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      <IndivRcvdGreaterThan100KCnt>7</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SYSTEM INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>83 PINE STREET</AddressLine1Txt>
            <CityNm>PEABODY</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01960</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INSURANCE &amp; PATIENT BILLING</ServicesDesc>
        <CompensationAmt>350601</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STANDARD PHARMACY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>387 QUARRY STREET</AddressLine1Txt>
            <CityNm>FALL RIVER</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02723</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B PHARMACY PROGRAM</ServicesDesc>
        <CompensationAmt>265578</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECLINICAL WORKS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 847950</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022847950</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ELECTRONIC HEALTH RECORDS</ServicesDesc>
        <CompensationAmt>143452</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9205269</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>787094</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1459513</NoncashContributionsAmt>
      <TotalContributionsAmt>9992363</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>5264027</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5264027</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1388506</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1388506</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENTS AND HEALTH SAFETY</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1182924</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1182924</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD-PARTY PAYORS AND OTHER</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>700424</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>700424</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>531384</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>531384</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9067265</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>60</TotalRevenueColumnAmt>
        <ExclusionAmt>60</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>111876</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>145401</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>-33525</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-33525</TotalRevenueColumnAmt>
        <ExclusionAmt>-33525</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>62875</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>62875</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EHR INCENTIVE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>42500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>42500</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>105375</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>19131538</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9172640</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-33465</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1459513</TotalAmt>
        <ProgramServicesAmt>1459513</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>543593</TotalAmt>
        <ProgramServicesAmt>196355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>347238</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7652635</TotalAmt>
        <ProgramServicesAmt>6397489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1255146</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>93742</TotalAmt>
        <ProgramServicesAmt>72453</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21289</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>782912</TotalAmt>
        <ProgramServicesAmt>588874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194038</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>744958</TotalAmt>
        <ProgramServicesAmt>584301</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160657</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>17990</TotalAmt>
        <ManagementAndGeneralAmt>17990</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>60820</TotalAmt>
        <ManagementAndGeneralAmt>60820</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>921887</TotalAmt>
        <ProgramServicesAmt>566651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>355236</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>40031</TotalAmt>
        <ProgramServicesAmt>414</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39617</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>244952</TotalAmt>
        <ProgramServicesAmt>156732</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88220</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>296213</TotalAmt>
        <ProgramServicesAmt>50083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246130</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>23784</TotalAmt>
        <ProgramServicesAmt>22902</ProgramServicesAmt>
        <ManagementAndGeneralAmt>882</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>60571</TotalAmt>
        <ManagementAndGeneralAmt>60571</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>496070</TotalAmt>
        <ProgramServicesAmt>179539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>316531</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>60431</TotalAmt>
        <ProgramServicesAmt>33287</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27144</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPORT</Desc>
        <TotalAmt>1811485</TotalAmt>
        <ProgramServicesAmt>1811485</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES &amp; MATE</Desc>
        <TotalAmt>831724</TotalAmt>
        <ProgramServicesAmt>831724</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DIRECT STATE/FEDERAL NO</Desc>
        <TotalAmt>523907</TotalAmt>
        <ProgramServicesAmt>523907</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LEASED EQUIPMENT</Desc>
        <TotalAmt>32943</TotalAmt>
        <ProgramServicesAmt>25660</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7283</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>29876</TotalAmt>
        <ProgramServicesAmt>6157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23719</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16730037</TotalAmt>
        <ProgramServicesAmt>13507526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3222511</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>47402</BOYAmt>
        <EOYAmt>105448</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4330598</BOYAmt>
        <EOYAmt>4219963</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>281872</BOYAmt>
        <EOYAmt>777049</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>15735</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>84580</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>15738229</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10270085</BOYAmt>
        <EOYAmt>10650080</EOYAmt>
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        <BOYAmt>79496</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>16737326</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1484794</EOYAmt>
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        <EOYAmt>1072455</EOYAmt>
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      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>1355000</BOYAmt>
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        <BOYAmt>141246</BOYAmt>
        <EOYAmt>249770</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>4295149</BOYAmt>
        <EOYAmt>2932019</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>11403806</BOYAmt>
        <EOYAmt>13805307</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>11403806</BOYAmt>
        <EOYAmt>13805307</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>15698955</BOYAmt>
        <EOYAmt>16737326</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2401501</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>5591689</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5509874</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5559961</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6179943</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9992363</CurrentTaxYearAmt>
        <TotalAmt>32833830</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>7179926</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7435604</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8582851</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8696654</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9067265</CurrentTaxYearAmt>
        <TotalAmt>40962300</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>12771615</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12945478</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14142812</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14876597</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19059628</CurrentTaxYearAmt>
        <TotalAmt>73796130</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>73796130</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>126077</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>114159</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>107916</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>107856</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>111936</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus3YearsAmt>114159</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>107916</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>107856</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>111936</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>91513</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25232</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>41791</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>105375</CurrentTaxYearAmt>
        <TotalAmt>528992</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>13162773</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13151150</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14275960</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15026244</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>19276939</CurrentTaxYearAmt>
        <TotalAmt>74893066</TotalAmt>
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      <PublicSupportCY509Pct>0.98540</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.98390</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00760</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00870</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2016 AMOUNT: $ 43,768. 2017 AMOUNT: $ 29,963. 2018 AMOUNT: $ 25,232. 2019 AMOUNT: $ 41,791. 2020 AMOUNT: $ 62,875. EHS INCENTIVE - 2016 AMOUNT: $ 221,313. 2017 AMOUNT: $ 61,550. 2020 AMOUNT: $ 42,500.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <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>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>311609</OtherCostOrOtherBasisAmt>
        <BookValueAmt>311609</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>2772990</DepreciationAmt>
        <BookValueAmt>9518415</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>2315159</DepreciationAmt>
        <BookValueAmt>820056</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>10650080</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FEDERAL FUNDS PAYABLE TO SUBRECIPIENT</Desc>
        <Amt>97043</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>152727</Amt>
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      <TotalLiabilityAmt>249770</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19276939</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-145401</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-145401</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19131538</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16875438</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>145401</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>145401</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16730037</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16730037</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2021. THE CENTER'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS, AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES -145,401.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 145,401.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>WIC FOOD VOUCHERS</GrantTypeTxt>
        <RecipientCnt>18556</RecipientCnt>
        <NonCashAssistanceAmt>1459513</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FOOD VOUCHERS</NonCashAssistanceDesc>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION USES MONTHLY INCOME VERIFICATIONS REPORT TO CONDUCT QUALITY ASSURANCE ON INCOME CAPTURED AT (RE)CERTIFICATION, BY IDENTIFYING WIC PARTICIPANTS WHO HAD A (RE)CERTIFICATION IN THE PREVIOUS MONTH TO ENSURE INCOME VERIFICATIONS ARE COMPLIANT.</ExplanationTxt>
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    </IRS990ScheduleI>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>235990</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMANDA KELVEY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178719</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>154987</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANILA KHALID</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>138</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>2600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>151098</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1459513</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETE FORM 990 IS PROVIDED TO THE MEMBERS OF THE GOVERNING BODY PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH EMPLOYEE SUPERVISION. THE BOARD OF DIRECTORS ARE REQUIRED ANNUALLY TO SIGN THE COI POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING BOARD DETERMINES AND APPROVES THE COMPENSATION OF THE CEO AND OTHER OFFICERS THROUGH USE OF THE ANNUAL NATIONAL TRADE ASSOCIATION SALARY SURVEY BY REGIONAL COST AS A GUIDE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
