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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAGE HILTON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA JACKSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MURIEL JOHNSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOY LAWSON</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JODI ROBBINS</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAVON WHITE</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LYDIA WOODS-JOHNSON</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CONTESSA WRIGHT</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>3665660</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>292084</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>34</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>SECURITY MANAGEMENT OF SC LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 474</AddressLine1Txt>
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            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29240</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SVS</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SANDLAPPER CLEANING &amp; SERVICES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>29202</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>34360</ExclusionAmt>
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      <OtherRevenueMiscGrp>
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        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>895679</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAID WRAP-AROUND PAYMENT</Desc>
        <BusinessCd>621110</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>584366</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ALSO QUALIFIES AS A PUBLIC CHARITY PURSUANT TO IRC SECTION 509(A)(2) AS A RESULT OF ITS PATIENT CARE ACTIVITIES.</ExplanationTxt>
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          <State>RESTRICTED</State>
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        <EndYearBalanceAmt>26728</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>132766</BookValueAmt>
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        <Desc>OPERATING LEASE RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>3232048</BookValueAmt>
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        <Desc>DEFERRED COMPENSATION PLAN</Desc>
        <BookValueAmt>1041966</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>FINANCE LEASE RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>606567</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <BookValueAmt>61503</BookValueAmt>
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        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>3233426</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>1046063</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE LIABILITY</Desc>
        <Amt>627869</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
        <Amt>268932</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP</Desc>
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      <TotalLiabilityAmt>5392459</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>34503538</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>67015</OtherRevenueAmt>
      <RevenueNotReportedAmt>67015</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>34436523</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>33675</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>33675</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>34470198</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>35219993</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>35219993</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>33675</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>33675</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDS WERE RESTRICTED FOR THE SUPPORT OF PATIENTS IN NEED OR OTHER HEALTHCARE NEEDS OF THE COMMUNITY WHILE THE TEMPORARILY RESTRICTED FUNDS CONSIST OF FUNDS DONATED FOR A VEHICLE PURCHASE. THERE ARE NO NET ASSETS WITH DONOR RESTRICTIONS DURING FISCAL YEAR ENDING SEPTEMBER 30, 2024 OR 2025.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION THAT HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THE EVALUATION, THE ORGANIZATION ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF SEPTEMBER 30, 2025 OR 2024 OR FOR THE YEARS THEN ENDED. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMIAN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THESE RETURNS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>SWAP VALUATION ADJUSTMENT 67,015</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASSIFIED GAIN ON ASSETS 33,675</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASSIFIED GAIN ON ASSETS 33,675</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GISELLE CHANDLER MD</PersonNm>
        <TitleTxt>CO-DIRECTOR OF OBGYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>340665</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11447</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>352612</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOEL SNIPE MD</PersonNm>
        <TitleTxt>CO-DIRECTOR OF OBGYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>329907</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5075</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>16720</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>351702</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BHATRAPHOL TINGPEJ</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICE</TitleTxt>
        <BaseCompensationFilingOrgAmt>267097</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11477</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>279074</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID C TURELL MD</PersonNm>
        <TitleTxt>DIRECTOR OF PEDS</TitleTxt>
