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      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD-PARTY PAYORS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4213079</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4213079</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1200002</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1200002</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>891857</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>891857</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>622930</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>622930</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>12705943</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>19039</TotalRevenueColumnAmt>
        <ExclusionAmt>19039</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>76261</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>76261</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>76261</TotalRevenueColumnAmt>
        <ExclusionAmt>76261</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1941</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>0</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1941</TotalRevenueColumnAmt>
        <ExclusionAmt>1941</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>KUMED FELLOWSHIP</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>54916</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>54916</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>49774</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49774</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>19862973</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12810633</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>97241</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>25652</TotalAmt>
        <ProgramServicesAmt>25652</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>214223</TotalAmt>
        <ProgramServicesAmt>176850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37373</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11812026</TotalAmt>
        <ProgramServicesAmt>9673543</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2138483</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>11235</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1307</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1619805</TotalAmt>
        <ProgramServicesAmt>1450994</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>94330</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>53795</TotalAmt>
        <ManagementAndGeneralAmt>53795</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
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        <TotalAmt>739736</TotalAmt>
        <ProgramServicesAmt>626707</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>75637</TotalAmt>
        <ProgramServicesAmt>46405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29232</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>310966</ProgramServicesAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>104997</TotalAmt>
        <ProgramServicesAmt>72513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32484</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>820591</TotalAmt>
        <ProgramServicesAmt>733706</ProgramServicesAmt>
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        <ProgramServicesAmt>70408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17850</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>114935</TotalAmt>
        <ProgramServicesAmt>85005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29930</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>13335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39081</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>160720</ManagementAndGeneralAmt>
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        <TotalAmt>134359</TotalAmt>
        <ProgramServicesAmt>10329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124030</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>2083844</TotalAmt>
        <ProgramServicesAmt>2072336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11508</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>179740</TotalAmt>
        <ProgramServicesAmt>95243</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84497</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES AND DUES</Desc>
        <TotalAmt>172274</TotalAmt>
        <ProgramServicesAmt>32614</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139660</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>7779</TotalAmt>
        <ProgramServicesAmt>1250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6529</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>35778</TotalAmt>
        <ProgramServicesAmt>15683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20095</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>20027659</TotalAmt>
        <ProgramServicesAmt>16316121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3711538</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>747940</BOYAmt>
        <EOYAmt>1110577</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>250828</BOYAmt>
        <EOYAmt>259878</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>595534</BOYAmt>
        <EOYAmt>388851</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2103711</EOYAmt>
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        <EOYAmt>76233</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>124666</BOYAmt>
        <EOYAmt>190810</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>3887819</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>2294185</EOYAmt>
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        <EOYAmt>149445</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>110400</EOYAmt>
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        <BOYAmt>5427378</BOYAmt>
        <EOYAmt>8272813</EOYAmt>
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        <EOYAmt>228443</EOYAmt>
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        <EOYAmt>1233574</EOYAmt>
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        <EOYAmt>5154546</EOYAmt>
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        <EOYAmt>2595045</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>171664</BOYAmt>
        <EOYAmt>523222</EOYAmt>
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        <BOYAmt>3285616</BOYAmt>
        <EOYAmt>3118267</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>8272813</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-164686</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-2663</NetUnrlzdGainsLossesInvstAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3475111</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3831100</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6579890</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5468823</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6955099</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3831100</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6579890</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5468823</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6955099</CurrentTaxYearAmt>
