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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Terry Addison</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1416063</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>103877</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>eClinical Works</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 847950</AddressLine1Txt>
            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022847950</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR Services</ServicesDesc>
        <CompensationAmt>346624</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Strategic Tax Planning LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1828</AddressLine1Txt>
            <CityNm>Annapolis</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21404</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ERC Consultant</ServicesDesc>
        <CompensationAmt>309000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUVEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 8067</AddressLine1Txt>
            <CityNm>Carol Stream</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601978067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B Pharmacy TPA</ServicesDesc>
        <CompensationAmt>113365</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Universal Data Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1312 Distributors Row</AddressLine1Txt>
            <CityNm>New Orleans</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70123</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Info Tech Services</ServicesDesc>
        <CompensationAmt>303138</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>P&amp;C 340B</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 83665</AddressLine1Txt>
            <CityNm>Baton Rouge</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70884</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B Pharmacy Mgmt</ServicesDesc>
        <CompensationAmt>160519</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5385764</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>443649</AllOtherContributionsAmt>
      <NoncashContributionsAmt>442205</NoncashContributionsAmt>
      <TotalContributionsAmt>5829413</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient Service Revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>6579018</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6579018</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy Income</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>225953</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>225953</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Contract Revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>202020</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>202020</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Managed Care Incentives</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>55410</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55410</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>7062401</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>116597</TotalRevenueColumnAmt>
        <ExclusionAmt>116597</ExclusionAmt>
      </InvestmentIncomeGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>Miscellaneous Revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>85351</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>85351</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Tax Estimate Resolution</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>390782</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>390782</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Emp Retention Credit</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1647644</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1647644</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2123777</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>15132188</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9186178</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>116597</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>821909</TotalAmt>
        <ProgramServicesAmt>635176</ProgramServicesAmt>
        <ManagementAndGeneralAmt>186733</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6265372</TotalAmt>
        <ProgramServicesAmt>4841919</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1423453</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>141365</TotalAmt>
        <ProgramServicesAmt>98968</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42397</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>448384</TotalAmt>
        <ProgramServicesAmt>313909</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134475</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>536814</TotalAmt>
        <ProgramServicesAmt>418715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118099</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>13939</TotalAmt>
        <ProgramServicesAmt>4182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9757</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>58664</TotalAmt>
        <ProgramServicesAmt>17599</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41065</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>983082</TotalAmt>
        <ProgramServicesAmt>807074</ProgramServicesAmt>
        <ManagementAndGeneralAmt>176008</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>117969</TotalAmt>
        <ProgramServicesAmt>117969</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>146847</TotalAmt>
        <ProgramServicesAmt>125632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21215</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>684735</TotalAmt>
        <ProgramServicesAmt>657494</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27241</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>140537</TotalAmt>
        <ProgramServicesAmt>121286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19251</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>128029</TotalAmt>
        <ProgramServicesAmt>82681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45348</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>81149</TotalAmt>
        <ProgramServicesAmt>68977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12172</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>552787</TotalAmt>
        <ProgramServicesAmt>386951</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165836</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>202842</TotalAmt>
        <ProgramServicesAmt>172416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30426</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Pharmacy and Medical Supply</Desc>
        <TotalAmt>1534937</TotalAmt>
        <ProgramServicesAmt>1534937</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>160642</TotalAmt>
        <ProgramServicesAmt>41391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119251</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>206197</TotalAmt>
        <ProgramServicesAmt>175267</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30930</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Professional Development</Desc>
        <TotalAmt>86390</TotalAmt>
        <ProgramServicesAmt>19144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67246</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>96928</TotalAmt>
        <ProgramServicesAmt>32759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64169</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>13409518</TotalAmt>
        <ProgramServicesAmt>10674446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2735072</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>628007</BOYAmt>
        <EOYAmt>2269205</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>507299</BOYAmt>
        <EOYAmt>509004</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>387373</BOYAmt>
        <EOYAmt>389907</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>471655</BOYAmt>
        <EOYAmt>529110</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>136629</BOYAmt>
        <EOYAmt>206113</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>182511</BOYAmt>
        <EOYAmt>157127</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>16184963</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7406731</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9233104</BOYAmt>
