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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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        <ProgramServicesAmt>55158</ProgramServicesAmt>
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        <ProgramServicesAmt>1561</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>266210</ManagementAndGeneralAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE ENDOWMENT FUND IS TO PRODUCE INCOME ON THE FUNDS TO SUPPORT OUR OPERATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <NetCommunityBenefitExpnsAmt>4418284</NetCommunityBenefitExpnsAmt>
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        <TotalCommunityBenefitExpnsAmt>1231223</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>1107153</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>124070</NetCommunityBenefitExpnsAmt>
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        <DirectOffsettingRevenueAmt>40534083</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4615446</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.10450</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>45149529</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>40534083</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>4615446</NetCommunityBenefitExpnsAmt>
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      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>0</FinancialAssistancePrvsnInd>
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        <BusinessName>
          <BusinessNameLine1Txt>NORTH PHILADELPHIA HEALTH SYSTEM GIRARD MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>801 WEST GIRARD AVENUE</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19122</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.BEWELLCTR.ORG</WebsiteAddressTxt>
        <StateLicenseNum>142360</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>PRIVATE PSYCHIATRIC HOSPITAL, RESIDENTIAL AND OUTPATIENT PROGRAMS</OtherDesc>
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      <HospitalFcltyPoliciesPrctcGrp>
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        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>0</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>0</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.BEWELLCTR.ORG</OwnWebsiteURLTxt>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.BEWELLCTR.ORG</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.BEWELLCTR.ORG</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.BEWELLCTR.ORG</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.BEWELLCTR.ORG</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>0</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <LookBackMedicaidMedcrPrvtInd>X</LookBackMedicaidMedcrPrvtInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTH PHILADELPHIA HEALTH SYSTEM, GIRARD MEDICAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 3J: NORTH PHILADELPHIA HEALTH SYSTEM HAS COMPLETED A CHNA DURING 2021 AND ADOPTED AN IMPLEMENTATION STRATEGY AT THAT TIME. THE SOURCE OF THE DATA INCLUDED: THE PENNSYLVANIA HEALTH CARE COST CONTAINMENT (HC4), THE PHILADELPHIA DEPARTMENT OF PUBLIC HEALTH'S COMMUNITY HEALTH NEEDS ASSESSMENT AND THE ORGANIZATION'S OWN INTERNAL DATA. THE CHNA IDENTIFIED THE MEDICAL HEALTH CARE NEEDS OF THE COMMUNITY AND HOW THE ORGANIZATION WAS GOING TO MEET THOSE NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTH PHILADELPHIA HEALTH SYSTEM, GIRARD MEDICAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: NORTH PHILADELPHIA HEALTH SYSTEM HAS COMPLETED A CHNA DURING 2021. THE HOSPITAL WORKED WITH AN MD WHO LIVES IN THE COMMUNITY AND IS ACUTELY AWARE OF THE MEDICAL NEEDS OF ITS INDIVIDUALS. THE HOSPITAL ALSO WORKED WITH A MEMBER OF THE CLERGY WHO IS A PART OF THE COMMUNITY AND SEES THE NEEDS (ESPECIALLY THE ADDICTION NEEDS) OF THE COMMUNITY MEMBERS. DR. CRISTINA VO, MD AND REV. MARK S. KORLEY, WHO LIVE AND WORK IN OUR COMMUNITY BUT NOT FOR OUR HOSPITAL, REVIEWED THE CHNA, AND THEIR QUESTIONS IMPACTED THE DIRECTION OF THE PROJECT.