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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSIE BEAL</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>174464</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3948</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY REID</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>153370</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4275</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VALENCIA MCNABB</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>131717</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CORBI MILLIGAN</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER (FROM 08/25)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125034</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1710</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR MAHMOOD ZAIED</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>667659</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3949</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR SHABNAM GUARD</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>414025</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4000</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR GEORGE THOMAS</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>344709</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4101</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR ABDULSATTAR ZIDAN</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>419468</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4520</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DR JEFFERY FORD</PersonNm>
        <TitleTxt>DOCTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>288242</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4072</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3232342</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>49175</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>35</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RUSSELL CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6101 BREWBAKER BLVD</AddressLine1Txt>
            <CityNm>MONTGOMERY</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36116</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION SERVICES</ServicesDesc>
        <CompensationAmt>659601</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DA POP ADVERTISING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 583</AddressLine1Txt>
            <CityNm>WETUMPKA</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36092</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING SERVICES</ServicesDesc>
        <CompensationAmt>313417</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KEMCO FACILITIES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5750 BELL CIRCLE</AddressLine1Txt>
            <CityNm>MONTGOMERY</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36116</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
        <CompensationAmt>288854</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE REGION HR CONSULTING FIRM LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2261 CONG WL DICKINSON DR</AddressLine1Txt>
            <CityNm>MONTGOMERY</CityNm>
            <StateAbbreviationCd>AL</StateAbbreviationCd>
            <ZIPCd>36117</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PERSONNEL - HUMAN RESOURES</ServicesDesc>
        <CompensationAmt>180828</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RHMP HOLDINGS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <ForeignAddress>
            <AddressLine1Txt>170 INGLEWOOD DRIVE</AddressLine1Txt>
            <CityNm>MISSISSAUGA</CityNm>
            <ProvinceOrStateNm>ONTARIO</ProvinceOrStateNm>
            <CountryCd>CA</CountryCd>
            <ForeignPostalCd>36116</ForeignPostalCd>
          </ForeignAddress>
        </ContractorAddress>
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        <CompensationAmt>175835</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>8916</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>9097578</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>77553</AllOtherContributionsAmt>
      <NoncashContributionsAmt>77553</NoncashContributionsAmt>
      <TotalContributionsAmt>9184047</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>524114</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>13503343</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>524292</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>3566796</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>524292</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1710497</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>377004</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MOREHOUSE CLINICAL PROGRAM</Desc>
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        <RelatedOrExemptFuncIncomeAmt>60976</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>22535</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>105188</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>6072</ExclusionAmt>
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        <Desc>HEALTH MANAGEMENT REPORT</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>376991</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>23655</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>4944</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>367656</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>36494</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>80300</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>17178</ProgramServicesAmt>
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        <ProgramServicesAmt>21912</ProgramServicesAmt>
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        <ProgramServicesAmt>878016</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22993</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>81886</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44186</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>33082</ProgramServicesAmt>
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        <ProgramServicesAmt>656</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1432082</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>20153393</ProgramServicesAmt>
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        <EOYAmt>11473245</EOYAmt>
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        <EOYAmt>2373629</EOYAmt>
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        <EOYAmt>500</EOYAmt>
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        <EOYAmt>403889</EOYAmt>
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        <EOYAmt>286577</EOYAmt>
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        <EOYAmt>411612</EOYAmt>
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        <EOYAmt>1380345</EOYAmt>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus2YearsAmt>10868072</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>9583974</CurrentTaxYearMinus1YearAmt>
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