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        <ManagementAndGeneralAmt>7358</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>415449</TotalAmt>
        <ProgramServicesAmt>252870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162579</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>30759</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>94539</TotalAmt>
        <ProgramServicesAmt>86089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8450</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>40929</ProgramServicesAmt>
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      <OccupancyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>32886</ProgramServicesAmt>
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        <TotalAmt>7255</TotalAmt>
        <ProgramServicesAmt>6361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>894</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>19499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9540</ManagementAndGeneralAmt>
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        <Desc>FOOD &amp; OTHER CARE EXPEN</Desc>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSES</Desc>
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        <Desc>MAINTENANCE &amp; REPAIRS</Desc>
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        <ProgramServicesAmt>65681</ProgramServicesAmt>
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        <Desc>DRUGS &amp; MEDICAL EXPENSE</Desc>
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        <EOYAmt>3356263</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>614192</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1131506</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1193222</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1818131</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1753118</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>1753118</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3169682</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>-7090</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>397</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>276</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>264</CurrentTaxYearAmt>
        <TotalAmt>-14574</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <TotalAmt>246621</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>18739749</GrossReceiptsRltdActivitiesAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISC INSURANCE REIMBURSEMENT - 2018 AMOUNT: $ 246,621.</ExplanationTxt>
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    </IRS990ScheduleA>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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    </IRS990ScheduleB>
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        <BookValueAmt>225770</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>725370</BookValueAmt>
      </BuildingsGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>295486</DepreciationAmt>
        <BookValueAmt>374159</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>1325299</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>215630</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>215630</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>214549</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>MEDICAID CASH ADVANCE</Desc>
        <Amt>220983</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>435532</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6666376</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6666376</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6052184</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6052184</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6052184</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CONSEQUENTLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. THE ORGANIZATION DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
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        <IssuerName>
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        </IssuerName>
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        <BondIssuedDt>2007-09-25</BondIssuedDt>
        <IssuePriceAmt>1407600</IssuePriceAmt>
        <PurposeDesc>HEALTH CARE FACILITIES REVENUE BONDS, SERIES 2007</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <OtherSpentProceedsAmt>1407600</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2008</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.00000</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.00000</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.00000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>1</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
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        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEETINGS OF THE BOARD SHALL BE HELD MONTHLY FROM SEPTEMBER TO JUNE, UNLESS OTHERWISE VOTED ON BY A QUORUM OF MEMBERS. DURING JULY AND AUGUST THE EXECUTIVE COMMITTEE OF THE BOARD SHALL MEET AND ACT, IF NECESSARY ON THE THIRD FRIDAY OF EACH MONTH AND ACTIONS OF THE EXECUTIVE COMMITTEE SHALL BE BINDING UPON THE ENTIRE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE FIRST. THE AUDIT COMMITTEE THEN PRESENTS TO THE BOARD FOR APPROVAL. THE 990 IS AVAILABLE TO ALL BOARD MEMBERS UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS PART OF ORIENTATION AND ONGOING MANDATORY ANNUAL TRAININGS. COMPLIANCE IS MONITORED THROUGH QUALITY IMPROVEMENT ACTIVITIES, GRIEVANCE PROCESS, QUESTIONNAIRES, SUPERVISION, AND EMPLOYEE EVALUATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS AND APPROVES THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND THE TOP MANAGEMENT OFFICIAL. THE BOARD DETERMINES THE COMPENSATION OF OTHER KEY EMPLOYEES BY COMPARING THE COMPENSATION OF INDIVIDUALS WITH THE SAME RESPONSIBILITIES IN OTHER ORGANIZATIONS. THE BOARD APPROVAL OF THE CEO'S COMPENSATION IS DOCUMENTED IN THE BOARD MINUTES. 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, FORM 990 AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE FORM 990 TAX RETURN IS ALSO AVAILABLE THROUGH GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AMENDED RETURN NARRATIVE</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IV, LINE 24A: THE RESPONSE TO LINE 24A HAS BEEN UPDATED FROM "NO" TO "YES" TO COMPLY WITH THE INSTRUCTIONS FOR LINE 24A, WHICH REQUIRE COMPLETING SCHEDULE K (FORM 990) FOR EACH TAX-EXEMPT BOND ISSUED BY OR FOR THE BENEFIT OF THE ORGANIZATION AFTER DECEMBER 31, 2002, WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN $100,000 AS OF THE LAST DAY OF THE ORGANIZATION'S TAX YEAR. PART X, LINE 20: AMOUNTS PREVIOUSLY REPORTED ON PART X, LINE 23 WERE MOVED TO PART X, LINE 20 TO PROPERLY REPORT THE AMOUNTS PAYABLE ON THE TAX-EXEMPT BONDS AT THE END OF THE YEAR. PART X, LINE 23: THIS LINE PREVIOUSLY INCLUDED AMOUNTS RELATED TO TAX-EXEMPT BONDS PAYABLE. THESE AMOUNTS HAVE BEEN RECLASSIFIED TO LINE 20 TO ACCURATELY REFLECT THE ORGANIZATION'S LIABILITIES. SCHEDULE K: SCHEDULE K HAS BEEN ADDED TO PROVIDE DETAILED INFORMATION ABOUT THE ORGANIZATION'S TAX-EXEMPT BOND ISSUES, INCLUDING THE PURPOSE, AMOUNT, USE OF PROCEEDS, AND STATUS OF THE BONDS. THIS ADDITION ENSURES ACCURATE REPORTING AND TRANSPARENCY REGARDING THE ORGANIZATION'S FINANCIAL OBLIGATIONS RELATED TO THESE BONDS.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>