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      <GainOrLossGrp>
        <SecuritiesAmt>5000</SecuritiesAmt>
        <OtherAmt>37086</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>42086</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>42086</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>99198088</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1735990</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1193704</TotalAmt>
        <ManagementAndGeneralAmt>1193704</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>56772807</TotalAmt>
        <ProgramServicesAmt>45992608</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10780199</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>33160</TotalAmt>
        <ManagementAndGeneralAmt>33160</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>408679</TotalAmt>
        <ProgramServicesAmt>37868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>370811</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2300241</TotalAmt>
        <ProgramServicesAmt>2295433</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4808</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <InformationTechnologyGrp>
        <TotalAmt>924985</TotalAmt>
        <ProgramServicesAmt>330591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>594394</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>4943280</TotalAmt>
        <ProgramServicesAmt>4722532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>220748</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1953206</TotalAmt>
        <ProgramServicesAmt>1363609</ProgramServicesAmt>
        <ManagementAndGeneralAmt>589597</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1631345</TotalAmt>
        <ProgramServicesAmt>1631345</ProgramServicesAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT COSTS</Desc>
        <TotalAmt>3878801</TotalAmt>
        <ProgramServicesAmt>1941714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1937087</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT RELATED COST</Desc>
        <TotalAmt>1896089</TotalAmt>
        <ProgramServicesAmt>1895922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRANS./TRAINING COST</Desc>
        <TotalAmt>1529338</TotalAmt>
        <ProgramServicesAmt>1104541</ProgramServicesAmt>
        <ManagementAndGeneralAmt>424797</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MATERIALS &amp; SUPPLIES</Desc>
        <TotalAmt>1273594</TotalAmt>
        <ProgramServicesAmt>913142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>360452</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1930592</TotalAmt>
        <ProgramServicesAmt>1398578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>532014</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>80669821</TotalAmt>
        <ProgramServicesAmt>63627883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17041938</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>22510284</BOYAmt>
        <EOYAmt>31200182</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
        <BOYAmt>4279629</BOYAmt>
        <EOYAmt>7205266</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>389349</BOYAmt>
        <EOYAmt>217307</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>35560233</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11874125</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>21076191</BOYAmt>
        <EOYAmt>23686108</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>35000</BOYAmt>
        <EOYAmt>17500</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>12763918</BOYAmt>
        <EOYAmt>17275684</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>61054371</BOYAmt>
        <EOYAmt>79602047</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2709673</BOYAmt>
        <EOYAmt>4357841</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>7755703</BOYAmt>
        <EOYAmt>7050151</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>9376787</BOYAmt>
        <EOYAmt>8453580</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>19842163</BOYAmt>
        <EOYAmt>19861572</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>41166656</BOYAmt>
        <EOYAmt>59694923</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>45552</BOYAmt>
        <EOYAmt>45552</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>41212208</BOYAmt>
        <EOYAmt>59740475</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>61054371</BOYAmt>
        <EOYAmt>79602047</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>18528267</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>44128264</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>51400705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>56202575</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66086299</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>97462098</CurrentTaxYearAmt>
        <TotalAmt>315279941</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>44128264</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>51400705</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>56202575</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>66086299</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>97462098</CurrentTaxYearAmt>
        <TotalAmt>315279941</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>315279941</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>43562</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>28264</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>27931</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>185592</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>183623</CurrentTaxYearAmt>
        <TotalAmt>468972</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>452588</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1217121</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1236971</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1935828</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1510281</CurrentTaxYearAmt>
        <TotalAmt>6352789</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>322101702</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>5080226</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97880</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97170</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM SERVICE REVENUE 6,352,789</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc4">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2779031</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2779031</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>23219947</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5967600</DepreciationAmt>
        <BookValueAmt>17252347</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>227084</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>138523</DepreciationAmt>
        <BookValueAmt>88561</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9334171</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5768002</DepreciationAmt>
        <BookValueAmt>3566169</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>23686108</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>CONSTRUCTION IN PROGRESS</Desc>
        <BookValueAmt>8822104</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE RIGHT OF USE</Desc>
        <BookValueAmt>8453580</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>17275684</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>8453580</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>8453580</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>99198088</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>99198088</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>99198088</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>80669821</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>80669821</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>80669821</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>RANDY RAY</PersonNm>
        <TitleTxt>PRESIDENT, CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>310119</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>310119</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STACY EMERSON</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>250094</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>250094</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY BLACKSHARE</PersonNm>
        <TitleTxt>EVP, OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>214568</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>214568</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLEY PHEBUS</PersonNm>
        <TitleTxt>EVP, FINANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>193552</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193552</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA MAXWELL</PersonNm>
        <TitleTxt>EVP, CLINICAL OPER.</TitleTxt>
        <BaseCompensationFilingOrgAmt>193545</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193545</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NOBLE SHAVER</PersonNm>
        <TitleTxt>EVP, ADM. SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>193192</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193192</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990 IS PROVIDED TO BOARD MEMBERS FOR REVIEW AT THE NEXT MONTHLY BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EMPLOYEE/BOARD MEMBER/PROVIDER/CONTRACT STAFF SHALL DISCLOSE CONFLICTS OF INTEREST IN WRITING THROUGH POLICY TECH/DISCLOSURE MANAGEMENT. THIS DISCLOSURE SHALL INCLUDE A BRIEF STATEMENT OF THE NATURE AND EXTENT OF THE POTENTIAL CONFLICT AND SHALL BE REVIEWED BY THE COMPLIANCE DEPARTMENT. THIS DISCLOSURE WILL BE OBTAINED AT NEW HIRE AND COMPLETED ON AN ANNUAL BASIS. IT IS THE PERSONNELS RESPONSIBILITY TO UPDATE THIS DISCLOSURE IF ANY NEW POTENTIAL CONFLICTS ARISE DURING THE YEAR. A CAMPAIGN THROUGH POLICY TECH WILL BE ASSIGNED ANNUALLY TO REVIEW THE POLICY AND UPDATE DISCLOSURES. IN THE EVENT THAT A CONFLICT OF INTEREST DOES ARISE, THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) OR CHIEF COMPLIANCE OFFICER MUST APPROVE FOR THE TRANSACTION TO TAKE PLACE (TAKING INTO ACCOUNT THE SITUATION AND THE REALIZATION THAT WE ARE LOCATED IN A RURAL AREA). UPON REQUEST FOR PAYMENT, THE CEO OR CHIEF COMPLIANCE OFFICER MUST SIGN OFF ON ALL PAYMENTS TO AN ENTITY THAT APPEARS ON THE FCC CONFLICT OF INTEREST LIST. ACCOUNTS PAYABLE WILL HAVE ACCESS TO THIS LISTING AT ALL TIMES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>PUBLIC INSPECTION OF FINANCIAL STATEMENTS ARE GIVIN UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>