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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1120393</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>546335</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>179869</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>179869</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>17989</ExclusionAmt>
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        <ExclusionAmt>450</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <BusinessCd>900099</BusinessCd>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>52730</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>27614</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>60936</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2543</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>902</ProgramServicesAmt>
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        <TotalAmt>85215</TotalAmt>
        <ProgramServicesAmt>57852</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27363</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>31683</TotalAmt>
        <ProgramServicesAmt>26386</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5297</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>24736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46792</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>215323</TotalAmt>
        <ManagementAndGeneralAmt>215323</ManagementAndGeneralAmt>
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        <TotalAmt>89900</TotalAmt>
        <ManagementAndGeneralAmt>89900</ManagementAndGeneralAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1296470</TotalAmt>
        <ProgramServicesAmt>1296470</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
        <TotalAmt>118076</TotalAmt>
        <ProgramServicesAmt>33068</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85008</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES AND DUES</Desc>
        <TotalAmt>102694</TotalAmt>
        <ProgramServicesAmt>40874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61820</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>4125</TotalAmt>
        <ProgramServicesAmt>125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4000</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>10231</TotalAmt>
        <ProgramServicesAmt>2314</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7917</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>11727438</TotalAmt>
        <ProgramServicesAmt>9059615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2667823</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>380940</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>341783</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>202850</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>49635</EOYAmt>
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        <EOYAmt>77403</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2118629</EOYAmt>
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        <EOYAmt>572172</EOYAmt>
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        <EOYAmt>37920</EOYAmt>
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        <EOYAmt>4700673</EOYAmt>
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        <EOYAmt>650127</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>26627</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>4700673</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>6579890</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5468823</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6955099</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4660602</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4326684</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>5468823</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6955099</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4660602</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4326684</CurrentTaxYearAmt>
        <TotalAmt>27991098</TotalAmt>
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      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4062</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>19416</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>95300</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65490</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus4YearsAmt>19141</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>78566</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>104690</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>42713</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>71360</CurrentTaxYearAmt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 19,141. 2021 AMOUNT: $ 33,149. 2022 AMOUNT: $ 49,774. 2023 AMOUNT: $ 24,380. 2024 AMOUNT: $ 52,730. KUMED FELLOWSHIP - 2021 AMOUNT: $ 45,417. 2022 AMOUNT: $ 54,916. 2023 AMOUNT: $ 18,333. OUTREACH SERVICES - 2024 AMOUNT: $ 18,630.</ExplanationTxt>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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        <EndYearBalanceAmt>9070</EndYearBalanceAmt>
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        <EndYearBalanceAmt>9070</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>-504</InvestmentEarningsOrLossesAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
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        <PersonNm>SELMA JANE SCHULTZ</PersonNm>
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        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
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        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS, AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE RETURN IS REVIEWED BY THE FINANCE COMMITTEE BEFORE BEING FLNALIZED. THE 990 IS ALSO EMAILED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING.</ExplanationTxt>
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        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND OFFICERS. BOARD MEMBERS AND OFFICERS ANNUALLY SIGN STATEMENTS ACKNOWLEDGING THAT THEY HAVE READ THE POLICY AND AGREEING THAT IF ANY POTENTIAL CONFLICTS ARISE, THEY WILL REPORT THE POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD.</ExplanationTxt>
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        <ExplanationTxt>SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH AND THE STATE PRIMARY CARE ASSOCIATION (KAMU) ARE TAKEN INTO CONSIDERATION AS WELL AS THE CURRENT BUDGET DURING THE SALARY DETERMINATION PROCESS. THE BOARD APPROVES THE CEO'S COMPENSATION. THE BOARD DOES NOT DIRECTLY APPROVE THE SALARY OF THE CFO, BUT DOES APPROVE THE ANNUAL SALARY SCALE FOR ALL EMPLOYEES.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ALL BOARD MEETINGS ARE OPEN TO THE PUBLIC.</ExplanationTxt>
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