<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-03-07T18:52:31-05:00</ReturnTs>
    <TaxPeriodEndDt>2023-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>580914992</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DRAFFIN &amp; TUCKER LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 71309</AddressLine1Txt>
        <CityNm>ALBANY</CityNm>
        <StateAbbreviationCd>GA</StateAbbreviationCd>
        <ZIPCd>317081309</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>571095992</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>TANDEM HEALTH SC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>TAND</BusinessNameControlTxt>
      <PhoneNum>8037744500</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1278 NORTH LAFAYETTE DR</AddressLine1Txt>
        <CityNm>SUMTER</CityNm>
        <StateAbbreviationCd>SC</StateAbbreviationCd>
        <ZIPCd>29150</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ANNIE BROWN</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>8037744500</PhoneNum>
      <SignatureDt>2024-03-06</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>ANNIE</PersonFirstNm>
        <PersonLastNm>BROWN</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>WILLIAM EDWARD PHILLIPS</PreparerPersonNm>
      <PTIN>P00451499</PTIN>
      <PhoneNum>2298837878</PhoneNum>
      <PreparationDt>2024-03-07</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5">
      <PrincipalOfficerNm>ANNIE BROWN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>550 S PIKE WEST</AddressLine1Txt>
        <CityNm>SUMTER</CityNm>
        <StateAbbreviationCd>SC</StateAbbreviationCd>
        <ZIPCd>29150</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>30692698</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>HTTPS:/TANDEMHEALTHSC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1999</FormationYr>
      <LegalDomicileStateCd>SC</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TANDEM HEALTH SC IS A COMPREHENSIVE PRIMARY HEALTHCARE PRACTICE DEDICATED TO BUILDING A HEALTHY COMMUNITY AND IMPROVING THE HEALTH, WELL-BEING, AND QUALITY OF LIFE OF EACH PERSON SERVED.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>13</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>13</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>299</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>4043336</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>6251245</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>21090488</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>23386177</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-4225</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>59253</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>603560</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>984725</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>25733159</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>30681400</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>6318</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>6692</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>16634219</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>17434040</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>9333163</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>11251844</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>25973700</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>28692576</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-240541</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1988824</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>17324231</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>21833592</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>8910044</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>11472651</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>8414187</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>10360941</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TANDEM HEALTH SC IS A COMPREHENSIVE PRIMARY HEALTHCARE PRACTICE DEDICATED TO BUILDING A HEALTHY COMMUNITY AND IMPROVING THE HEALTH, WELL-BEING, AND QUALITY OF LIFE OF EACH PERSON SERVED.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>22222979</ExpenseAmt>
      <GrantAmt>6692</GrantAmt>
      <RevenueAmt>24370902</RevenueAmt>
      <Desc>TANDEM HEALTH SC (THS) IS A 501(C)(3) NOT-FOR-PROFIT COMMUNITY HEALTH CENTER LOCATED IN SUMTER, SOUTH CAROLINA. OUR ORGANIZATIONAL MISSION AND VISION IS FOCUSED ON THE CONTINUOUS PURSUIT OF ADDRESSING, NOT ONLY THE SHORTAGE OF HEALTHCARE SERVICES WITHIN SUMTER COUNTY, BUT ALSO THE SOCIAL DETERMINANTS THAT OFTEN PREVENT PATIENTS FROM ACCESSING AND/OR FULLY UTILIZING THE HEALTH RESOURCES MADE AVAILABLE TO THEM. TODAY, THS EMPLOYS, IN ADDITION TO ITS 40 PLUS MEDICAL PROVIDERS, A VARIETY OF HEALTHCARE PROFESSIONALS TO ASSIST PATIENTS WITH SUCH THINGS AS MEDICAL CASE MANAGEMENT, NUTRITION, BEHAVIORAL HEALTH, TRANSPORTATION, AND SUBSTANCE ABUSE DISORDERS. THS, WITH ITS MODEST ORIGINS AS A SMALL MEDICAL PRACTICE ADMINISTERING ONLY PRIMARY CARE AND WOMEN'S HEALTH SERVICES, SET OUT ON A JOURNEY TO PROVIDE HIGH-QUALITY HEALTHCARE TO THE LOCAL COMMUNITY ALL THE WHILE EVALUATING ADDITIONAL SERVICE LINES THAT BENEFITED BOTH THE PATIENTS AND THEIR FAMILIES. DURING FY 2023, THS HAD A TOTAL OF 85,899 PRIMARY HEALTH AND 1,126 HIV ENCOUNTERS.</Desc>
      <TotalProgramServiceExpensesAmt>22222979</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc6">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">true</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>20</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>299</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>13</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>13</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>PERRY MORRIS</PersonNm>
        <PhoneNum>8037746457</PhoneNum>
        <USAddress>
          <AddressLine1Txt>548 S PIKE WEST</AddressLine1Txt>
          <CityNm>SUMTER</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
          <ZIPCd>29150</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOEL SNIPE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>319725</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16631</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GISELLE CHANDLER MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>300168</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12488</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID JUSTICE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>272891</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14422</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID C TURELL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>233275</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25483</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUSSELL VICTOR BRANT MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>232959</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21593</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNIE BROWN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>201216</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11585</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PERRY MORRIS</PersonNm>
