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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <BusinessCd>621110</BusinessCd>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>6664367</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1093706</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>12507</ManagementAndGeneralAmt>
        <FundraisingAmt>737</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
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        <ProgramServicesAmt>154734</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ManagementAndGeneralAmt>18760</ManagementAndGeneralAmt>
        <FundraisingAmt>1105</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>459843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55192</ManagementAndGeneralAmt>
        <FundraisingAmt>3251</FundraisingAmt>
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      <TravelGrp>
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        <FundraisingAmt>1706</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>53356</ManagementAndGeneralAmt>
        <FundraisingAmt>3143</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>520876</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31794</ManagementAndGeneralAmt>
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      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>33262</TotalAmt>
        <ProgramServicesAmt>25999</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6859</ManagementAndGeneralAmt>
        <FundraisingAmt>404</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>493535</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT CARE COSTS</Desc>
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        <ProgramServicesAmt>174968</ProgramServicesAmt>
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      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>34391</ManagementAndGeneralAmt>
        <FundraisingAmt>2026</FundraisingAmt>
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        <FundraisingAmt>5914</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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      <CashNonInterestBearingGrp>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>175045</EOYAmt>
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      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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      <LandBldgEquipAccumDeprecAmt>4581942</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>-396064</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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      <FSAuditedInd>true</FSAuditedInd>
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      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearAmt>3749326</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>15998</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8592</CurrentTaxYearAmt>
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      <TotalSupportAmt>21214764</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>46289452</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99760</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99790</PublicSupportPY170Pct>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>126064</BookValueAmt>
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        <DepreciationAmt>3054418</DepreciationAmt>
        <BookValueAmt>6220049</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>171404</DepreciationAmt>
        <BookValueAmt>497237</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>1356120</DepreciationAmt>
        <BookValueAmt>693836</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>7537186</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>197779</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>197779</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13725628</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>150112</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>150112</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13575516</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>13575516</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14121692</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>150112</DonatedServicesUseFcltsAmt>
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      <ExpensesSubtotalAmt>13971580</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>13971580</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN STEWART</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>7891</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT C MOORE JR</PersonNm>
        <TitleTxt>FORMER CFO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>172459</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AYESHA NAZLI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>224149</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33000</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>257149</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLEY SLAUGHTER</PersonNm>
        <TitleTxt>FORMER CPO</TitleTxt>
        <BaseCompensationFilingOrgAmt>133512</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8298</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>141810</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEITH WILKEN</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>197537</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>40891</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>238428</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEX KODIN</PersonNm>
        <TitleTxt>IT DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>155492</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11335</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>166827</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KARYN CVACH</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>151299</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7707</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>159006</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NADAR BURPEE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>138387</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23461</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>161848</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN IS REVIEWED BY THE CFO AND IS THEN SENT TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW. UPON APPROVAL BY THE BOARD OF DIRECTORS THE CFO APPROVES THE 990 FOR ELECTRONIC SIGNATURE AND FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST FORMS ARE DISTRIBUTED TO THE BOARD OF DIRECTORS ANNUALLY. BOARD MEMBERS ARE REQUIRED TO REVIEW THE ORGANIZATION'S POLICY REGARDING CONFLICT OF INTEREST AND THEN COMPLETE AND SIGN THE FORM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS DEVELOPS THE WAGE AND SALARY SCALE FOR THE TOP OFFICIAL, SUBJECT TO APPROVAL BY THE FULL BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE BUDGET PROCESS, THE CEO, IN COLLABORATION WITH SENIOR LEADERSHIP, DETERMINES AN ANNUAL INCREASE PERCENTAGE FOR ALL EMPLOYEES AS OF THE FIRST OF EACH FISCAL YEAR. ANY MARKET ADJUSTMENT RECOMMENDATIONS IS A COLLABORATIVE PROCESS INVOLVING A REVIEW OF LOCAL PAY RANGES FOR EACH POSITION BY THE HUMAN RESOURCES DIRECTOR, REVIEWED BY THE CFO AND THEN RECOMMENDED TO THE SENIOR LEADER RESPONSIBLE FOR THE AFFECTED EMPLOYEE(S).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST OF, AND SUBSEQUENT APPROVAL BY, THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>