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      <Desc>340B FUNDING:SECTION 340B OF THE PUBLIC HEALTH SERVICE ACT (1992) REQUIRES DRUG MANUFACTURERS PARTICIPATING IN THE MEDICAID DRUG REBATE PROGRAM TO SIGN A PHARMACEUTICAL PRICING AGREEMENT (PPA) WITH THE SECRETARY OF HEALTH AND HUMAN SERVICES. THIS AGREEMENT LIMITS THE PRICE THAT MANUFACTURERSMAY CHARGE CERTAIN COVERED ENTITIES FOR COVERED OUTPATIENT DRUGS. THE 340B PROGRAM IS ADMINISTERED BY THE FEDERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) IN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (DHHS). UPON REGISTRATION ON 340B OPAIS (OFFICE OF PHARMACY AFFAIRS INFORMATION SYSTEM), WASHINGTON HEALTH INSTITUTE AGREES TO ABIDE BY SPECIFIC STATUTORY REQUIREMENTS AND PROHIBITIONS, AND MAY ACCESS 340B DRUGS.</Desc>
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        <Desc>CLINICAL OPERATIONS:WHI IS PROUD TO PROVIDE EXCEPTIONAL PRIMARY CARE AND INFECTIOUS DISEASES SPECIALTY CARE FOR RESIDENTS IN THE DC, MD, VIRGINIA AREA. WE OFFER CONVENIENT, ON-SITE COMPREHENSIVE TESTING AND TREATMENT FOR PATIENTS WITH SUSPECTED INFECTIOUS DISEASES, INCLUDING HIV, HEPATITIS-C, AND STIS. WE ALSO OFFER PRE-EXPOSURE PROPHYLAXIS (PREP) &amp; POST EXPOSURE PROPHYLAXIS (PEP) TO PREVENT HIV INFECTION. WHI IS A RED CARPET (SAME-DAY) APPOINTMENTS (SAME-DAY) FOR INDIVIDUALS WHO ARE NEWLY DIAGNOSED WITH HIV OR RE-ENGAGING IN HIV CARE REGARDLESS OF ABILITY TO PAY. OUR RYAN WHITE CASE MANAGEMENT TEAM WILL WORK WITH PATIENTS TO PROACTIVELY RESOLVE ANY BARRIERS TO CARE, INCLUDING LACK OF INSURANCE.WE SERVE OVER 8,000 PATIENTS IN THE DMV AREA AND ARE RAPIDLY GROWING.ADDITIONALLY, WHI HAS A WOMEN'S HEALTH, BEHAVIORAL HEALTH, AND WEIGHT MANAGEMENT PROGRAMMING.</Desc>
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        <Desc>EIS PROGRAM:THE EARLY INTERVENTION SERVICES (EIS) TEAM AT WASHINGTON HEALTH INSTITUTE PROVIDES TARGETED OUTREACH TO RESIDENTS OF THE WASHINGTON, DC AREA AT INCREASED RISK FOR HIV INFECTION. EIS PROVIDES RAPID HIV TESTING, HIV AND SEXUAL HEALTH RISK-ASSESSMENT COUNSELING, AND SAFER-SEX MATERIALS (INCLUDING PREP, PEP, AND SAFER SEX SUPPLIES) TO THOSE SEEKING HIV-PREVENTION SERVICES. ADDITIONALLY, EIS HELPS CONNECT EXISTING WHI PATIENTS TO SERVICES AND RESOURCES AS PART OF ITS NON-MEDICAL CASE MANAGEMENT TEAM TO HELP IMPROVE THE QUALITY OF LIFE AND HOLISTIC HEALTH OF PATIENTS.</Desc>
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        <Desc>RYAN WHITE HOLISTIC CARE PROGRAM:THE RYAN WHITE HOLISTIC CARE PROGRAM ENGAGES INDIVIDUALS WITH ON-SITE SOCIAL WORKERS WHO PROVIDE COMPREHENSIVE PSYCHOSOCIAL ASSESSMENT AND WORKS WITH PATIENTS TO CREATE A UNIQUE TREATMENT PLAN TO ENHANCE THEIR HEALTH AND OVERALL WELLBEING. AS PART OF THE RYAN WHITE PROGRAM, WE OFFER MEDICAL AND NON-MEDICAL CASE MANAGEMENT SERVICES; MEDICATION ADHERENCE COUNSELING; HEALTH INSURANCE NAVIGATION; FREE OR REDUCED COST MEDICINE; REFERRALS FOR TRANSPORTATION, FOOD, FINANCIAL BENEFITS, HOUSING, EMPLOYMENT, SUBSTANCE ABUSE TREATMENT; AND MORE. THE RYAN WHITE HOLISTIC CARE PROGRAM SEEKS TO ADDRESS THE IMPORTANT NEEDS OF PATIENTS OUTSIDE OF JUST MEDICAL TREATMENT TO SUPPORT THE WELL-BEING OF THE WHOLE PERSON.THE DC COHORT GRANT:LED BY THE GEORGE WASHINGTON UNIVERSITY MILKEN INSTITUTE SCHOOL OF PUBLIC HEALTH, THE DC COHORT IS A LONGITUDINAL RESEARCH PROJECT THAT COLLECTS CLINICAL DATA FROM APPROXIMATELY 12,000 CONSENTING PEOPLE WITH HIV RECEIVING CARE AT FIFTEEN HIV CLINICS IN THE DISTRICT OF COLUMBIA. THE DC COHORT IS SPONSORED BY THE NATIONAL INSTITUTE OF HEALTH (NIH) AND THE NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES (NIAID). THE PRIMARY PROJECT GOAL IS TO IMPROVE THE QUALITY OF CARE AND TREATMENT OF PEOPLE WITH HIV RECEIVING CARE AT LARGE CLINICS IN THE DISTRICT OF COLUMBIA. UNDER THE DC COHORT STUDY, THERE ARE SMALLER PROJECTS, INCLUDING THE MOLECULAR EPIDEMIOLOGY SUB-STUDY, COVID-19 SUB-STUDY, PATIENT REPORTED OUTCOMES SUB-STUDY, AND MORE. THE DC COHORT CONTRIBUTES TO THE RESEARCH OF EMERGING ISSUES IN THE PREVENTION, TREATMENT, AND LONG-TERM EFFECTS OF PEOPLE WITH HIV. THE PROJECT'S SCIENTIFIC OBJECTIVES ARE TO CONTRIBUTE TO THE KNOWLEDGE REGARDING PEOPLE WITH HIV AND THEIR TREATMENT THROUGH EVALUATING THE OUTCOMES OF HIV TREATMENT REGIMENTS OVER.CLINICAL TRIALS:WHI STRIVES TO BRING DIVERSITY TO CLINICAL TRIALS BY PROVIDING ACCESS TO UNDER-SERVED AND UNDER-REPRESENTED COMMUNITIES IN THE DC METRO AREA. WHI HAS PARTNERED TO CONDUCT CLINICAL RESEARCH TRIALS WITH MULTIPLE MAJOR PHARMACEUTICAL COMPANIES SUCH AS GILEAD SCIENCES, VIIV, PFIZER, AND BAMERICAN GENE TECHNOLOGIES. IT IS THE HOPE OF WHI THAT BY CONDUCTING CLINICAL RESEARCH WITH UNDER-REPRESENTED AND UNDER-SERVED COMMUNITIES, THE FACE OF MEDICINE AND PHARMACEUTICAL-BASED CARE CAN DIVERSIFY AND CHANGE FOR THE BETTER OF ALL.OTHER PROGRAMS:WHI IS FOCUSED ON OTHER KEY AREAS OF TREATMENT THAT TAKES A HOLISTIC APPROACH TO HEALTH AND PATIENT WELL-BEING. OUR PROGRAMS INCLUDE INFECTIOUS DISEASE CARE, PRIMARY CARE FOR OUR PATIENTS, TELEHEALTH VISITS, PREVENTION OF HIV AND STI'S, ON-SITE PHLEBOTOMY SERVICES, PEER SUPPORT GROUPS FOR PATIENTS, AND A WELLNESS PROGRAM.</Desc>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LYNN STEIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE BORDON MD PHD</PersonNm>
        <TitleTxt>CEO, PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>244811</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27599</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THEO HODGE JR MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>171880</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14562</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL SHANKLE</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>102246</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15437</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>518937</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>57598</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RUBINO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6903 ROCKLEDGE DR SUITE 300</AddressLine1Txt>
