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      <GovernmentGrantsAmt>11964008</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY 340B PROGRAM</Desc>
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        <RelatedOrExemptFuncIncomeAmt>4870046</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>DENTAL SERVICES</Desc>
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        <RelatedOrExemptFuncIncomeAmt>312294</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <ManagementAndGeneralAmt>229944</ManagementAndGeneralAmt>
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        <TotalAmt>14764999</TotalAmt>
        <ProgramServicesAmt>11989589</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>333648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89603</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1109420</ProgramServicesAmt>
        <ManagementAndGeneralAmt>470246</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1100280</TotalAmt>
        <ProgramServicesAmt>885548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214732</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>247858</TotalAmt>
        <ProgramServicesAmt>215514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32344</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>22307</TotalAmt>
        <ProgramServicesAmt>1874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20433</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2662789</TotalAmt>
        <ProgramServicesAmt>2463783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199006</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>849043</TotalAmt>
        <ProgramServicesAmt>500935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>348108</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTED SERVICES</Desc>
        <TotalAmt>1938965</TotalAmt>
        <ProgramServicesAmt>866345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1072620</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>1676202</TotalAmt>
        <ProgramServicesAmt>1559397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116805</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>1587290</TotalAmt>
        <ProgramServicesAmt>1145555</ProgramServicesAmt>
        <ManagementAndGeneralAmt>441735</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL EDUCATION, DUES</Desc>
        <TotalAmt>271439</TotalAmt>
        <ProgramServicesAmt>271439</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>27354033</TotalAmt>
        <ProgramServicesAmt>21343047</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6010986</ManagementAndGeneralAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>8816634</EOYAmt>
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        <EOYAmt>3424231</EOYAmt>
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        <EOYAmt>143374</EOYAmt>
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        <EOYAmt>338421</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>29648079</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>13204717</LandBldgEquipAccumDeprecAmt>
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        <EOYAmt>16443362</EOYAmt>
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        <EOYAmt>54190</EOYAmt>
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        <EOYAmt>29220212</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>4230845</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8153497</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>21066715</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19302953</BOYAmt>
        <EOYAmt>21066715</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24720491</BOYAmt>
        <EOYAmt>29220212</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1763837</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-75</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>0</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>10211958</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10446980</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16388119</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13010878</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12301799</CurrentTaxYearAmt>
        <TotalAmt>62359734</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>10446980</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>16388119</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13010878</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12301799</CurrentTaxYearAmt>
        <TotalAmt>62359734</TotalAmt>
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      <PublicSupportTotal170Amt>62359734</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>15634</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11350</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>49061</CurrentTaxYearAmt>
        <TotalAmt>103887</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>197016</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>189115</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1028659</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>624246</CurrentTaxYearAmt>
        <TotalAmt>2679636</TotalAmt>
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      <PublicSupportPY170Pct>0.96510</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER VARIOUS PUBLIC SUPPORT RECEIVED THROUGHOUT THE YEAR</ExplanationTxt>
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    </IRS990ScheduleA>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <OtherCostOrOtherBasisAmt>1693782</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1693782</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>6542903</DepreciationAmt>
        <BookValueAmt>11551381</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>431832</DepreciationAmt>
        <BookValueAmt>159965</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>8536834</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6111072</DepreciationAmt>
        <BookValueAmt>2425762</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>731382</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>118910</DepreciationAmt>
        <BookValueAmt>612472</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>16443362</TotalBookValueLandBuildingsAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGEL GREER</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>229944</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229944</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED IN DETAIL WITH THE CHIEF FINANCIAL OFFICER BEFORE FILING. THE FORM 990 IS REVIEWED AND SIGNED BY THE CHIEF EXECUTIVE OFFICER. IT IS THEN MADE AVAILABLE TO EACH BOARD MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE CEO THROUGH CLOSE OVERSIGHT OF, AND FREQEUENT INTERACTION WITH, DEPARTMENT HEADS AND THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPREHENSIVE MARKET SURVEY WAS PERFORMED IN 2008 BY THE BOARD'S PERSONNEL COMMITTEE TO EVALUATE AND ADJUST THE CHIEF EXECUTIVE OFFICER'S COMPENSATION PACKAGE TO REFLECT THE LOCAL MARKET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS NOT REQUIRED TO, AND DOES NOT, MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ITS FORM 990, HOWEVER, IS PREPARED FROM ITS ANNUAL AUDITED FINANCIAL STATEMENTS AND, AS SUCH, ITS ANNUAL FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH REVIEW OF ITS ANNUAL TAX RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR ANNUAL AUDIT WAS DELAYED DUE TO SOFTWARE CONVERSIONS AND STAFF TURNOVER. WE HAVE NOW MADE ARRANGEMENS AND PREPARATIONS FOR OUR AUDIT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>