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        <AverageHoursPerWeekRt>45.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>188551</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11963</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW BAUER</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>245765</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21428</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA HARTMAN</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>115655</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27392</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA BAILEY</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>37.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>128945</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11113</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL LITTLE</PersonNm>
        <TitleTxt>CFO (BEGAN 09/2024)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>32535</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7512</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY WEATHERINGTON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>207865</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1697</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL WHALEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>195810</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33662</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN DUBOSE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151405</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9204</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEY COLLINS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>31.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>143059</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12238</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KELSEY NEAL</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>138335</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8877</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1710513</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>145086</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUVEM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>161 GAITHER DR STE 201</AddressLine1Txt>
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            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>08054</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>THIRD PARTY PHARMACY MANAGEMENT</ServicesDesc>
        <CompensationAmt>837339</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OHIO SHARED INFORMATION SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 772852</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60670</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>704414</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63179</ZIPCd>
          </USAddress>
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        <ServicesDesc>THIRD PARTY BILLING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FORVIS MAZARS LLP</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 602828</AddressLine1Txt>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>FINANCIAL CONSULTING</ServicesDesc>
        <CompensationAmt>171998</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARK SPAULDING CONSTRUCTION CO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5785 CONSTITUTION DR SUITE C</AddressLine1Txt>
            <CityNm>FLORENCE</CityNm>
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            <ZIPCd>41042</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>160971</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2686040</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>322542</AllOtherContributionsAmt>
      <TotalContributionsAmt>3008582</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE &amp; MEDICAID</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>6423025</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6423025</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>4769143</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4769143</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER OPERATING INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1515463</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1515463</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>931986</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>931986</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13639617</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>35432</TotalRevenueColumnAmt>
        <ExclusionAmt>35432</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16683631</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13639617</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>35432</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>953447</TotalAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>5614190</ProgramServicesAmt>
        <ManagementAndGeneralAmt>880052</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>27466</TotalAmt>
        <ProgramServicesAmt>22183</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>509213</TotalAmt>
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      <PayrollTaxesGrp>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>227068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>119120</ManagementAndGeneralAmt>
        <FundraisingAmt>289</FundraisingAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>32999</TotalAmt>
        <ManagementAndGeneralAmt>32999</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>79500</TotalAmt>
        <ManagementAndGeneralAmt>79500</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>960578</TotalAmt>
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        <ProgramServicesAmt>3103</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>568459</ProgramServicesAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>41396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>315525</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>581</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6630</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>50775</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96364</ManagementAndGeneralAmt>
        <FundraisingAmt>95</FundraisingAmt>
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        <ProgramServicesAmt>2469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125545</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>144306</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>89389</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>340B PHARMACY EXPENSE</Desc>
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        <ProgramServicesAmt>3207698</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL &amp; DENTAL SUPPLI</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>10652</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>38656</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>49965</TotalAmt>
