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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Chris Streets</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>Beth White</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>Doug Hogue</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>Jason Richards</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>Kim Grubbs</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>Michael Siatkowski MD MBA</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mike Cowan</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>Rev Thomas McGee</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>Tiffany Self</PersonNm>
        <TitleTxt>Director until 9/11/23</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3303371</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>174670</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>120</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REES Associates Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9211 Lake Hefner Parkway Suite 300</AddressLine1Txt>
            <CityNm>Oklahoma City</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73120</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Architecture</ServicesDesc>
        <CompensationAmt>3312089</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PlainJoe Studios Architecture</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>7345 Piute Creek Drive</AddressLine1Txt>
            <CityNm>Corona</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92881</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Architecture</ServicesDesc>
        <CompensationAmt>1108402</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Manhattan Construction Co</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5601 South 122nd East Ave</AddressLine1Txt>
            <CityNm>Tulsa</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>74146</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction</ServicesDesc>
        <CompensationAmt>488840</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OUHSC Dept of Pediatrics</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 26901 URP</AddressLine1Txt>
            <CityNm>Oklahoma City</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73126</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Consulting</ServicesDesc>
        <CompensationAmt>368354</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Velocity Productions</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 1169</AddressLine1Txt>
            <CityNm>Cumming</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30028</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Public Relations</ServicesDesc>
        <CompensationAmt>345922</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>11</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>5114963</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>24004208</AllOtherContributionsAmt>
      <NoncashContributionsAmt>165437</NoncashContributionsAmt>
      <TotalContributionsAmt>29119171</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient service revenue</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>96123803</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>96123803</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Pharmacy revenue</Desc>
        <BusinessCd>456110</BusinessCd>
        <TotalRevenueColumnAmt>4067301</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3732316</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>334985</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Education revenue</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>666192</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>666192</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>School lunch revenue</Desc>
        <BusinessCd>611710</BusinessCd>
        <TotalRevenueColumnAmt>221233</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>221233</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>545597</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>545597</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>101624126</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>804100</TotalRevenueColumnAmt>
        <ExclusionAmt>804100</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
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        <ExclusionAmt>10425</ExclusionAmt>
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      <LessRentalExpensesGrp>
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      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-20537</TotalRevenueColumnAmt>
        <ExclusionAmt>-20537</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>23050</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>41449</SecuritiesAmt>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-41449</SecuritiesAmt>
        <OtherAmt>23050</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-18399</TotalRevenueColumnAmt>
        <ExclusionAmt>-18399</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>101289141</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>334985</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>775589</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>2075259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72832</ManagementAndGeneralAmt>
        <FundraisingAmt>12139</FundraisingAmt>
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        <FundraisingAmt>3729</FundraisingAmt>
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        <ProgramServicesAmt>56167638</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1899748</ManagementAndGeneralAmt>
        <FundraisingAmt>142452</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1061621</ProgramServicesAmt>
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        <FundraisingAmt>2773</FundraisingAmt>
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        <ProgramServicesAmt>6428830</ProgramServicesAmt>
        <ManagementAndGeneralAmt>217841</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4153565</ProgramServicesAmt>
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        <FundraisingAmt>11163</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>27017</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>86135</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>14192</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2030359</ManagementAndGeneralAmt>
        <FundraisingAmt>104070</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>838958</ProgramServicesAmt>
        <FundraisingAmt>206472</FundraisingAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>937421</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137028</ManagementAndGeneralAmt>
        <FundraisingAmt>10043</FundraisingAmt>
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        <ProgramServicesAmt>4436530</ProgramServicesAmt>
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        <FundraisingAmt>4285</FundraisingAmt>
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        <ProgramServicesAmt>1614882</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>310688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127386</ManagementAndGeneralAmt>
        <FundraisingAmt>15800</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>379794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>118978</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>1766094</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54674</ManagementAndGeneralAmt>
        <FundraisingAmt>1706</FundraisingAmt>
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        <ProgramServicesAmt>854159</ProgramServicesAmt>