        <BaseCompensationFilingOrgAmt>251975</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL VICTOR BRANT MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>26214</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>270102</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNIE BROWN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>242396</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11720</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>264616</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT N ETHERIDGE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>230953</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>22036</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>253489</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISHA DAVIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>203324</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22271</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>225595</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID K MARPLE</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>210853</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11261</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>222614</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NAVPREET JUDGE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>191916</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>29194</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>221610</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EFUA AKYEA WILMOT</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
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        <BonusFilingOrganizationAmount>941</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11477</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>215243</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCES ACALYAR</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>184737</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>415</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>14691</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>199843</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALLISON C SHULER</PersonNm>
        <TitleTxt>VP CLINICAL OPS</TitleTxt>
        <BaseCompensationFilingOrgAmt>166640</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>29194</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196334</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANELLE D SMITH</PersonNm>
        <TitleTxt>CCO</TitleTxt>
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        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>16719</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181898</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARION RICHARDSON</PersonNm>
        <TitleTxt>COMPLIANCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>165720</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>500</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>399</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166619</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS/INCENTIVE PAY EMPLOYEES AND OFFICERS PARTICIPATE IN A STAFF APPRECIATION BONUS PLAN UNDER WHICH ANNUAL YEAR-END BONUSES ARE PAID BASED ON CORPORATE-WIDE ACHIEVEMENT OF SPECIFIC GOALS AND OBJECTIVES. ONE SUCH GOAL RELATES TO THE ORGANIZATION'S NET INCOME. IN ADDITION, THE ORGANIZATION AWARDS INCENTIVES TO PROVIDERS FOR MEETING CERTAIN PRE-ESTABLISHED GOALS RELATED TO PRODUCTIVITY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>TANDEM HEALTH SC (THS) IS A 501(C)(3) NOT-FOR-PROFIT COMMUNITY HEALTH CENTER LOCATED IN SUMTER, SOUTH CAROLINA. OUR ORGANIZATIONAL MISSION AND VISION IS FOCUSED ON THE CONTINUOUS PURSUIT OF ADDRESSING, NOT ONLY THE SHORTAGE OF HEALTHCARE SERVICES WITHIN SUMTER COUNTY, BUT ALSO THE SOCIAL DETERMINANTS THAT OFTEN PREVENT PATIENTS FROM ACCESSING AND/OR FULLY UTILIZING THE HEALTH RESOURCES MADE AVAILABLE TO THEM. TODAY, THS EMPLOYS, IN ADDITION TO ITS 40 PLUS MEDICAL PROVIDERS, A VARIETY OF HEALTHCARE PROFESSIONALS TO ASSIST PATIENTS WITH SUCH THINGS AS MEDICAL CASE MANAGEMENT, NUTRITION, BEHAVIORAL HEALTH, TRANSPORTATION, AND SUBSTANCE ABUSE DISORDERS. THS, WITH ITS MODEST ORIGINS AS A SMALL MEDICAL PRACTICE ADMINISTERING ONLY PRIMARY CARE AND WOMEN'S HEALTH SERVICES, SET OUT ON A JOURNEY TO PROVIDE HIGH-QUALITY HEALTHCARE TO THE LOCAL COMMUNITY ALL THE WHILE EVALUATING ADDITIONAL SERVICE LINES THAT BENEFITED BOTH THE PATIENTS AND THEIR FAMILIES. DURING FY 2025, THS HAD A TOTAL OF 60,649 PRIMARY HEALTH AND 826 HIV ENCOUNTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETE COPY OF THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND BOARD MEMBERS ARE PROHIBITED FROM ANY REAL OR APPARENT CONFLICTS OF INTEREST ASSOCIATED WITH FEDERAL FUND EXPENDITURES. EMPLOYEES COMPLETE AND SIGN A CONFLICT OF INTEREST ANNUAL DISCLOSURE QUESTIONNAIRE ANNUALLY. TANDEM HEALTH SC SEEKS OUT COMPETITIVE BIDS REJECTING ANY BIDS OR OFFERS WHEN IT IS IN TANDEM HEALTH SC'S BEST INTEREST TO DO SO. ANY POTENTIAL CONFLICTS ARE ADDRESSED BY THE CORPORATE COMPLIANCE OFFICER, IN CONSULTATION WITH THE CEO, AS APPROPRIATE. OUTSIDE EMPLOYMENT THAT POSES A CONFLICT OF INTEREST IS NOT APPROVED. BOARD MEMBERS WHO VIOLATE THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO VERBAL OR WRITTEN WARNING, OR IN SEVERE CASES, REMOVAL FROM THE BOARD OF DIRECTORS. AT A MINIMUM, BOARD MEMBERS MUST RECUSE THEMSELVES FROM DISCUSSION OR VOTE ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>TANDEM HEALTH SC HAS ESTABLISHED SALARY RANGES APPROVED BY ITS BOARD OF DIRECTORS FOR ALL POSITIONS IN THE ORGANIZATION, INCLUDING THE CEO POSITION. WHEN REVIEWING THE CEO'S SALARY FOR POSSIBLE INCREASE, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS FQHC STATE SALARY DATA FROM THE SOUTH CAROLINA PRIMARY HEALTH CARE ASSOCIATION'S BIENNIAL COMPENSATION SURVEY, AS WELL AS STATE, REGIONAL AND NATIONAL SALARY DATA FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS' ANNUAL COMPENSATION SURVEY. THE CEO'S SALARY IS TYPICALLY REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD FOLLOWING COMPLETION AND REVIEW OF HER ANNUAL PERFORMANCE APPRAISAL. THE BOARD MUST APPROVE ANY SALARY ADJUSTMENTS FOR THE CEO. BOARD ACTION REGARDING CEO SALARY IS RECORDED IN MEETING MINUTES, AND A HUMAN RESOURCES STATUS FORM IS SIGNED BY THE BOARD CHAIRPERSON AND KEPT IN THE CEO'S EMPLOYEE FILE IN HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SAME SALARY SURVEYS LISTED ABOVE ARE USED BY THE CEO WHEN DETERMINING AND APPROVING SALARIES FOR MEMBERS OF EXECUTIVE LEADERSHIP, AS WELL AS PROVIDER POSITIONS. ANY HIRES OR SALARY ADJUSTMENTS MUST BE APPROVED BY THE CEO ON A HUMAN RESOURCES STATUS FORM AND ARE KEPT IN EACH EMPLOYEE'S FILE IN HUMAN RESOURCES. PERIODICALLY, TANDEM HEALTH'S COMPENSATION PLAN AND SALARY RANGES ARE EVALUATED BY AN INDEPENDENT COMPENSATION ANALYST. THE COMPENSATION PLAN AND SALARY RANGES ARE APPROVED BY THE BOARD OF DIRECTORS AND RECORDED IN MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT LABOR 364,908 180,303 0 PROFESSIONAL FEES 195,450 0 0 PURCHASED SERVICES 3,295,933 0 0 OUTSIDE LAB FEES 80,388 0 0 CONSULTING FEES 241,543 0 0 TOTAL 4,178,222 180,303 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>SWAP VALUATION ADJUSMENT 67,015 SWAP VALUATION ADJUSTMENT 0 TOTAL 67,015</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>