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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>530754</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLAS WALTER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>230006</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14151</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COURTNEY GLOS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>251651</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24604</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2759723</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>233729</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>96</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GREENWAY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4301 W BOY SCOUT BLVD SUITE 800</AddressLine1Txt>
            <CityNm>TAMPA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TECHNOLOGY</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHIROPRACTIC SPECIALISTS OF INDIANA LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLUB CLEAN JANITORIAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>46360</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL</ServicesDesc>
        <CompensationAmt>640472</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLOUDMED</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5700 GRANITE PKWY</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>430B PHARMACY BILLING SERVICES</ServicesDesc>
        <CompensationAmt>433999</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MIDWEST SECURITY FORCES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>802 WABASH AVE STE 300</AddressLine1Txt>
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            <StateAbbreviationCd>IN</StateAbbreviationCd>
            <ZIPCd>46304</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>315811</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>34</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8064157</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1267658</AllOtherContributionsAmt>
      <NoncashContributionsAmt>103947</NoncashContributionsAmt>
      <TotalContributionsAmt>9331815</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY SERVICE INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>30840823</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30840823</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>FEES &amp; CONTRACTS GOV AGEN</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>29732984</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29732984</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>COMMERCIAL INSURANCE</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>10704590</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>5489539</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MENTAL HEALTH SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1394359</RelatedOrExemptFuncIncomeAmt>
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        <TotalRevenueColumnAmt>1493617</TotalRevenueColumnAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
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      <OtherRevenueTotalAmt>1297715</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>90285442</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>49882</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>85456</TotalAmt>
        <ManagementAndGeneralAmt>85456</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>1406707</TotalAmt>
        <ProgramServicesAmt>688842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>717865</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>3372377</TotalAmt>
        <ProgramServicesAmt>2578219</ProgramServicesAmt>
        <ManagementAndGeneralAmt>794158</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>2062921</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>710010</TotalAmt>
        <ProgramServicesAmt>514939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>195071</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5720</TotalAmt>
        <ManagementAndGeneralAmt>5720</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>464279</TotalAmt>
        <ManagementAndGeneralAmt>464279</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1524437</TotalAmt>
        <ProgramServicesAmt>1449518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74919</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>427797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2046</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL, DENTAL, &amp; OPTO</Desc>
        <TotalAmt>20263310</TotalAmt>
        <ProgramServicesAmt>20242560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20750</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CREDIT LOSSES'</Desc>
        <TotalAmt>861058</TotalAmt>
        <ProgramServicesAmt>861058</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>808317</TotalAmt>
        <ProgramServicesAmt>283240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>525077</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER ADMIN EXPENSES</Desc>
        <TotalAmt>246769</TotalAmt>
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        <ManagementAndGeneralAmt>202236</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>150785</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>76854386</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>169267</EOYAmt>
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        <EOYAmt>48124402</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>1173133</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
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      <TotalBookValueLandBuildingsAmt>29641785</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OTHER INVESTMENTS</Desc>
        <BookValueAmt>10280339</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
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      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1398094</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <TotalRevenuePerForm990Amt>90285442</TotalRevenuePerForm990Amt>
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      <DonatedServicesUseFcltsAmt>162020</DonatedServicesUseFcltsAmt>
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      <ExpensesSubtotalAmt>89112309</ExpensesSubtotalAmt>
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      <TotalExpensesPerForm990Amt>89112309</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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