt>
      <TotalContributionsAmt>11372996</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient fees</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>24873421</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24873421</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>24873421</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>153869</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>153869</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>61689</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>12746</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>48943</TotalRevenueColumnAmt>
        <ExclusionAmt>48943</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>36449229</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25027290</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>48943</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1107305</TotalAmt>
        <ProgramServicesAmt>496347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>599659</ManagementAndGeneralAmt>
        <FundraisingAmt>11299</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>19907091</TotalAmt>
        <ProgramServicesAmt>15957444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3550467</ManagementAndGeneralAmt>
        <FundraisingAmt>399180</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>369948</TotalAmt>
        <ProgramServicesAmt>275351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88316</ManagementAndGeneralAmt>
        <FundraisingAmt>6281</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2739250</TotalAmt>
        <ProgramServicesAmt>2163637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>521538</ManagementAndGeneralAmt>
        <FundraisingAmt>54075</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1454380</TotalAmt>
        <ProgramServicesAmt>1140278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>285647</ManagementAndGeneralAmt>
        <FundraisingAmt>28455</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>239793</TotalAmt>
        <ProgramServicesAmt>5928</ProgramServicesAmt>
        <ManagementAndGeneralAmt>233865</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>45006</TotalAmt>
        <ManagementAndGeneralAmt>45006</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>25329</TotalAmt>
        <ManagementAndGeneralAmt>25329</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1903234</TotalAmt>
        <ProgramServicesAmt>1058819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>844342</ManagementAndGeneralAmt>
        <FundraisingAmt>73</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>155652</TotalAmt>
        <ProgramServicesAmt>26691</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16019</ManagementAndGeneralAmt>
        <FundraisingAmt>112942</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>565857</TotalAmt>
        <ProgramServicesAmt>140473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>424427</ManagementAndGeneralAmt>
        <FundraisingAmt>957</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1288567</TotalAmt>
        <ProgramServicesAmt>894627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>393940</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>219396</TotalAmt>
        <ProgramServicesAmt>89499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105753</ManagementAndGeneralAmt>
        <FundraisingAmt>24144</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>162179</TotalAmt>
        <ProgramServicesAmt>42428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117764</ManagementAndGeneralAmt>
        <FundraisingAmt>1987</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>313501</TotalAmt>
        <ProgramServicesAmt>246352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67149</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1211021</TotalAmt>
        <ProgramServicesAmt>1022829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>168722</ManagementAndGeneralAmt>
        <FundraisingAmt>19470</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>150222</TotalAmt>
        <ProgramServicesAmt>64836</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83912</ManagementAndGeneralAmt>
        <FundraisingAmt>1474</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>2276150</TotalAmt>
        <ProgramServicesAmt>2276150</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and maintenance</Desc>
        <TotalAmt>889240</TotalAmt>
        <ProgramServicesAmt>714647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174155</ManagementAndGeneralAmt>
        <FundraisingAmt>438</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and subscriptions</Desc>
        <TotalAmt>124448</TotalAmt>
        <ProgramServicesAmt>54282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68351</ManagementAndGeneralAmt>
        <FundraisingAmt>1815</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Postage and printing</Desc>
        <TotalAmt>196947</TotalAmt>
        <ProgramServicesAmt>115867</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62279</ManagementAndGeneralAmt>
        <FundraisingAmt>18801</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>71807</TotalAmt>
        <ProgramServicesAmt>9481</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43053</ManagementAndGeneralAmt>
        <FundraisingAmt>19273</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>35416323</TotalAmt>
        <ProgramServicesAmt>26795966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7919693</ManagementAndGeneralAmt>
        <FundraisingAmt>700664</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>70100</BOYAmt>
        <EOYAmt>9619</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6725774</BOYAmt>
        <EOYAmt>6103134</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1792365</BOYAmt>
        <EOYAmt>1790651</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2500677</BOYAmt>
        <EOYAmt>4089495</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>95734</BOYAmt>
        <EOYAmt>148550</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>119653</BOYAmt>
        <EOYAmt>124086</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>24447759</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7558984</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14638852</BOYAmt>
        <EOYAmt>16888775</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>178953</BOYAmt>
        <EOYAmt>190358</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>26122108</BOYAmt>
        <EOYAmt>29344668</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2947829</BOYAmt>
        <EOYAmt>2581048</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>311190</BOYAmt>
        <EOYAmt>216634</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6014878</BOYAmt>
        <EOYAmt>8665869</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>9273897</BOYAmt>
        <EOYAmt>11463551</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>16573949</BOYAmt>
        <EOYAmt>17641614</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>274262</BOYAmt>
        <EOYAmt>239503</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>16848211</BOYAmt>
        <EOYAmt>17881117</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>26122108</BOYAmt>
        <EOYAmt>29344668</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1032906</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>12508786</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12676015</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11631914</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12145162</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11372996</CurrentTaxYearAmt>
        <TotalAmt>60334873</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>322469</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>327634</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>330323</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>311798</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>317847</CurrentTaxYearAmt>
        <TotalAmt>1610071</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>13003649</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11962237</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12456960</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11690843</CurrentTaxYearAmt>
        <TotalAmt>61944944</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>61944944</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>37483</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>34396</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>246978</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>7494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>153869</CurrentTaxYearAmt>
        <TotalAmt>480220</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>56023</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>55695</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>64049</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>48943</CurrentTaxYearAmt>
        <TotalAmt>264458</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>62689622</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>100371978</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98810</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99000</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>
      <DirectContactLegislatorsAmt>25329</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>25329</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1538373</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1538373</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>12122109</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2952363</DepreciationAmt>
        <BookValueAmt>9169746</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5957676</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1675514</DepreciationAmt>
        <BookValueAmt>4282162</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2931107</DepreciationAmt>
        <BookValueAmt>1243812</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>654682</OtherCostOrOtherBasisAmt>
        <BookValueAmt>654682</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>16888775</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Investment in HMO</Desc>
        <BookValueAmt>101518</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>60061</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Loan costs net</Desc>
        <BookValueAmt>23779</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Receivables - other</Desc>
        <BookValueAmt>5000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>190358</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>36767076</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>317847</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>317847</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>36449229</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>36449229</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>35734170</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>317847</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>317847</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>35416323</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>35416323</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G">
      <FundraisingEventInformationGrp>
        <Event1Nm>Golf tourney</Event1Nm>
        <GrossReceiptsEvent1Amt>61689</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>61689</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>7134</RentFacilityCostsEvent1Amt>
        <OtherDirectExpensesEvent1Amt>5612</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>61689</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>61689</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>7134</RentFcltyCostsTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>5612</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>12746</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>48943</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>Barbara Snell</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>213801</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11426</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>225227</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark Dickinson</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>182239</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>12000</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>12772</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>207011</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Michael Ham-Ying</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>286481</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18372</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>304853</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lei Ying</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>234481</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>70042</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>4859</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>309382</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Felix Oyola</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>226665</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>36862</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>16987</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>280514</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Juan Ravelo</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>219130</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>34359</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>13391</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>266880</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Genelle Walters</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>207663</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>22366</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>16887</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>246916</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Franks</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>174623</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>36346</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>12625</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223594</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gregg Stewart</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>219732</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16204</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>235936</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>