            <CityNm>BETHESDA</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20817</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING SERVICES</ServicesDesc>
        <CompensationAmt>250828</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RENAYE JAMES HEALTHCARE ADVISORS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5950 SYMPHONY WOODS ROAD SUITE 215</AddressLine1Txt>
            <CityNm>COLUMBIA</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21044</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING SYSTEM AND INTERNAL POLI</ServicesDesc>
        <CompensationAmt>186758</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAG TECH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2401 PENNSYLVANIA AVE NW 300</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20037</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>172776</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KD CONTRACTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9608 BLOOMING MEADOWS CT</AddressLine1Txt>
            <CityNm>HAGERSTOWN</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21740</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>131392</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MARCIA RILEY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14808 SILVERSTONE DR</AddressLine1Txt>
            <CityNm>SILVER SPRING</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20905</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HUMAN RESOURCES CONSULTING</ServicesDesc>
        <CompensationAmt>102000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1102780</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>248315</AllOtherContributionsAmt>
      <TotalContributionsAmt>1351095</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>340B REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>16670646</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16670646</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHYSICIAN SERVICE REVE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1403027</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1403027</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINICAL TRIAL REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>741742</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>741742</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>AESTHETICS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>44828</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>44828</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18860243</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>20211338</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18815415</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>44828</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>918623</TotalAmt>
        <ProgramServicesAmt>613736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304887</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>2242671</TotalAmt>
        <ProgramServicesAmt>2209163</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33508</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>69139</TotalAmt>
        <ProgramServicesAmt>67968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1171</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>151159</TotalAmt>
        <ProgramServicesAmt>151159</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>243205</TotalAmt>
        <ProgramServicesAmt>218783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24422</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>18426</TotalAmt>
        <ProgramServicesAmt>10984</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7442</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>272828</TotalAmt>
        <ManagementAndGeneralAmt>272828</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>642087</TotalAmt>
        <ProgramServicesAmt>453508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188579</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>50864</TotalAmt>
        <ProgramServicesAmt>33808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17056</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>368048</TotalAmt>
        <ProgramServicesAmt>280594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87454</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>194192</TotalAmt>
        <ProgramServicesAmt>115904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78288</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>401440</TotalAmt>
        <ProgramServicesAmt>282281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119159</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>62766</TotalAmt>
        <ProgramServicesAmt>55462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7304</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>14664</TotalAmt>
        <ProgramServicesAmt>9749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4915</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>27712</TotalAmt>
        <ManagementAndGeneralAmt>27712</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>59451</TotalAmt>
        <ProgramServicesAmt>35439</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24012</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>75600</TotalAmt>
        <ProgramServicesAmt>67380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8220</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACEUTICAL DRUGS</Desc>
        <TotalAmt>12851174</TotalAmt>
        <ProgramServicesAmt>12851174</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>731229</TotalAmt>
        <ProgramServicesAmt>557706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173523</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>115312</TotalAmt>
        <ProgramServicesAmt>115312</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>19510590</TotalAmt>