        <TitleTxt>CONTROLLER/C</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>105963</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18056</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY TOLBERTTERM 0223</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALTAVIA BOYDTERM 0323</PersonNm>
        <TitleTxt>VICE CHAIRWO</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANESHA EDWARDS TERM 0323</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN GARRYTERM 0623</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACK BARNESTERM 0823</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA BLEVINSTERM 1122</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHERYL BEAUFORTTERM 1222</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEIDI ADLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINA CRUZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOEY DUGGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HETHER ENZOR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONATHAN FLINCHUM</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAGE HILTON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MURIEL JOHNSON</PersonNm>
        <TitleTxt>VICE-CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOY LAWSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JODI ROBBINS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SELENA SMITH</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAVON WHITE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYDIA WOODS-JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CONTESSA WRIGHT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1666197</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>120258</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>31</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CROSS COUNTRY LOCUM TENENS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 277185</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303877185</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LOCUM TENENS</ServicesDesc>
        <CompensationAmt>651569</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5375877</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>875368</AllOtherContributionsAmt>
      <TotalContributionsAmt>6251245</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>21646235</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21646235</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACEUTICAL CONTRACTS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1739942</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1739942</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>23386177</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>70551</TotalRevenueColumnAmt>
        <ExclusionAmt>70551</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>11298</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-11298</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-11298</TotalRevenueColumnAmt>
        <ExclusionAmt>-11298</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>INCENTIVE REVENUES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>460000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>460000</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAID WRAP-AROUND PAYMENT</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>187274</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>187274</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>RESIDENCE COLLABORATIVE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>170326</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>170326</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>167125</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>167125</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>984725</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30681400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24370902</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>59253</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>3050</TotalAmt>
        <ProgramServicesAmt>3050</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>3642</TotalAmt>
        <ProgramServicesAmt>3642</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>297740</TotalAmt>
        <ManagementAndGeneralAmt>297740</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>14483362</TotalAmt>
        <ProgramServicesAmt>11556015</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2927347</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>180940</TotalAmt>
        <ProgramServicesAmt>149456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31484</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1415590</TotalAmt>
        <ProgramServicesAmt>1189053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226537</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1056408</TotalAmt>
        <ProgramServicesAmt>851465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>204943</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>74575</TotalAmt>
        <ManagementAndGeneralAmt>74575</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>23394</TotalAmt>
        <ManagementAndGeneralAmt>23394</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2707800</TotalAmt>
        <ProgramServicesAmt>2561461</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146339</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>318722</TotalAmt>
        <ProgramServicesAmt>43482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>275240</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1418080</TotalAmt>
        <ProgramServicesAmt>1105108</ProgramServicesAmt>
        <ManagementAndGeneralAmt>312972</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1037626</TotalAmt>
        <ProgramServicesAmt>132521</ProgramServicesAmt>
        <ManagementAndGeneralAmt>905105</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>276952</TotalAmt>
        <ProgramServicesAmt>248897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28055</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>33897</TotalAmt>
        <ProgramServicesAmt>20029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13868</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>138204</TotalAmt>
        <ProgramServicesAmt>30924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107280</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>283980</TotalAmt>
        <ManagementAndGeneralAmt>283980</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>763109</TotalAmt>
        <ProgramServicesAmt>468091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>295018</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>21997</TotalAmt>