        <TotalAmt>26310023</TotalAmt>
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      <PublicSupportTotal170Amt>26310023</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>14621</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16021</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4062</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19416</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>95300</CurrentTaxYearAmt>
        <TotalAmt>149420</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>19141</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>78566</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>104690</CurrentTaxYearAmt>
        <TotalAmt>202397</TotalAmt>
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      <TotalSupportAmt>26661840</TotalSupportAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 19,141. 2021 AMOUNT: $ 33,149. 2022 AMOUNT: $ 49,774. KUMED FELLOWSHIP - 2021 AMOUNT: $ 45,417. 2022 AMOUNT: $ 54,916.</ExplanationTxt>
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <InvestmentEarningsOrLossesAmt>-12947</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>99390</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>29108</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>112337</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>85445</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-1146</InvestmentEarningsOrLossesAmt>
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        <AdministrativeExpensesAmt>1040</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>83229</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <AdministrativeExpensesAmt>1061</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>85445</EndYearBalanceAmt>
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      <LandGrp>
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        <BookValueAmt>23500</BookValueAmt>
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      <OtherLandBuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>20027659</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>GFH HAS ENDOWMENT FUNDS MANAGED BY THE KANSAS AREA UNITED METHODIST FOUNDATION. THESE FUNDS RANGE FROM NON-RESTRICTED TO PERMANENTLY RESTRICTED AND MAY BE USED AS DIRECTED/APPROVED BY THE BOARD OF DIRECTORS TO SUPPORT THE ORGANIZATION'S MISSION AND OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF APRIL 30, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2020 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
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        <RecipientCnt>183</RecipientCnt>
        <CashGrantAmt>17308</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>LODGING</GrantTypeTxt>
        <RecipientCnt>24</RecipientCnt>
        <CashGrantAmt>1840</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TRANSPORTATION</GrantTypeTxt>
        <RecipientCnt>36</RecipientCnt>
        <CashGrantAmt>1145</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>PRESCRIPTION</GrantTypeTxt>
        <RecipientCnt>80</RecipientCnt>
        <CashGrantAmt>2711</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>OTHER</GrantTypeTxt>
        <RecipientCnt>11</RecipientCnt>
        <CashGrantAmt>2648</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY DEVELOPERS OF THE HELPING HANDS PROGRAM CONDUCT IN-PERSON INTERVIEWS WITH APPLICANTS FOR EMERGENCY FINANCIAL ASSISTANCE. COPIES OF BILLS AND OTHER DOCUMENTATION OF INCOME AND NEEDS ARE REVIEWED BEFORE ASSISTANCE IS PROVIDED. THE ORGANIZATION TYPICALLY REMITS PAYMENTS DIRECTLY TO THE HOTEL, LANDLORD, PHARMACY OR OTHER VENDORS WHO PROVIDE THE ULTIMATE GOODS OR SERVICES TO THE INDIVIDUALS. IN THE RARE CASE THAT PAYMENTS ARE MADE DIRECTLY TO AN INDIVIDUAL, THE REQUEST IS REVIEWED AND APPROVED IN ADVANCE BY THE SOCIAL SERVICES PRACTICE MANAGER. THE FOOD PANTRY ACCEPTS DONATIONS OF FOOD WHICH ARE THEN DIRECTLY DISTRIBUTED TO THE RECIPIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTIN CASTILLO LIRANZO</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>281373</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>272369</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>553742</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMIR SHAATH</PersonNm>
        <TitleTxt>OBSTETRICS/GYNECOLGY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>383539</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>86287</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>469826</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WIN KYI</PersonNm>
        <TitleTxt>GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>357775</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>104438</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6643</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>468856</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AYE MYA WIN</PersonNm>
        <TitleTxt>OBSTETRICS/GYNECOLGY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>351538</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>107137</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6643</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>465318</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FARIS SABRI AZZOUNI</PersonNm>
        <TitleTxt>UROLOGY PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>365348</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>64446</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6643</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>436437</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COLUMN B(II):</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDED ON SCHEDULE J, PART II, COLUMN B(II) ARE AMOUNTS REPRESENTING PERFORMANCE INCENTIVES FOR PHYSICIANS BASED ON ACTUAL PRODUCTION INCLUDED IN CONTRACTUAL AGREEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>629581</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS, AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE RETURN IS REVIEWED BY THE FINANCE COMMITTEE BEFORE BEING FLNALIZED. THE 990 IS ALSO EMAILED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND OFFICERS. BOARD MEMBERS AND OFFICERS ANNUALLY SIGN STATEMENTS ACKNOWLEDGING THAT THEY HAVE READ THE POLICY AND AGREEING THAT IF ANY POTENTIAL CONFLICTS ARISE, THEY WILL REPORT THE POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH AND THE STATE PRIMARY CARE ASSOCIATION (KAMU) ARE TAKEN INTO CONSIDERATION AS WELL AS THE CURRENT BUDGET DURING THE SALARY DETERMINATION PROCESS. THE BOARD APPROVES THE CEO'S COMPENSATION. THE BOARD DOES NOT DIRECTLY APPROVE THE SALARY OF THE CFO, BUT DOES APPROVE THE ANNUAL SALARY SCALE FOR ALL EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ALL BOARD MEETINGS ARE OPEN TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