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        <ProgramServicesAmt>10752279</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2302798</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1176125</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>30842</ProgramServicesAmt>
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        <FundraisingAmt>6644</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>8944689</EOYAmt>
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        <EOYAmt>77985177</EOYAmt>
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        <EOYAmt>1907040</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>45897</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>29146821</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>5476859</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>42661452</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>53157597</BOYAmt>
        <EOYAmt>69663925</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>13781379</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>83445304</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>98700357</BOYAmt>
        <EOYAmt>126106756</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>24216814</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>59181</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part IV, Line 2b:</FormAndLineReferenceDesc>
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        <ExplanationTxt>During the year ended June 30, 2024, the donor of an endowment totaling $2,000,000 originally intended to be held in perpetuity provided notice to the Health Center that transferred the variance power to the Health Center's Board of Directors. The Board of Directors released the restrictions on the fund and transferred the amounts to net assets without donor restrictions. The funds are for use in the programs of The Children's Center, Inc. which include the provision of health care services to medically fragile children. The audited financial statements include a prior year adjustment of ($247,693). The adjustment is included in investment earnings or losses.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Health Center believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Health Center would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.</ExplanationTxt>
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        <FormAndLineReferenceDesc>The Children's Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: Feedback was obtained from the Hospital's Board President, physicians at neighboring hospitals, various community leaders, and parents of patients. These individuals were interviewed to gain insight into how the Hospital currently serves the special needs pediatric population and how care could be improved. Based on responses from interviews, the Hospital gained insight on barriers to improving the health and quality of life for the residents of the primary community, opinions on types of services that are needed to address important health issues in the community, and further specialization of services for complex health issues.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>The Children's Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: After analyzing primary causes for inpatient hospitalization as well as reviewing health needs identified through Key Stakeholder interviews, the following health needs were identified: 1. Expand Outpatient Services by creating more capacity and accessibility for pediatric patients, both in-person and virtual visits. 2. Increase the number of students receiving health and safety education by expanding the number of participating school partnerships in the Healthy Schools Oklahoma program. 3. Improve family communication and understanding by providing additional resources for non-English native languages such as Spanish or Vietnamese.The Children's Center plans to address all needs identified and the following actions were taken during fiscal year end 2024:1. A new Outpatient tower will house a robust rehabilitation center of excellence. As a leader in pediatric therapy services, this expansion will allow us to serve more patients who need physical therapy, occupational therapy, speech therapy, recreational therapy, music therapy as well as many support services that allows a child to thrive through assistive technology.2. Healthy Schools of Oklahoma brings over 26 years of school health experience and knowledge to the Hospital, reinforcing the importance of keeping Oklahoma's children healthy and safe. Healthy Schools provides funding, curricula, training, evaluation tools and support to participating elementary schools focusing on physical activity, nutrition, injury prevention, tobacco use prevention and oral health education. Further, Safe Kids Oklahoma provides dedicated and caring staff, operations support, and other resources to assist in achieving our common goal: keeping your kids safe. We serve the community by implementing evidence-based programs.3. Bethany Children's added a Certified Healthcare Interpreter to the Care Coordination team as a resource for non-English speaking families. This resource has been an essential benefit so far and the Hospital is looking to expand the team as we grow to serve more non-English speaking families.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>The Children's Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13b: Patients whose family income is above 400% of the federal poverty guidelines are eligible to receive services at amounts no greater than the amounts generally billed to Oklahoma Medicaid.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>The Children's Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13h: There are instances when a patient may appear eligible for charity care discounts, but there is no financial assistance form on file due to a lack of supporting documentation. Often there is adequate information provided by the patient or through other sources, which could provide sufficient evidence to provide the patient with charity care assistance. In the event there is no evidence to support a patient's eligibility for charity care, Bethany Children's could use outside agencies in determining estimate income amounts for the basis of determining charity care eligibility. Once determined, due to the inherent nature of the presumptive circumstances, the only discount that can be granted is a 100% write off of the account balance. Presumptive eligibility may be determined on the basis of individual life circumstances that may include:1. State-funded prescription programs;2. Homeless or received care from a homeless clinic;3. Participation in Women, Infants and Children programs (WIC);4. Food stamp eligibility;5. Subsidized school lunch program eligibility;6. Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down);7. Low income/subsidized housing is provided as a valid address</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>The Children's Center, Inc.</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 16j: The policy is also provided to patients and families upon admission to the Hospital facility.