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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR LAWRENCE VITULANO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MORI HERNANDEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENRY LUGO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAS STERBACK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR MEG M ZAYAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REVEREND STACK</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSA FERNANDEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNEMARIE MANGIALASCHI</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARSHALL TOUPONSE ESQ</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE MOYE</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MILLIE SEGUINOT</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2853973</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>49</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RIBI SECURITY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>14 INTERNATIONAL WAY</AddressLine1Txt>
            <CityNm>WARWICK</CityNm>
            <StateAbbreviationCd>RI</StateAbbreviationCd>
            <ZIPCd>02886</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>517300</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UCONN MEDICAL SCHOOL</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>263 FARMINGTON AVE</AddressLine1Txt>
            <CityNm>FARMINGTON</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06030</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DENTAL SERVICES</ServicesDesc>
        <CompensationAmt>556253</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>PREMIER MAINTENANCE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>855 MAIN STREET</AddressLine1Txt>
            <CityNm>BRIDGEPORT</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06604</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>OFFICE CLEANING</ServicesDesc>
        <CompensationAmt>633941</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>LANGUAGE LINE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1 LOWER RAGSDALE DRIVE BUILDING 2</AddressLine1Txt>
            <CityNm>MONTEREY</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93940</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERPRETATION</ServicesDesc>
        <CompensationAmt>899425</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>10076913</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>85531</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3684897</NoncashContributionsAmt>
      <TotalContributionsAmt>10162444</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18520363</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18520363</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>11896238</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11896238</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GOVERNMENT CONTRACTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2445605</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2445605</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SERVICE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2832458</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2832458</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>35694664</TotalProgramServiceRevenueAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>45857108</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>35694664</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1447805</TotalAmt>
        <ManagementAndGeneralAmt>1447805</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>19437350</TotalAmt>
        <ProgramServicesAmt>16100753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3336597</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>126287</TotalAmt>
        <ManagementAndGeneralAmt>126287</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4010576</TotalAmt>
        <ProgramServicesAmt>3132139</ProgramServicesAmt>
        <ManagementAndGeneralAmt>878437</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <OccupancyGrp>
        <TotalAmt>1140510</TotalAmt>
        <ProgramServicesAmt>1130416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10094</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>17710</TotalAmt>
        <ProgramServicesAmt>7784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9926</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>264503</TotalAmt>
        <ProgramServicesAmt>263590</ProgramServicesAmt>
        <ManagementAndGeneralAmt>913</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1743329</TotalAmt>
        <ProgramServicesAmt>1030637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>712692</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>182460</TotalAmt>
        <ProgramServicesAmt>166597</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15863</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>WIC FOOD BENEFITS</Desc>
        <TotalAmt>2701028</TotalAmt>
        <ProgramServicesAmt>2701028</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTUAL SERVICES &amp; PROF</Desc>
        <TotalAmt>3549944</TotalAmt>
        <ProgramServicesAmt>3204397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>345547</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATED MATERIALS</Desc>
        <TotalAmt>983869</TotalAmt>
        <ProgramServicesAmt>983869</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONSUMABLE SUPPLIES</Desc>
        <TotalAmt>836967</TotalAmt>
        <ProgramServicesAmt>768281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68686</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>10727021</TotalAmt>
        <ProgramServicesAmt>9535806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1191215</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>47169359</TotalAmt>
        <ProgramServicesAmt>39025297</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8144062</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>8449435</BOYAmt>
        <EOYAmt>4441878</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>831371</BOYAmt>
        <EOYAmt>935551</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4521765</BOYAmt>
        <EOYAmt>6728928</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>483767</BOYAmt>
        <EOYAmt>163340</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>32009202</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>16436850</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16113228</BOYAmt>
        <EOYAmt>15572352</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>153969</BOYAmt>
        <EOYAmt>2858647</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>30553535</BOYAmt>
        <EOYAmt>30700696</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2570894</BOYAmt>
        <EOYAmt>1701558</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>343751</BOYAmt>
        <EOYAmt>182500</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5298447</BOYAmt>
        <EOYAmt>5092326</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>2732374</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>8213092</BOYAmt>
        <EOYAmt>9708758</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>22340443</BOYAmt>
        <EOYAmt>20991938</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>22340443</BOYAmt>
        <EOYAmt>20991938</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>30553535</BOYAmt>