        <ManagementAndGeneralAmt>21997</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>3544429</TotalAmt>
        <ProgramServicesAmt>3544429</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>323808</TotalAmt>
        <ProgramServicesAmt>310147</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13661</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>205995</TotalAmt>
        <ManagementAndGeneralAmt>205995</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES &amp; TAXES</Desc>
        <TotalAmt>67391</TotalAmt>
        <ManagementAndGeneralAmt>67391</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>11885</TotalAmt>
        <ProgramServicesAmt>5209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6676</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>28692576</TotalAmt>
        <ProgramServicesAmt>22222979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6469597</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>3870089</BOYAmt>
        <EOYAmt>3983104</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>76687</BOYAmt>
        <EOYAmt>530262</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>162710</BOYAmt>
        <EOYAmt>124968</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>847459</BOYAmt>
        <EOYAmt>1152293</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>162830</BOYAmt>
        <EOYAmt>231519</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>111616</BOYAmt>
        <EOYAmt>197300</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>14380170</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3366380</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10810438</BOYAmt>
        <EOYAmt>11013790</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1282402</BOYAmt>
        <EOYAmt>4600356</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>17324231</BOYAmt>
        <EOYAmt>21833592</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1892978</BOYAmt>
        <EOYAmt>1887166</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>35901</BOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6531522</BOYAmt>
        <EOYAmt>5735047</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>449643</BOYAmt>
        <EOYAmt>3850438</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>8910044</BOYAmt>
        <EOYAmt>11472651</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8387459</BOYAmt>
        <EOYAmt>10334213</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>26728</BOYAmt>
        <EOYAmt>26728</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8414187</BOYAmt>
        <EOYAmt>10360941</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>17324231</BOYAmt>
        <EOYAmt>21833592</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1988824</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-42070</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2855657</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3101489</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7086637</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4043336</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6251245</CurrentTaxYearAmt>
        <TotalAmt>23338364</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2855657</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3101489</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>7086637</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4043336</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6251245</CurrentTaxYearAmt>
        <TotalAmt>23338364</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>23338364</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>781</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1497</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3620</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5964</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>70551</CurrentTaxYearAmt>
        <TotalAmt>82413</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>23420777</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>99764713</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99650</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99930</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>26728</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>26728</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>26728</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>26728</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>26728</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>26728</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <ContributionsAmt>26728</ContributionsAmt>
        <EndYearBalanceAmt>26728</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.28910</BoardDesignatedBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.71090</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>132766</OtherCostOrOtherBasisAmt>
        <BookValueAmt>132766</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9820980</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1290724</DepreciationAmt>
        <BookValueAmt>8530256</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1424934</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>881829</DepreciationAmt>
        <BookValueAmt>543105</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2097431</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1193827</DepreciationAmt>
        <BookValueAmt>903604</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>904059</OtherCostOrOtherBasisAmt>
        <BookValueAmt>904059</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>11013790</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>3017851</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>657481</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEFERRED COMPENSATION PLAN</Desc>
        <BookValueAmt>470878</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>FINANCE LEASE RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>277665</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DERIVATIVE FINANCIAL INSTRUMENTS</Desc>
        <BookValueAmt>96481</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <BookValueAmt>80000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4600356</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>3017851</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>470878</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITY</Desc>
        <Amt>306373</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
        <Amt>55336</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>3850438</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>30650628</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-42070</OtherRevenueAmt>