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3c:</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients whose family income is above 400% of the federal poverty guidelines are eligible to receive services at amounts no greater than the amounts generally billed to Oklahoma Medicaid.There are instances when a patient may appear eligible for charity care discounts, but there is no financial assistance form on file due to a lack of supporting documentation. Often there is adequate information provided by the patient or through other sources, which could provide sufficient evidence to provide the patient with charity care assistance. In the event there is no evidence to support a patient's eligibility for charity care, Bethany Children's could use outside agencies in determining estimate income amounts for the basis of determining charity care eligibility. Once determined, due to the inherent nature of the presumptive circumstances, the only discount that can be granted is a 100% write off of the account balance. Presumptive eligibility may be determined on the basis of individual life circumstances that may include:1. State-funded prescription programs;2. Homeless or received care from a homeless clinic;3. Participation in Women, Infants and Children programs (WIC);4. Food stamp eligibility;5. Subsidized school lunch program eligibility;6. Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down);7. Low income/subsidized housing is provided as a valid addressPatients complete a Hospital Financial Assistance Application to help determine the discounted or free services in which they are eligible. The Application is reviewed with supporting documentation and based on internal guidelines a decision on the applicable discount is made.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>There was no charity care as 90% of patients are covered under Medicaid. Unreimbursed Medicaid on line 7b was calculated using the costing methods to prepare the cost reports. Community health improvement services are reported based on actual expenses recorded in the Organization's general ledger.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount reported on line 2 represents implicit price concessions. The Children's Center determines its estimate of implicit price concessions based on its historical collection experience with this class of patients.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>The estimated amount of the Organization's implicit price concessions attributable to patients eligible under the Organization's charity care policy is calculated based on the percentage of individuals living below the poverty level in Bethany, OK in 2023. 18.9% can reasonably be considered a community benefit as it would have been written off to charity care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The footnote to the Organization's financial statements can be found on pages 13 and 14 of the attached audited financial statements.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>Normal collection procedures will be followed for all patients unless Bethany Children's Financial Assistance Application Form is completed and submitted to Bethany Children's along with required documents listed on the application. The Children's Center does not pursue extraordinary collection activities for 120 days from the date of service while the patient is applying for financial assistance. A 30-day notice would be provided to the patient before any collection activities would begin. A patient has a total of 240 days to apply for financial assistance. After a determination of financial assistance any personal portion due would follow normal collection procedures.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the community health needs assessment, the Hospital Executive team has a strategic plan to address the needs of the community. Also, patient satisfaction surveys are distributed at various Hospital events.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>Notification about charity available from Bethany Children's, which shall include a contact number, shall be disseminated by various means, which may include, but are not limited to, the publication of notices in patient bills and by posting notices in hospital hall rooms, in the Conditions of Admission form, admitting departments, hospital business offices, and at other public places as Bethany Children's may elect. Bethany Children's also shall publish and widely publicize a summary of this charity care policy on facility websites, in brochures available in patient access sites and at other places within the community served by the hospital as Bethany Children's may elect. Such notices and summary information shall be provided in the primary languages spoken by the population serviced by Bethany Children's. Referral of patients for charity may be made by any member of the Bethany Children's staff or medical staff, including physicians, nurses, financial counselors, social workers, case managers, chaplains, and religious sponsors. A request for charity may be made by the patient or a family member, close friend, or associate of the patient, subject to applicable privacy laws.The majority of the Hospital's in-patients qualify for Medicaid assistance. In other cases, a social worker at the Hospital will work with the patient and family to educate them on eligibility for financial assistance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Children's Center, Inc. d/b/a Bethany Children's Health Center is a private, nonprofit hospital located in Bethany, Oklahoma that offers inpatient and outpatient services for children from birth to 21 years of age who have suffered a traumatic accident, brain, or spinal cord injury. Additionally, the Hospital maintains an outpatient practice that serves children as well as children with special needs. The Hospital serves patients from the state of Oklahoma as well as other states with various backgrounds, ethnicities, and income levels. It is the only inpatient pediatric rehabilitation facility in Oklahoma. 18.9% of individuals live below the federal poverty level in Bethany, OK in 2023. This is higher than the national average of 12.4%. In 2023, the median household income in Bethany, OK grew to $55,063 from the previous year's value of $54,606.The largest industries in Bethany, OK are Educational Services, Health Care &amp; Social Assistance, and Retail Trade, and the highest paying industries are Mining, Quarrying, &amp; Oil &amp; Gas Extraction, Utilities, and Finance &amp; Insurance.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization's governing body is composed of representatives from the community.This facility extends medical staff privileges to those qualified practitioners based on an established credentialing process. Excess funds are reinvested into capital improvements. In addition to serving the community on an inpatient and outpatient basis, the Hospital also hosts a variety of special events, seminars, and safety talks that address safety and health risk factors for children. The hospital works closely with community schools and fire departments to raise awareness of these issues.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Justin Ramsey MD-Pediatric</PersonNm>
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        <PersonNm>Amber McKenzie MSN RN CPN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carol Rolke - Chief of Legal</PersonNm>
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        <TransactionDesc>Compensation and benefits as employee</TransactionDesc>
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        <TransactionDesc>Compensation and benefits as employee</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Carol Gray</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Sister of Executive Chairman</RelationshipDescriptionTxt>
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        <TransactionDesc>Compensation and benefits as employee</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kimberly Gray</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Wife of Executive Chairman</RelationshipDescriptionTxt>
        <TransactionAmt>144191</TransactionAmt>
        <TransactionDesc>Compensation and benefits as employee</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Streets LLC</BusinessNameLine1Txt>