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTH PHILADELPHIA HEALTH SYSTEM, GIRARD MEDICAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: NORTH PHILADELPHIA HEALTH SYSTEM HAS COMPLETED A CHNA DURING 2021 AND ADOPTED AN IMPLEMENTATION STRATEGY AT THAT TIME. THE ORGANIZATION HAS PURCHASED AN RV WHICH WILL MAKE SCHEDULED STOPS AT LOCATIONS WHERE THE PROPERTY OWNERS ARE INTERESTED IN HELPING THOSE ADDICTED TO DRUGS IN THEIR NEIGHBORHOOD (FOR EXAMPLE, CHURCHES). THE RV WILL PARK AT KNOWN DRUG CORNERS AND ENGAGE INDIVIDUALS WHO ARE SUFFERING FROM ADDICTION PROBLEMS. THE TEAM MEMBERS ARE TRAINED ON HOW TO ENGAGE THOSE INDIVIDUALS AND SHOW THEM THE OPTIONS FOR TREATMENT. IF THE INDIVIDUAL AGREES, THEY WILL BE TRANSPORTED TO FACILITIES (NOT NECESSARILY OURS) FOR TREATMENT. AS THE RV PICKS UP CLIENTS WHO HAVE SUBSTANCE USE DISORDER NEEDS (SUB) AND AS THE ORGANIZATION CONTACTS CLIENT REFERRAL SOURCES IN THE PROVIDER'S COMMUNITY, THE PROVIDER WILL CREATE MORE CAPACITY TO CARE FOR THAT INCREASED SERVICE NEED.ADDITIONALLY, THE ORGANIZATION HAS ORGANIZED OPEN HOUSE EVENTS AND SPONSORED INDIVIDUALS TO PARTICIPATE IN EVENTS THAT ARE DESIGNED TO CREATE COMMUNITY AWARENESS OF DRUG AND ALCOHOL AND MENTAL ILLNESS COMMUNITY NEEDS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTH PHILADELPHIA HEALTH SYSTEM, GIRARD MEDICAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: MOST PATIENTS WOULD QUALIFY FOR MEDICAL ASSISTANCE IN PENNSYLVANIA OR THE CITY PROGRAM BHSI FOR THE DRUG AND ALCOHOL PROGRAMS. TIME PAYMENTS AT A DISCOUNTED RATE CAN ALSO BE SET UP WHEN NEEDED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>NORTH PHILADELPHIA HEALTH SYSTEM, GIRARD MEDICAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 15E: MEDICAL ASSISTANCE APPLICATIONS ARE SUBMITTED ONLINE BY THE MA COORDINATOR IN THE BUSINESS OFFICE WITH THE INFORMATION GIVEN BY THE PATIENT OR CLIENT, WITH THE SUPPORTING DOCUMENTATION SUCH AS IDENTIFICATION, SOURCE OF INCOME AND PROOF, RESIDENCE, NUMBER OF FAMILY NUMBERS, AND BIRTH CERTIFICATE BEING ATTACHED TO THE APPLICATION. IF THE APPLICATION IS DENIED, THE MA COORDINATOR WILL APPEAL THE REJECTION AT THE FIRST AND SECOND LEVEL OF APPEAL.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SHOWS A VERY SMALL COMMUNITY BENEFIT BASED ON FREE CARE AS BHSI PICKS UP THE COVERAGE FOR ALL INDIVIDUALS WHO APPLY FOR MA IN THE FIRST FEW WEEKS UNTIL THEY ARE APPROVED FOR MA. ONCE APPROVED, CBH, THE BEHAVIORAL HEALTH HMO FOR MA IN PHILADELPHIA COUNTY, INSURES THE CLIENTS. WE ONLY HAVE A SMALL UNINSURED POPULATION WHO ARE CLIENTS WHO ARE NOT APPROVED OR THE SMALL PERCENTAGE OF MEDICALLY ASSISTED TREATMENT (MAT) O/P PATIENTS WHO ARE SELF-PAY AND DO NOT PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A COST TO CHARGE RATIO TO DETERMINE BAD DEBT EXPENSE. THE ORGANIZATION BUDGETS A FLAT 1% FOR BAD DEBTS DUE TO DENIALS AND SELF PAYS WHO DO NOT PAY. THIS AMOUNT IS VERY LOW/ZERO FOR HEALTHCARE PROVIDERS DUE TO THE ARRANGEMENT WITH BHSI WHO COVERS UNINSURED INDIVIDUALS WHILE THEY APPLY FOR MA COVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES A COST TO CHARGE RATIO FOR BAD DEBT CHARGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO SPECIFIC FINANCIAL STATEMENT NOTE WHICH REFERENCED BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DID NOT RECEIVE ANY MEDICARE INCOME DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MANAGEMENT TEAM PERFORMS AN ANNUAL PLANNING RETREAT WHERE THE COMMUNITY NEEDS ARE REVIEWED TO DETERMINE IF NEW SERVICES OR ALTERATIONS TO CURRENT SERVICES ARE NEEDED. ADDITIONALLY, THE ORGANIZATION IS IN FREQUENT CONTACT WITH OUR REGULATORY AND INSURANCE CONTACTS FOR ANY ADDITIONS OR MODIFICATION THAT THEY WOULD LIKE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES PERSONALLY SPEAK TO EVERY UNINSURED OR UNDERINSURED PERSON WHILE IN-HOUSE ABOUT THE PATIENT'S INSURANCE COVERAGE AND ASK THEM TO APPLY FOR MEDICAL ASSISTANCE OR BHSI COVERAGE THROUGH THE CITY OF PHILADELPHIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION SERVES THE LOWER NORTH PHILADELPHIA REGION WHICH IS COMPRISED OF A LOWER INCOME AND DIVERSE MARKET. THE COMMUNITY, UNDERSERVED AND UNDERINSURED, IS ONE OF THE POOREST NEIGHBORHOODS IN PHILADELPHIA. THE REGION IS PLAGUED BY DRUG USAGE AND THE