﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-04-16T08:54:50-04:00</ReturnTs>
    <TaxPeriodEndDt>2025-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>251520242</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BIELAU TIERNEY COON &amp; CO PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>2740 SMALLMAN ST STE 310</AddressLine1Txt>
        <CityNm>PITTSBURGH</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>15222</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>251844246</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>METRO FAMILY PRACTICE INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>METR</BusinessNameControlTxt>
      <PhoneNum>4122472310</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1789 SOUTH BRADDOCK AVENUE - 410</AddressLine1Txt>
        <CityNm>PITTSBURGH</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>15218</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MICHAEL MINGRONE</PersonNm>
      <PersonTitleTxt>CHIEF EXEC OFFICER</PersonTitleTxt>
      <PhoneNum>4122475546</PhoneNum>
      <SignatureDt>2025-04-16</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>JOSEPH T TAPPE JR CPA</PreparerPersonNm>
      <PTIN>P00325895</PTIN>
      <PhoneNum>4122610330</PhoneNum>
      <PreparationDt>2026-04-16</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5">
      <PrincipalOfficerNm>MICHAEL PARKER</PrincipalOfficerNm>
      <GrossReceiptsAmt>58953183</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>METROCOMMUNITYHEALTHCENTER.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1999</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>SEE SCHEDULE O METRO FAMILY PRACTICE, INC. OPERATES AS A FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. ITS DEFINED MISSION IS TO CARE FOR THE WHOLE PERSON IN A SAFE AND RESPECTFUL SETTING; TO ENCOURAGE PATIENTS TO PARTNER WITH OUR DOCTORS AND STAFF IN PLANNING THEIR CARE; TO BE GUIDED BY THE NEEDS OF OUR PATIENTS; TO RESPOND TO THOSE NEEDS WITH RESPECT FOR THE INDIVIDUAL AND THEIR BELIEFS ABOUT HEALTH AND HEALING; AND TO SERVE WILKINSBURG AND THE NEARBY COMMUNITIES BY OFFERING HEALTH CARE TO ALL PEOPLE, AT EVERY STAGE OF LIFE, WITHOUT REGARD TO THEIR ABILITY TO PAY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>11</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>80</TotalEmployeeCnt>
      <TotalVolunteersCnt>13</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>712351</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>228167</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>38178916</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>57389016</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>246530</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>524132</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>-649202</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>39137797</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>57492113</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>6501368</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>8464082</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>153625</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>24590547</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>37263127</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>31091915</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>45727209</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>8045882</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>11764904</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>28186958</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>44908263</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>8823368</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>13584769</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>19363590</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>31323494</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>SEE SCHEDULE O METRO FAMILY PRACTICE, INC. OPERATES AS A FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. ITS DEFINED MISSION IS TO CARE FOR THE WHOLE PERSON IN A SAFE AND RESPECTFUL SETTING; TO ENCOURAGE PATIENTS TO PARTNER WITH OUR DOCTORS AND STAFF IN PLANNING THEIR CARE; TO BE GUIDED BY THE NEEDS OF OUR PATIENTS; TO RESPOND TO THOSE NEEDS WITH RESPECT FOR THE INDIVIDUAL AND THEIR BELIEFS ABOUT HEALTH AND HEALING; AND TO SERVE WILKINSBURG AND THE NEARBY COMMUNITIES BY OFFERING HEALTH CARE TO ALL PEOPLE, AT EVERY STAGE OF LIFE, WITHOUT REGARD TO THEIR ABILITY TO PAY.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>10877313</ExpenseAmt>
      <RevenueAmt>4397432</RevenueAmt>
      <Desc>OPERATION OF FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. SERVICES INCLUDE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH. DURING THE YEAR, THE ORGANIZATION HAD APPROXIMATELY 22,000 PATIENT ENCOUNTERS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>31856136</ExpenseAmt>
        <RevenueAmt>52991584</RevenueAmt>
        <Desc>340B PHARMACY AND CASE MANAGEMENT PROGRAM WHICH PROVIDES DRUGS AND MEDICINES TO METRO PATIENTS AT A SUBSTANTIAL DISCOUNTS. DURING THE YEAR APPROXIMATELY 74,000 PRESCRIPTIONS WERE FILLED UNDER THE PROGRAM.</Desc>
      </ProgSrvcAccomActy2Grp>
      <TotalProgramServiceExpensesAmt>42733449</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc6">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>31</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>80</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>11</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>false</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>ELAINE KULMAN</PersonNm>
        <PhoneNum>4122472310</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1789 SOUTH BRADDOCK AVENUE - SUITE</AddressLine1Txt>
          <CityNm>PITTSBURGH</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>15218</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MINGRONE</PersonNm>
        <TitleTxt>CHIEF EXEC O</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>424092</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR KATHRINE HOMROK MD</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>387002</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR DAVID FREEMAN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>278401</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL PARKER</PersonNm>
        <TitleTxt>CHIEF OPERAT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>271711</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELAINE KULMAN</PersonNm>
        <TitleTxt>CHIEF FINANC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>259396</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR SUSAN MASLO DMD</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>221487</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR ARIEL GOLDBERG DMD</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>179870</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA DUFOUR</PersonNm>
        <TitleTxt>NURSE PRACTI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>167216</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD ALLISON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW BEYER</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN CONGEDO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN DONALDSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SONJA FORD-GORE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD LEVINE</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAWN MCGILL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN SCHUSTER</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALICYN SIMPSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG WHITTED</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2189175</TotalReportableCompFromOrgAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COORDINATED CARE NETWORK OF AMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>300 PENN CENTER BOULEVARD - SUITE 5</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15235</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHARMA</ServicesDesc>
        <CompensationAmt>32405860</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>YELLOW BRIDGE DIGITAL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5554 WILKINS AVE</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15217</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING/MRK</ServicesDesc>
        <CompensationAmt>485224</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CONSILIUM STAFFING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6363 N STATE HWY 161 SUITE 800</AddressLine1Txt>