        <EOYAmt>30700696</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1312251</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-36254</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="990A">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>72090</OtherCostOrOtherBasisAmt>
        <BookValueAmt>72090</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>16916181</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8360855</DepreciationAmt>
        <BookValueAmt>8555326</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5099390</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1698864</DepreciationAmt>
        <BookValueAmt>3400526</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9646435</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6239578</DepreciationAmt>
        <BookValueAmt>3406857</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>275106</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>137553</DepreciationAmt>
        <BookValueAmt>137553</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>15572352</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT CHN</Desc>
        <BookValueAmt>83333</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>51093</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERRATING LEASES</Desc>
        <BookValueAmt>2724221</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2858647</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASES LIABILITY</Desc>
        <Amt>2732374</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2732374</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>45866108</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>9000</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>9000</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>45857108</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>45857108</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>47178359</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>9000</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>9000</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>47169359</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>47169359</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS TAKEN BY SOUTHWEST AS OF THAT DATE. TAX YEARS ENDED JULY 31, 2020 THROUGH JULY 31, 2023 REMAIN SUBJECT TO EXAMINATION BY MAJOR TAX JURISDICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <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>DARA RICHARDS</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>248015</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>248015</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIMITRI HRISOVULOS</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>200355</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>200355</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS KRAUSE</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>201070</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>201070</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY WILTSE</PersonNm>
        <TitleTxt>CHIEF BEHAVIORAL HEALTH OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>151376</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>151376</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HADRIAN HOLDER</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>299653</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>299653</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PIERRE ESTIME</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>229262</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229262</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANJEEV RAO</PersonNm>
        <TitleTxt>INTERNIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>275218</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>275218</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MOLLIE L MELBOURNE</PersonNm>
        <TitleTxt>CEOPRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>250138</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>250138</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ARASHINDER DHALIWAL</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>318730</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>318730</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD WINTERMUTE</PersonNm>
        <TitleTxt>OBGYN PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>283305</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>283305</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>992869</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>WIC VOUCHERS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>2701028</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS VOTED TO HAVE THE AUDIT COMMITTEE REVIEW FORM 990 PRIOR TO ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS ASKED TO COMPLETE CONFLICT OF INTEREST FORMS AT EACH ANNUAL MEETING, EVERY JULY. STATEMENTS ARE KEPT ON FILE. BOARD MEMBERS ARE REQUIRED TO DISCLOSE TO THE BOARD ANY POTENTIAL CONFLICTS WHICH WOULD IMPACT OR AFFECT SWCHC. ALL EMPLOYEES ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM AND A SECONDARY EMPLOYMENT FORM THAT MUST BE APPROVED BY THE PRESIDENT/CEO. THE PURPOSE OF THE FORM IS TO REVIEW FOR POSSIBLE CONFLICT OF INTERESTS WITH SWCHC. ANY EMPLOYEE, WHO ACQUIRES A SECOND JOB, MUST COMPLETE A FORM AT THAT TIME. THE FORMS ARE KEPT ON FILE AND REVIEWED, PARTICULARLY IF A QUESTIONABLE WORKERS COMP SITUATION SHOULD ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE PRESIDENT/CEO IS PROPOSED BY THE EXECUTIVE COMMITTEE, UPON COMPLETION OF THE PRESIDENT/CEOS ANNUAL EVALUATION AND PRESENTED TO THE FULL BOARD FOR APPROVAL. SALARY IS DEPENDENT UPON SEVERAL FACTORS SUCH AS EXPERIENCE AND LEVEL OF FRINGE BENEFITS NEEDED. THE CHIEF HUMAN RESOURCES OFFICER EVERY TWO YEARS REVIEWS AND UPGRADES SALARY RANGES VIA COMPARISON OF LOCAL, STATE AND REGIONAL COMPENSATION DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT/CEO IS RESPONSIBLE FOR HIRING ALL PERSONNEL AND CONSULTANTS AND SETS THE SALARY UPON HIRE. SALARY IS DEPENDENT UPON SEVERAL FACTORS SUCH AS EXPERIENCE AND LEVEL OF FRINGE BENEFITS NEEDED. THE CHIEF HUMAN RESOURCES OFFICER EVERY TWO YEARS REVIEWS AND UPGRADES SALARY RANGES VIA COMPARISON OF LOCAL, STATE AND REGIONAL COMPENSATION DATA. ANNUAL MERIT ADJUSTMENTS ARE GIVEN TO ELIGIBLE EMPLOYEES DEPENDENT UPON THE HEALTH CENTERS BUDGET PROJECTION FOR THE NEXT FISCAL YEAR, WITH THE APPROVAL OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INFORMATION IS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Explanation of other changes in net assets or fund balances Part XI line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPLEMENTATION OF ASC 842 FOR OPERATING LEASES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other expenses Part IX line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACEUTICALS- 7,778,369LABORATORY- 58,428REPAIRS AND MAINTENANCE- 197,087TELEPHONE- 292,561STAFF TRAINING- 48,443SUBSCRIPTIONS- 322,080POSTAGE- 54,312DATA PROCESSING- 1,663,478PERSONNEL RECRUITMENT- 13,881PUBLIC INFORMATION- 189,311PATIENT TRANSPORTATION- 17,260MISCELLANEOUS- 91,811</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI response or note to any line in Part XI</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPLEMENTATION OF ASC 842 FOR OPERATING LEASES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>General explanation attachment</FormAndLineReferenceDesc>
        <ExplanationTxt>PART XII, LINE 2CTHE AUDIT COMMITTEE AND THE BOARD REVIEWS AND APPROVES THE AUDIT. A COPY IS PROVIDED TO THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>