        <ProgramServicesAmt>16050</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33915</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>11920535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3955421</ManagementAndGeneralAmt>
        <FundraisingAmt>44155</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>127600</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>159664</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1247049</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>221135</EOYAmt>
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        <EOYAmt>7624892</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>78082</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>11380552</EOYAmt>
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        <EOYAmt>1256002</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>93652</BOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>78082</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3665241</BOYAmt>
        <EOYAmt>3596801</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>7585471</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>198280</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>7783751</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>11380552</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>763520</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1380</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>299612</OtherCostOrOtherBasisAmt>
        <BookValueAmt>299612</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10296995</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4705910</DepreciationAmt>
        <BookValueAmt>5591085</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>289909</DepreciationAmt>
        <BookValueAmt>834174</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>985601</DepreciationAmt>
        <BookValueAmt>629448</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>614088</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>343515</DepreciationAmt>
        <BookValueAmt>270573</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7624892</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT-OF-USE LIABILITIES</Desc>
        <Amt>78082</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>78082</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>16824211</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1380</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>139200</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>140580</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16683631</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16683631</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16059311</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>139200</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>139200</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15920111</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15920111</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT OF THE ORGANIZATION IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE ORGANIZATION IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY TAX POSITIONS FOR WHICH IT IS REASONABLY POSSIBLE THAT THE TOTAL AMOUNTS OF UNRECOGNIZED TAX BENEFITS WILL SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. HOWEVER, MANAGEMENT'S CONCLUSIONS MAY BE SUBJECT TO REVIEW AND ADJUSTMENT LATER BASED ON FACTORS INCLUDING, BUT NOT LIMITED TO, NEW TAX LAWS, REGULATIONS, AND ADMINISTRATIVE INTERPRETATIONS (INCLUDING RELEVANT COURT DECISIONS). THE ORGANIZATION'S FEDERAL TAX RETURNS FOR THE PRIOR THREE FISCAL YEARS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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        <PersonNm>MATTHEW BAUER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL WHALEN</PersonNm>
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        <TotalCompensationFilingOrgAmt>229472</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY WEATHERINGTON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>1697</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>209562</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOLENE JOSEPH</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1521</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10442</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200514</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNDA RIDDLE</PersonNm>
        <TitleTxt>CDO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHLEEN DUBOSE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>160609</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY COLLINS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>143059</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12238</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155297</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS AUTHORIZE AN EXECUTIVE COMMITTEE, COMPOSED OF THE BOARD CHAIR, CHAIR-ELECT, SECRETARY, TREASURER, IMMEDIATE PAST-CHAIR, ALL STANDING COMMITTEE CHAIRS, AND THE CHIEF EXECUTIVE OFFICER (EX-OFFICIO, NON-VOTING). THE EXECUTIVE COMMITTEE IS EMPOWERED TO ACT ON BEHALF OF THE FULL BOARD BETWEEN REGULARLY SCHEDULED MEETINGS AND IN EMERGENCIES OR UNFORESEEN CIRCUMSTANCES. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE REPORTED TO THE FULL BOARD AT THE NEXT BOARD MEETING. NO OTHER COMMITTEE IS AUTHORIZED TO ACT FOR THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY MANAGEMENT AND THE FINANCE COMMITTEE TO ENSURE THAT ALL INFORMATION IS CORRECT AND ACCURATE. THE FINAL 990 IS PRESENTED TO THE BOARD BY THE FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF TRUSTEES HAS ESTABLISHED, ADOPTED, AND PERIODICALLY UPDATES A WRITTEN CORPORATE POLICY THAT SETS FORTH PROCEDURES FOR DISCLOSING AND ADDRESSING CONFLICTS OF INTEREST, OR THE APPEARANCE OF CONFLICTS OF INTEREST, INVOLVING TRUSTEES, OFFICERS, EMPLOYEES, CONSULTANTS, AND AGENTS WHO PROVIDE SERVICES OR GOODS TO THE CORPORATION. TRUSTEES ARE REQUIRED TO SIGN THE CORPORATION'S CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY IN ACCORDANCE WITH THIS POLICY. AS PART OF THE POLICY, ANY INDIVIDUAL WITH A CONFLICT MUST RECUSE THEMSELVES FROM PARTICIPATING IN DISCUSSIONS OR VOTING ON MATTERS IN WHICH A CONFLICT EXISTS, IN ORDER TO MAINTAIN CONFIDENTIALITY AND UPHOLD THE INTEGRITY OF THE BOARD'S DECISIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, SALARIES FOR EXECUTIVE STAFF ARE REVIEWED AGAINST INDUSTRY SURVEY DATA. EVERY 5 YEARS, ALL ORGANIZATION SALARIES ARE REVIEWED AGAINST MARKET DATA FOR THE INDUSTRY, COMPANY SIZE, AND GEOGRAPHICAL AREA TO ENSURE COMPETITIVENESS AND MAKE RECOMMENDATIONS FOR ADJUSTMENTS TO THE SALARY STRUCTURE. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>