            <CityNm>IRVING</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75038</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROF. STAFFING</ServicesDesc>
        <CompensationAmt>345888</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROTHSCHILD DYNO COLLABROTIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2847 PENN AVENUE</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15222</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTURE</ServicesDesc>
        <CompensationAmt>194430</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PC DOCTOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3455</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15230</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SUPPOR</ServicesDesc>
        <CompensationAmt>191760</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>31622</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>196545</AllOtherContributionsAmt>
      <TotalContributionsAmt>228167</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>340B PHARMACY REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>52406858</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>52406858</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4375138</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4375138</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CASE MANAGEMENT FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>584726</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>584726</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER MEDICAL RELATED REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>16794</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16794</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADDITIONAL SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>5500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5500</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>57389016</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>462797</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>462797</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1435619</SecuritiesAmt>
        <OtherAmt>86786</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1461070</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-25451</SecuritiesAmt>
        <OtherAmt>86786</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>61335</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>61335</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>GAIN (LOSS) ON EQUIPMENT DISP</Desc>
        <TotalRevenueColumnAmt>-649202</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-649202</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>-649202</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>57492113</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>57263946</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1342199</TotalAmt>
        <ProgramServicesAmt>374140</ProgramServicesAmt>
        <ManagementAndGeneralAmt>885194</ManagementAndGeneralAmt>
        <FundraisingAmt>82865</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5610686</TotalAmt>
        <ProgramServicesAmt>4294383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1262092</ManagementAndGeneralAmt>
        <FundraisingAmt>54211</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>164283</TotalAmt>
        <ProgramServicesAmt>166801</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-2686</ManagementAndGeneralAmt>
        <FundraisingAmt>168</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>840235</TotalAmt>
        <ProgramServicesAmt>797292</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36804</ManagementAndGeneralAmt>
        <FundraisingAmt>6139</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>506679</TotalAmt>
        <ProgramServicesAmt>457095</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39342</ManagementAndGeneralAmt>
        <FundraisingAmt>10242</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>112564</TotalAmt>
        <ProgramServicesAmt>87849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24715</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>73187</TotalAmt>
        <ProgramServicesAmt>65868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7319</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>13104</TotalAmt>
        <ManagementAndGeneralAmt>13104</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>521436</TotalAmt>
        <ProgramServicesAmt>393526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127910</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>507273</TotalAmt>
        <ProgramServicesAmt>447668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59605</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>352634</TotalAmt>
        <ProgramServicesAmt>316734</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35900</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>498718</TotalAmt>
        <ProgramServicesAmt>433823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64895</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>511661</TotalAmt>
        <ProgramServicesAmt>458148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53513</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>26292</TotalAmt>
        <ProgramServicesAmt>24275</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2017</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>26750</TotalAmt>
        <ProgramServicesAmt>7492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19258</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>266481</TotalAmt>
        <ProgramServicesAmt>266481</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>219523</TotalAmt>
        <ProgramServicesAmt>197155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22368</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CCN FEE</Desc>
        <TotalAmt>31856136</TotalAmt>
        <ProgramServicesAmt>31856136</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CCN CASE MANAGEMENT EXPEN</Desc>
        <TotalAmt>549726</TotalAmt>
        <ProgramServicesAmt>549726</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT - PATIENT/INSURA</Desc>
        <TotalAmt>285857</TotalAmt>
        <ProgramServicesAmt>285857</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>217864</TotalAmt>
        <ProgramServicesAmt>215635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2229</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1223921</TotalAmt>
        <ProgramServicesAmt>1037365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>186556</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>45727209</TotalAmt>
        <ProgramServicesAmt>42733449</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2840135</ManagementAndGeneralAmt>
        <FundraisingAmt>153625</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4134141</BOYAmt>
        <EOYAmt>5933659</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5798154</BOYAmt>
        <EOYAmt>15587717</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>133257</BOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5909089</BOYAmt>
        <EOYAmt>8457472</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>520230</BOYAmt>
        <EOYAmt>322321</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>151114</BOYAmt>
        <EOYAmt>188791</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5452212</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1510567</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4695322</BOYAmt>
        <EOYAmt>3941645</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>5103558</BOYAmt>
        <EOYAmt>5624638</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1742093</BOYAmt>
        <EOYAmt>4852020</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>28186958</BOYAmt>
        <EOYAmt>44908263</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>6892115</BOYAmt>
        <EOYAmt>9410561</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1931253</BOYAmt>
        <EOYAmt>4174208</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>8823368</BOYAmt>
        <EOYAmt>13584769</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>19363590</BOYAmt>
        <EOYAmt>31233341</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <EOYAmt>90153</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19363590</BOYAmt>
        <EOYAmt>31323494</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>28186958</BOYAmt>
        <EOYAmt>44908263</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>11764904</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>195000</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>347700</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>316271</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1756752</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>712351</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>228167</CurrentTaxYearAmt>