      <RevenueNotReportedAmt>-42070</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30692698</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-11298</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-11298</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>30681400</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>28703874</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>11298</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>11298</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>28692576</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>28692576</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS ARE RESTRICTED FOR THE SUPPORT OF PATIENTS IN NEED OR OTHER HEALTHCARE NEEDS OF THE COMMUNITY WHILE THE TEMPORARILY RESTRICTED FUNDS CONSIST OF FUNDS DONATED FOR A VEHICLE PURCHASE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOEM TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THE EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2023 OR 2022 OR FOR THE YEARS THEN ENDED. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMIAN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES IF THISE RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>SWAP VALUATION -42,070</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASSIFIED ITEMS -11,298</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASSIFED ITEMS 11,298</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOEL SNIPE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>318725</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>3691</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12940</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>336356</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GISELLE CHANDLER MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>299168</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>3648</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8840</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312656</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID JUSTICE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>271891</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2300</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12122</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>287313</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID C TURELL MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>232275</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2942</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22541</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>258758</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL VICTOR BRANT MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>231959</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2913</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18680</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>254552</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNIE BROWN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>200216</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2455</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9130</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>212801</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS/INCENTIVE PAY EMPLOYEES AND OFFICERS PARTICIPATE IN AN INCENTIVE COMPENSATION PLAN UNDER WHICH ANNUAL YEAR-END BONUSES ARE PAID BASED ON INDIVIDUAL AND CORPORATE- WIDE ACHIEVEMENT OF SPECIFIC GOALS AND OBJECTIVES. ONE SUCH GOAL RELATES TO THE ORGANIZATION'S NET INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>TANDEM HEALTH SC (THS) IS A 501(C)(3) NOT-FOR-PROFIT COMMUNITY HEALTH CENTER LOCATED IN SUMTER, SOUTH CAROLINA. OUR ORGANIZATIONAL MISSION AND VISION IS FOCUSED ON THE CONTINUOUS PURSUIT OF ADDRESSING, NOT ONLY THE SHORTAGE OF HEALTHCARE SERVICES WITHIN SUMTER COUNTY, BUT ALSO THE SOCIAL DETERMINANTS THAT OFTEN PREVENT PATIENTS FROM ACCESSING AND/OR FULLY UTILIZING THE HEALTH RESOURCES MADE AVAILABLE TO THEM. TODAY, THS EMPLOYS, IN ADDITION TO ITS 40 PLUS MEDICAL PROVIDERS, A VARIETY OF HEALTHCARE PROFESSIONALS TO ASSIST PATIENTS WITH SUCH THINGS AS MEDICAL CASE MANAGEMENT, NUTRITION, BEHAVIORAL HEALTH, TRANSPORTATION, AND SUBSTANCE ABUSE DISORDERS. THS, WITH ITS MODEST ORIGINS AS A SMALL MEDICAL PRACTICE ADMINISTERING ONLY PRIMARY CARE AND WOMEN'S HEALTH SERVICES, SET OUT ON A JOURNEY TO PROVIDE HIGH-QUALITY HEALTHCARE TO THE LOCAL COMMUNITY ALL THE WHILE EVALUATING ADDITIONAL SERVICE LINES THAT BENEFITED BOTH THE PATIENTS AND THEIR FAMILIES. DURING FY 2023, THS HAD A TOTAL OF 85,899 PRIMARY HEALTH AND 1,126 HIV ENCOUNTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND BOARD MEMBERS ARE PROHIBITED FROM ANY REAL OR APPARENT CONFLICTS OF INTEREST ASSOCIATED WITH FEDERAL FUND EXPENDITURES. EMPLOYEES COMPLETE AND SIGN A CONFLICT OF INTEREST ANNUAL DISCLOSURE QUESTIONNAIRE ANNUALLY. TANDEM HEALTH SC SEEKS OUT COMPETITIVE BIDS REJECTING ANY BIDS OR OFFERS WHEN IT IS IN TANDEM HEALTH SC'S BEST INTEREST TO DO SO. ANY POTENTIAL CONFLICTS ARE ADDRESSED BY THE CORPORATE COMPLIANCE OFFICER, IN CONSULTATION WITH THE CEO, AS APPROPRIATE. OUTSIDE EMPLOYMENT THAT POSES A CONFLICT OF INTEREST IS NOT APPROVED. BOARD MEMBERS WHO VIOLATE THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO VERBAL OR WRITTEN WARNING, OR IN SEVERE CASES, REMOVAL FROM THE BOARD OF DIRECTORS. AT A MINIMUM, BOARD MEMBERS MUST RECUSE THEMSELVES FROM DISCUSSION OR VOTE ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>TANDEM HEALTH SC HAS ESTABLISHED SALARY RANGES APPROVED BY ITS BOARD OF DIRECTORS FOR ALL POSITIONS IN THE ORGANIZATION, INCLUDING THE CEO POSITION. WHEN REVIEWING THE CEO'S SALARY FOR POSSIBLE INCREASE, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS FQHC STATE SALARY DATA FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION'S BIENNIAL COMPENSATION SURVEY, AS WELL AS STATE, REGIONAL AND NATIONAL SALARY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' ANNUAL COMPENSATION SURVEY. THE CEO'S SALARY IS TYPICALLY REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD FOLLOWING COMPLETION AND REVIEW OF HER ANNUAL PERFORMANCE APPRAISAL. THE BOARD MUST APPROVE ANY SALARY ADJUSTMENTS FOR THE CEO. BOARD ACTION REGARDING CEO SALARY IS RECORDED IN MEETING MINUTES, AND A HUMAN RESOURCES STATUS FORM IS SIGNED BY THE BOARD CHAIRPERSON AND KEPT IN THE CEO'S EMPLOYEE FILE IN HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SAME SALARY SURVEYS LISTED ABOVE ARE USED BY THE CEO WHEN DETERMINING AND APPROVING SALARIES FOR MEMBERS OF EXECUTIVE LEADERSHIP, AS WELL AS PROVIDER POSITIONS. ANY HIRES OR SALARY ADJUSTMENTS MUST BE APPROVED BY THE CEO ON A HUMAN RESOURCES STATUS FORM AND ARE KEPT IN EACH EMPLOYEE'S FILE IN HUMAN RESOURCES. PERIODICALLY, TANDEM HEALTH'S COMPENSATION PLAN AND SALARY RANGES ARE EVALUATED BY AN INDEPENDENT COMPENSATION ANALYST. THE COMPENSATION PLAN AND SALARY RANGES ARE APPROVED BY THE BOARD OF DIRECTORS AND RECORDED IN MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>SWAP VALUATION ADJUSTMENT -42,070</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