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        </NameOfInterested>
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        <TransactionDesc>Maintenance</TransactionDesc>
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        <MethodOfDeterminingRevenuesTxt>Expert Opinion</MethodOfDeterminingRevenuesTxt>
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        <MethodOfDeterminingRevenuesTxt>Comparable sales</MethodOfDeterminingRevenuesTxt>
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        <Desc>Wheelchairs</Desc>
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        <MethodOfDeterminingRevenuesTxt>Comparable Sales</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
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        <Desc>Other</Desc>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Formula</Desc>
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        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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        <FormAndLineReferenceDesc>Part I, Column (b):</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is reporting a combination of the number of contributions and number of items received in Part I, column (b).</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
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        <FormAndLineReferenceDesc>Form 990, Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Oklahoma Adaptive Sports (OKASA) was a program facilitated by Bethany Children's. It is an adaptive sports program for children with disabilities. The adaptive outfield and play area is now part Bethany Children's Health Center. Children of differing abilities can explore, experiment and practice all of life's important skills in a safe and realistic environment.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee consists of the officers of the Corporation who are directors plus two additional directors appointed by the Board of Directors. The Executive Committee may meet at stated times or on notice to all of its members. During intervals between meetings of the Board of Directors, the Executive Committee may generally perform the duties and exercise the authority of the Board of Directors, except that the Executive Committee may not ( a) adopt, amend, or repeal any provision of the Certificate of Incorporation or Bylaws, (b) fill Board vacancies, ( c) change the membership of, or fill vacancies in, the Executive Committee, or ( d) amend or repeal any resolution of the Board. The Executive Committee shall report on its actions at the next meeting of the Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization does not have members or stockholders, but it does have a Board of Trustees. The Board of Trustees shall be comprised of all the members of the Executive Committee of the Council of Bishops of the International Pentecostal Holiness Church.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees has the power to appoint one member of the Board of Directors who will serve as a liaison between the Board of Trustees and the Board of Directors and who shall have the same voting rights as the other member of the Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Trustees has the power: (a) To appoint one member of the Board of Directors who will serve as a liaison between the Board of Trustees and the Board of Directors and who shall have the same voting rights as every other member of the Board Directors; (b) To advise the Board of Directors, when called upon by the Board of Directors to give such advice, on the management of the business and affairs of the co1poration; (c) Upon the prior vote or consent of at least 80% of the entire Board of Directors, to consent to (i) the change of the purposes of the Corporation, provided that no change shall be made that would permit the funds or assets of the Corporation to inure to the benefit of any person in a manner prohibited by the Code, (ii) the elimination of the right of the Executive Committee of the Council of Bishops of the Church to designate one director, (iii) the sale of the .pediatric hospital known as The Children's Center Rehabilitation Hospital located in Bethany, Oklahoma, (iv) the merger or consolidation of the Corporation with or into any other corporation, partnership, limited liability company, or other entity, or (v) the dissolution, liquidation, termination or winding up the business of the Corporation; (d) Upon the prior vote or consent of at least 80% of the entire Board of Directors, to consent to the disposition of the assets of the Corporation contemplated by subparagraph (c) and (d) of Article XI; and (e) Upon the prior vote or consent of at least 80% of the entire Board of Directors, to consent to the amendment of Sections 1.2, 3.3, 3.4, and 3.5 and Articles XI and XII as contemplated by Article XII.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors are provided a copy of the Form 990 before it is filed. The CEO and CFO review the Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The board members are required to complete a conflict of interest form and notify the organization if a conflict exists. The Board Chair or the chair of a committee considering a transaction or arrangement involving an interested person shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. The Board of Directors or committee shall determine whether, in its judgment, the transaction or arrangement is fair to the Corporation. The Board of Directors or committee may also evaluate whether the Corporation may, without undue burden, delay or expense, obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. The Board of Directors or committee shall determine, by a majority vote of the directors (excluding directors who are interested persons), whether the transaction or arrangement is in the best interest of the Corporation, and it may pursue and approve the transaction or arrangement, as long as it reasonably believe in good faith that the transaction or arrangement is fair to the Corporation. Board members with a conflict are ask to abstain from voting on the matter.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO, CFO's, and CMO's compensation is determined by Human Resources using third party data of comparable hospitals analyzed as a benchmark against industry standards and market conditions. The Board of Directors approves compensation adjustments. The analysis is completed every 2 years and was last completed in 2021. The next review will be completed in 2024. Documentation is provided in Human Resources and personnel records.</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 available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Matlory Properties</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6800 NW 39th Expressway</AddressLine1Txt>
          <CityNm>Bethany</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73008</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Rental</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <TotalIncomeAmt>57219</TotalIncomeAmt>
        <EndOfYearAssetsAmt>668892</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>The Children's Center</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>The Children's Center Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>6800 NW 39th Expressway</AddressLine1Txt>
          <CityNm>Bethany</CityNm>
          <StateAbbreviationCd>OK</StateAbbreviationCd>
          <ZIPCd>73008</ZIPCd>
        </USAddress>
        <EIN>020561610</EIN>
        <PrimaryActivitiesTxt>Fundraise and assist The Children's Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12a, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>The Children's Center Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>