        <TotalAmt>3361241</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>10981330</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11134098</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20191194</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>38399131</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57202611</CurrentTaxYearAmt>
        <TotalAmt>137908364</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>11329030</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11450369</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21947946</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39111482</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57430778</CurrentTaxYearAmt>
        <TotalAmt>141269605</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>141269605</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>77399</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>85270</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>118145</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>220215</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>501029</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>77399</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>85270</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>118145</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>220215</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>501029</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus3YearsAmt>1940</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>1940</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>11406429</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11537579</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22066091</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39331697</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57430778</CurrentTaxYearAmt>
        <TotalAmt>141772574</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99650</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99370</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.01000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS 0</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>347027</OtherCostOrOtherBasisAmt>
        <BookValueAmt>347027</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2036014</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2036014</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1221020</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>695354</DepreciationAmt>
        <BookValueAmt>525666</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1032125</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>621270</DepreciationAmt>
        <BookValueAmt>410855</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>816026</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>193943</DepreciationAmt>
        <BookValueAmt>622083</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3941645</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE OPERATING LEASE ASSETS</Desc>
        <BookValueAmt>4052053</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CONSTRUCTION IN PROGRESS</Desc>
        <BookValueAmt>781381</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ACCRUED INTEREST RECEIVABLE</Desc>
        <BookValueAmt>18586</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>4852020</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>4068128</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASEHOLD IMPROVEMENT ALLOWANCE</Desc>
        <Amt>245164</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>AMORT OF LEASEHOLD IMP ALLOW</Desc>
        <Amt>-139084</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4174208</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>57335281</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>195000</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>195000</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>57140281</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>13104</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>338728</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>351832</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>57492113</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>45375377</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>45375377</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>13104</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>338728</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>351832</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>45727209</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES 338,728</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES 338,728</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <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>MICHAEL MINGRONE</PersonNm>
        <TitleTxt>CHIEF EXEC OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>397866</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>26226</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>424092</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR KATHRINE HOMROK MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>345366</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>41636</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>387002</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR DAVID FREEMAN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>256415</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>21986</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>278401</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL PARKER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFC</TitleTxt>
        <BaseCompensationFilingOrgAmt>228204</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>43507</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>271711</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELAINE KULMAN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFC</TitleTxt>
        <BaseCompensationFilingOrgAmt>224062</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>35334</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259396</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR SUSAN MASLO DMD</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>201708</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>19779</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>221487</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR ARIEL GOLDBERG DMD</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>161694</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>18176</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>179870</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSICA DUFOUR</PersonNm>
        <TitleTxt>NURSE PRACTIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>149647</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>17569</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167216</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE O METRO FAMILY PRACTICE, INC. OPERATES AS A FEDERALLY QUALIFIED HEALTH CENTER "LOOK-ALIKE" FACILITY. ITS DEFINED MISSION IS TO CARE FOR THE WHOLE PERSON IN A SAFE AND RESPECTFUL SETTING; TO ENCOURAGE PATIENTS TO PARTNER WITH OUR DOCTORS AND STAFF IN PLANNING THEIR CARE; TO BE GUIDED BY THE NEEDS OF OUR PATIENTS; TO RESPOND TO THOSE NEEDS WITH RESPECT FOR THE INDIVIDUAL AND THEIR BELIEFS ABOUT HEALTH AND HEALING; AND TO SERVE WILKINSBURG AND THE NEARBY COMMUNITIES BY OFFERING HEALTH CARE TO ALL PEOPLE, AT EVERY STAGE OF LIFE, WITHOUT REGARD TO THEIR ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S OFFICERS AND DIRECTORS VOLUNTEER THEIR TIME AS MEMBERS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND EXECUTIVE DIRECTOR BEFORE FILING. COPIES ARE PROVIDED TO BOARD MEMBERS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT. IF ANY CONFLICTS ARE NOTED OR IF DURING THE YEAR A CONFLICT ARISES, THEY ARE DISCUSSED BY THE BOARD AND THEY MAKE A DETERMINATION ON HOW IT WILL BE RESOLVED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, WITH OUTSIDE ASSISTANCE, REVIEWED COMPENSATION DATA FOR SIMILAR POSITIONS AND ORGANIZATIONS OF SIMILAR SIZE AND OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES -338,728 BAD DEBTS NETTED AGAINST PATIENT SERVICE REVENUE 0 FOR FINANCIAL STATEMENT REPORTING PURPOSES 0 BUT REPORTED AS EXPENSE FOR TAX REPORTING PURPOSES 338,728</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>