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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE SHAW</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN BERTRAND</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DON DUGER</PersonNm>
        <TitleTxt>COO (AS OF 12/2023)</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD RICE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ENOCH ANYANWU</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EMERY MARCUS</PersonNm>
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        <PersonNm>KATHERINE SERRA</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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        <RelatedOrExemptFuncIncomeAmt>8968</RelatedOrExemptFuncIncomeAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>62511</ProgramServicesAmt>
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        <ProgramServicesAmt>1781566</ProgramServicesAmt>
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        <ProgramServicesAmt>904494</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>92374</ProgramServicesAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>257819</ManagementAndGeneralAmt>
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        <TotalAmt>1764338</TotalAmt>
        <ProgramServicesAmt>1449681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314657</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>401996</TotalAmt>
        <ProgramServicesAmt>187787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214209</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>585365</TotalAmt>
        <ProgramServicesAmt>138009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>447356</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>885127</TotalAmt>
        <ProgramServicesAmt>600019</ProgramServicesAmt>
        <ManagementAndGeneralAmt>285108</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>310999</TotalAmt>
        <ProgramServicesAmt>231922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79077</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1207118</TotalAmt>
        <ProgramServicesAmt>1002302</ProgramServicesAmt>
        <ManagementAndGeneralAmt>204816</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL AND PHARMACY SU</Desc>
        <TotalAmt>2386035</TotalAmt>
        <ProgramServicesAmt>2386035</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>527987</TotalAmt>
        <ProgramServicesAmt>374588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153399</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>493982</TotalAmt>
        <ProgramServicesAmt>330731</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163251</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE FEES</Desc>
        <TotalAmt>469825</TotalAmt>
        <ProgramServicesAmt>406221</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63604</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>644284</TotalAmt>
        <ProgramServicesAmt>570583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73701</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>29546106</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5988644</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>59012</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>20610932</BOYAmt>
        <EOYAmt>27963806</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1138385</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>3252873</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>208578</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>96863</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>26648565</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>19097173</BOYAmt>
        <EOYAmt>19448230</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>1544149</BOYAmt>
        <EOYAmt>1532866</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>47542282</BOYAmt>
        <EOYAmt>53700613</EOYAmt>
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        <EOYAmt>3015256</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>2846123</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>11582683</BOYAmt>
        <EOYAmt>11151241</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>25589</BOYAmt>
        <EOYAmt>61393</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>17074013</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>36614930</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>281360</BOYAmt>
        <EOYAmt>11670</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>30701137</BOYAmt>
        <EOYAmt>36626600</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>47542282</BOYAmt>
        <EOYAmt>53700613</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>5936746</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-11283</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>11569180</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20695587</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21127158</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16974723</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11169446</CurrentTaxYearAmt>
        <TotalAmt>81536094</TotalAmt>
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      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>11569180</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>20695587</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>21127158</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16974723</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11169446</CurrentTaxYearAmt>
        <TotalAmt>81536094</TotalAmt>
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        <CurrentTaxYearMinus4YearsAmt>50967</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>21336</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>30746</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>467680</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>897742</CurrentTaxYearAmt>
        <TotalAmt>1468471</TotalAmt>
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      <TotalSupportAmt>83004565</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>104160027</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98230</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97400</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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        <BookValueAmt>1089240</BookValueAmt>
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      <BuildingsGrp>
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      <EquipmentGrp>
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        <BookValueAmt>1340253</BookValueAmt>
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        <BookValueAmt>20430</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>19448230</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTY</Desc>
        <Amt>61393</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>61393</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>41460213</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-11283</OtherRevenueAmt>
      <RevenueNotReportedAmt>-11283</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>41471496</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>41471496</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>35534750</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>35534750</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>35534750</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2024. THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY THE FEDERAL AND STATE JURISDICTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET UNREALIZED LOSS ON INTEREST RATE SWAP AGREEMENT -11,283.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERRY ELLIS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15000</BonusFilingOrganizationAmount>
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        <ExplanationTxt>DURING THE YEAR ENDED JUNE 30, 2024, THERE WERE 1039 CONTRIBUTIONS OF VARIOUS VACCINES AND TEST KITS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MARGARET CHRIST, SECRETARY OF THE BOARD, AND NICHOLAS CHRIST, DIRECTOR, HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>BOARD MINUTES ARE TAKEN AND APPROVED AT EACH BOARD OF DIRECTORS MEETING. MINUTES ARE NOT KEPT FOR COMMITTEES, AS THERE ARE NO SUB-COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. ANY ISSUES THAT REQUIRE BOARD VOTE/APPROVAL INCLUDE THE ENTIRE BOARD.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S CFO AND MEMBERS OF UPPER MANAGEMENT REVIEW A DRAFT OF THE FORM 990, WHICH IS PREPARED BY THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS. ANY COMMENTS RESULTING FROM THE REVIEW PROCESS ARE INCORPORATED INTO THE FORM BY THE INDEPENDENT ACCOUNTANTS. A FINAL VERSION OF THE FORM 990 IS THEN MADE AVAILABLE TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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        <ExplanationTxt>ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO FILE A STATEMENT ON AN ANNUAL BASIS DISCLOSING ANY POTENTIAL INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THESE STATEMENTS ARE COMPLETED AT THE BEGINNING OF EACH FISCAL YEAR AND ARE EVALUATED BY THE OFFICERS OF THE ORGANIZATION. INDIVIDUALS WITH POTENTIAL CONFLICTS OF INTEREST ARE PROHIBITED FROM PARTICIPATING IN ANY DELIBERATIONS OR DECISIONS THAT MAY BE EFFECTED BY A POTENTIAL CONFLICT OF INTEREST.</ExplanationTxt>
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        <ExplanationTxt>COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS REVIEWED ON AN ANNUAL BASIS IN CONNECTION WITH THE ORGANIZATION'S BUDGETING PROCESS. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER USING DATA FOR COMPARABLE ORGANIZATIONS. SUCH DELIBERATIONS AND DECISIONS ARE RECORDED IN THE MEETING MINUTES. OTHER KEY EMPLOYEES HAVE ANNUAL EVALUATIONS PERFORMED BY THEIR SUPERVISORS. WHEN APPLICABLE, SALARY AMOUNTS ARE COMPARED TO INDUSTRY STANDARDS AND SALARY SURVEYS RELATED TO THE EMPLOYEE'S SPECIFIC JOB FUNCTION.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE WEBSITES OF CERTAIN STATE REGULATORY AGENCIES AS WELL AS UPON REQUEST. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND ITS SELECTION OF AN INDEPENDENT AUDITOR. THERE HAVE BEEN NO CHANGES TO THIS PROCESS SINCE THE PRIOR YEAR.</ExplanationTxt>
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