CITY OF PHILADELPHIA AS A WHOLE EXPERIENCES 3.5 OVERDOSE DEATHS PER DAY AND 86 PERCENT INVOLVE OPIOIDS. THE ORGANIZATION IS ONE OF THE LARGEST LOCAL PROVIDERS OF DETOX AND REHAB SERVICES FOR THESE CLIENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>NPHS ACCEPTS ALL PATIENTS REGARDLESS OF INSURANCE, BUT THERE ARE FUNDING OPTIONS FOR PENNSYLVANIA RESIDENTS WITHOUT HEALTH INSURANCE. THE CRISIS REFERRAL SERVICES KNOW THAT THEY CAN COUNT ON NPHS TO ACCEPT THEIR REFERRALS REGARDLESS OF THE PATIENT'S INSURANCE.THE ORGANIZATION HAS ACQUIRED AN RV WHICH WILL MAKE SCHEDULED STOPS AT LOCATIONS WHERE THE PROPERTY OWNERS ARE INTERESTED IN HELPING THOSE ADDICTED TO DRUGS IN THEIR NEIGHBORHOOD (FOR EXAMPLE, CHURCHES). ADDITIONALLY, THE ORGANIZATION HAS ORGANIZED OPEN HOUSE EVENTS AND SPONSORED INDIVIDUALS TO PARTICIPATE IN EVENTS THAT ARE DESIGNED TO CREATE COMMUNITY AWARENESS OF DRUG AND ALCOHOL AND MENTAL ILLNESS COMMUNITY NEEDS.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>253712</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA BOSTON JONES</PersonNm>
        <TitleTxt>SVP OF BEHAVIORAL HEALTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>222055</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23970</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246025</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>XAVIER BANCROFT</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>175179</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>205769</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARITA BARNETT</PersonNm>
        <TitleTxt>VP OF HR</TitleTxt>
        <BaseCompensationFilingOrgAmt>173703</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>189432</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WANDA NOLASCO</PersonNm>
        <TitleTxt>VP OF PATIENT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>179325</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179325</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>P. DOUGLAS MAIER AND HON. EUGENE EDWARD J. MAIER HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO WILL REVIEW THE FORM 990 IN ITS ENTIRETY, BUT THE BOARD WILL NOT REVIEW THE RETURN BEFORE FILING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUAL CONFLICT OF INTEREST FORMS ARE DISTRIBUTED TO BOARD MEMBERS AND ARE REQUIRED TO BE SIGNED BY EACH PERSON. BOARD MEMBERS AND OFFICERS SHALL DISCLOSE THEIR INTEREST IN ANY BUSINESS OR IN MATTERS THAT MAY OR WILL AFFECT THEM EITHER DIRECTLY OR INDIRECTLY. THE CONFLICT OF INTEREST POLICY EXPRESSLY INCLUDES FAMILY AND BUSINESS RELATIONSHIPS. IF A CONFLICT ARISES, THE CONFLICT IS DOCUMENTED AND THE PERSON HAS NO VOTE ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS REVIEWED AND DETERMINED BY THE COMPENSATION COMMITTEE. A CONTRACTED FIRM COMPARES SALARIES WITH SIMILAR ORGANIZATIONS TO ENSURE SALARIES ARE WITHIN FAIR MARKET RANGE FOR THE INDUSTRY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>AGENCY STAFFING: PROGRAM SERVICE EXPENSES 471,477. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 471,477. CONSULTING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 27,762. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,762. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 130,114. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,114. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 713,314. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 713,314. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,007,868. MANAGEMENT AND GENERAL EXPENSES 264,216. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,272,084.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -1,388,154.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="RetDoc2125800001">
      <ExplanationTxt>THE ORGANIZATION IS EXPERIENCING SIGNIFICANT ADDED STRESS CREATED BY THE COVID-19 PANDEMIC AND IS A CONSIDERABLE FACTOR IN THE ABILITY OF THE ORGANIZATION TO ADDRESS ITS FILING OBLIGATIONS. THE ORGANIZATION UNDERSTANDS AND RESPECTS ITS FILING OBLIGATIONS AND HAS BEEN WORKING ASSIDUOUSLY TO FINALIZE THE FORM 990 PROCESS AT THE EARLIEST POSSIBLE TIME.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>