        <ProgramServicesAmt>18130110</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1380480</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>759024</BOYAmt>
        <EOYAmt>411066</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>296768</BOYAmt>
        <EOYAmt>257045</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>266819</BOYAmt>
        <EOYAmt>4532111</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>22100</BOYAmt>
        <EOYAmt>27133</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>363715</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>88095</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>227776</BOYAmt>
        <EOYAmt>275620</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>34717</BOYAmt>
        <EOYAmt>2969292</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1607204</BOYAmt>
        <EOYAmt>8472267</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>431064</BOYAmt>
        <EOYAmt>3946642</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>607457</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>1951151</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>431064</BOYAmt>
        <EOYAmt>6505250</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1176140</BOYAmt>
        <EOYAmt>1967017</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1176140</BOYAmt>
        <EOYAmt>1967017</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1607204</BOYAmt>
        <EOYAmt>8472267</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>700748</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>90129</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>33369</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>594090</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>572494</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>891605</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1351095</CurrentTaxYearAmt>
        <TotalAmt>3442653</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>33369</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>594090</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>572494</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>891605</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1351095</CurrentTaxYearAmt>
        <TotalAmt>3442653</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>3442653</PublicSupportTotal170Amt>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearAmt>4814</CurrentTaxYearAmt>
        <TotalAmt>4814</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus3YearsAmt>2674</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3822</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>6496</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>3453963</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>46118252</GrossReceiptsRltdActivitiesAmt>
      <First5Years170Ind>X</First5Years170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, SHORT YEAR EXPLANATION:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S INITIAL YEAR (2018) WAS A SHORT YEAR.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>363715</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>88095</DepreciationAmt>
        <BookValueAmt>275620</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>275620</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>34717</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>GOODWILL</Desc>
        <BookValueAmt>1192708</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>1741867</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2969292</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>191298</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>1758629</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>EMPLOYEE ADVANCES</Desc>
        <Amt>1224</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1951151</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>20211338</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>20211338</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>20211338</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19510590</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19510590</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19510590</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHI IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE LAW. THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, WHI MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF WHI AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME TAX (UBIT). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS RELATED TO UNCERTAIN TAX POSITIONS IDENTIFIED OR RECORDED AS LIABILITIES AT JUNE 30, 2023 AND 2022. WHI'S FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IS SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, GENERALLY FOR THREE YEARS AFTER FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE BORDON MD PHD</PersonNm>
        <TitleTxt>CEO, PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>209811</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5088</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22511</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272410</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THEO HODGE JR MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>143880</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7302</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7260</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186442</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY BONUSES WERE PAID AS DETERMINED AND APPROVED BY THE CHIEF EXECUTIVE OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS COMPLETED BY THE CEO, COO, AND ACCOUNTING FIRM. UPON COMPLETION, IT IS SENT ELECTRONICALLY TO ALL BOARD MEMBERS FOR REVIEW AND COMMENT PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL STAFF AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO A CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENTS REQUIRED TO BE MADE PUBLIC ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