        <EOYAmt>8778232</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>122542</BOYAmt>
        <EOYAmt>182518</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>8771</BOYAmt>
        <EOYAmt>8771</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>11677891</BOYAmt>
        <EOYAmt>13029987</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>559030</BOYAmt>
        <EOYAmt>731951</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2058072</BOYAmt>
        <EOYAmt>1856727</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>396689</BOYAmt>
        <EOYAmt>54539</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3013791</BOYAmt>
        <EOYAmt>2643217</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>8664100</BOYAmt>
        <EOYAmt>10386770</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8664100</BOYAmt>
        <EOYAmt>10386770</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>11677891</BOYAmt>
        <EOYAmt>13029987</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1722670</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</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="IRS990ScheduleA">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>6232295</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5986926</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6876658</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5481668</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5829413</CurrentTaxYearAmt>
        <TotalAmt>30406960</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>6560221</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5979148</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5533072</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6932444</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7062401</CurrentTaxYearAmt>
        <TotalAmt>32067286</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>12792516</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11966074</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12409730</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12414112</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12891814</CurrentTaxYearAmt>
        <TotalAmt>62474246</TotalAmt>
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      <SubstAndDsqlfyPrsnsTotGrp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>0</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>0</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>0</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>0</CurrentTaxYearAmt>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>62474246</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>105</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>141891</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>44517</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>116597</CurrentTaxYearAmt>
        <TotalAmt>303243</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>133</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>105</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>141891</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>44517</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>116597</CurrentTaxYearAmt>
        <TotalAmt>303243</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>-24699</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41411</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2123777</CurrentTaxYearAmt>
        <TotalAmt>2140489</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>12792649</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11966179</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>12526922</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12500040</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15132188</CurrentTaxYearAmt>
        <TotalAmt>64917978</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.96240</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99630</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Other income Part II line 10 or Part III line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Miscellaneous Revenue $ 85,351 Tax Estimate Resolution 390,782 Employee Retention Credit 1,647,644 Total $ 2,123,777</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <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="IRS990ScheduleD">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>851224</OtherCostOrOtherBasisAmt>
        <BookValueAmt>851224</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10498994</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3142726</DepreciationAmt>
        <BookValueAmt>7356268</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>13777</OtherCostOrOtherBasisAmt>
        <BookValueAmt>13777</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4714861</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4209368</DepreciationAmt>
        <BookValueAmt>505493</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>106107</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>54637</DepreciationAmt>
        <BookValueAmt>51470</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8778232</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Right of Use Lease Liability</Desc>
        <Amt>48565</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Interest Payable</Desc>
        <Amt>2984</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Other Liabilities</Desc>
        <Amt>2990</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>54539</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>15132188</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>15132188</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>15132188</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13409518</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>13409518</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>13409518</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALECIA CYPRIAN</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>185227</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>6000</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11313</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8806</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>211846</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COREY HALL</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>226877</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>600</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10073</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>245850</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARVIN TROTTER</PersonNm>
        <TitleTxt>Podiatrist</TitleTxt>
        <BaseCompensationFilingOrgAmt>158496</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>9187</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168197</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other non-fixed payments (Part I, line 7)</FormAndLineReferenceDesc>
        <ExplanationTxt>Christmas Bonuses</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>20253</ContributionCnt>
        <NoncashContributionsRptF990Amt>442205</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Retail Value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members will review an electronic copy of Form 990 prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Conflicts of interest are monitored and enforced on an ongoing basis by human resources and the CEO. Vendors are selected to provide a service for the health center and are chosen based on need, cost and quality of services, not by their relationship status to any employee, director, etc. Management strives to not only have no conflicts of interest in accordance with its policies, but to avoid any appearance of conflicts whatsoever.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors reviews the qualifications of the Chief Executive Officer and decides on compensation based on experience and qualifications, along with salary scales developed by the National Association of Community Health Centers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors reviews the qualifications of the key employees and decides on compensation based on experience and qualifications, along with salary scales developed by the National Association of Community Health Centers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organizations governing documents and various policies are made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>