<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2020v4.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2022-04-29T13:51:48-05:00</ReturnTs>
    <TaxPeriodEndDt>2021-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>410746749</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CLIFTONLARSONALLEN LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>610 W GERMANTOWN PIKE SUITE 400</AddressLine1Txt>
        <CityNm>PLYMOUTH MEETING</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>19462</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2020-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>232176338</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>MAZZONI CENTER</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>MAZZ</BusinessNameControlTxt>
      <PhoneNum>2155630652</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1348 BAINBRIDGE STREET</AddressLine1Txt>
        <CityNm>PHILADELPHIA</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>19147</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CHRISTINE CHACKO</PersonNm>
      <PersonTitleTxt>EXECUTIVE FINANCIAL OFFICER</PersonTitleTxt>
      <PhoneNum>2155630652</PhoneNum>
      <SignatureDt>2022-04-29</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>CHRISTINE</PersonFirstNm>
        <PersonLastNm>CHACKO</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>WILLIAM A LOUGHERY</PreparerPersonNm>
      <PTIN>P01603932</PTIN>
      <PhoneNum>2156433900</PhoneNum>
      <PreparationDt>2022-04-29</PreparationDt>
    </PreparerPersonGrp>
    <AdditionalFilerInformation>
      <TrustedCustomerGrp>
        <TrustedCustomerCd>2</TrustedCustomerCd>
        <AuthenticationAssuranceLevelCd>AAL1</AuthenticationAssuranceLevelCd>
        <IdentityAssuranceLevelCd>IAL1</IdentityAssuranceLevelCd>
      </TrustedCustomerGrp>
    </AdditionalFilerInformation>
    <TaxYr>2020</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>CHRISTINE CHACKO</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1348 BAINBRIDGE STREET</AddressLine1Txt>
        <CityNm>PHILADELPHIA</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>19147</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>14895077</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.MAZZONICENTER.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1979</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE QUALITY COMPREHENSIVE HEALTH, WELLNESS AND LEGAL SERVICES IN AN LGBTQ-FOCUSED ENVIRONMENT.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>187</TotalEmployeeCnt>
      <TotalVolunteersCnt>20</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>6114180</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>7821815</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>9816883</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>6487812</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>160739</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>133298</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>176077</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>95992</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>16267879</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>14538917</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>10063570</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>9819156</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>279613</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>5289609</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>4661930</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>15353179</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>14481086</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>914700</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>57831</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>24606177</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>24787446</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>14226950</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>13540515</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>10379227</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>11246931</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE MISSION OF MAZZONI CENTER IS TO "PROVIDE QUALITY COMPREHENSIVE HEALTH AND WELLNESS SERVICES IN AN LGBTQ-FOCUSED ENVIRONMENT, WHILE PRESERVING THE DIGNITY AND IMPROVING THE QUALITY OF LIFE OF THE INDIVIDUALS WE SERVE."</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>3341668</ExpenseAmt>
      <GrantAmt>0</GrantAmt>
      <RevenueAmt>2145684</RevenueAmt>
      <Desc>MEDICAL CARE SERVICES:THE ORGANIZATION OPERATES THE LARGEST COMMUNITY-BASED HEALTH CENTER IN PHILADELPHIA SERVING LGBTQ COMMUNITIES IN THE REGION. THE CENTER PROVIDES PRIMARY CARE, PREVENTATIVE CARE, GYNECOLOGICAL SERVICES, FAMILY PLANNING, HIV SCREENING AND CARE, STD SCREENING AND TREATMENT, LAB SERVICES, VACCINE ADMINISTRATION, DERMATOLOGY PROCEDURES, AND LGBTQ-SPECIFIC HEALTH SERVICES.CONTINUED ON SCHEDULE O.IN RESPONSE TO COVID-19, OUR HEALTH CARE, BEHAVIORAL HEALTH, PREVENTION, EDUCATION, LEGAL AND SOCIAL SERVICES MOVED TO VIRTUAL PLATFORMS TO PROVIDE TELE-CARE. ALL SERVICES WERE ABLE TO SUCCESSFULLY ADAPT TO PROVIDE QUALITY REMOTE OR HYBRID SERVICES TO OUR COMMUNITIES. AS A RESULT OF SHIFTING TO TELE-HEALTH SERVICES, THIRD PARTY BILLING DROPPED AS A RESULT OF LOWER REIMBURSEMENT FOR TELE-HEALTH SERVICES AND DECREASED IN-PERSON SERVICES RENDERED. THE ORGANIZATION PROVIDES OUTPATIENT MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE TREATMENT SPECIFICALLY SERVING LGBTQ COMMUNITIES IN PHILADELPHIA. SERVICES INCLUDE INDIVIDUAL, COUPLE, FAMILY, AND GROUP THERAPY. THE CONTINUUM OF BEHAVIORAL HEALTH SERVICES ALSO INCLUDES PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT AS WELL AS AN INTENSIVE OUTPATIENT PROGRAM (IOP) FOR SUBSTANCE ABUSE. IN FISCAL YEAR 2021, THE ORGANIZATION CONDUCTED 9,297 BEHAVIORAL HEALTH SESSIONS FOR 450 UNDUPLICATED INDIVIDUALS. IN ADDITION, THE INTENSIVE OUTPATIENT PROGRAM HAS CONDUCTED 669 IOP SESSIONS WITH 42 INDIVIDUALS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>3235046</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>2077280</RevenueAmt>
        <Desc>SOCIAL CARE SERVICES:THE ORGANIZATION PROVIDES MEDICAL CASE MANAGEMENT FOR PEOPLE LIVING WITH HIV/AIDS AND AT-RISK LGBTQ YOUTH AND ADULTS. SERVICES INCLUDE BIOPSYCHOSOCIAL ASSESSMENT, COORDINATION OF MEDICAL CARE, AND ACCESS TO HEALTH INSURANCE AND OTHER BENEFITS. THE PROGRAM ALSO PROVIDES HOUSING SUBSIDIES AND FOOD BANK SERVICES FOR PEOPLE LIVING WITH HIV/AIDS AND THEIR FAMILIES. IN FISCAL YEAR 2021, 1,279 INDIVIDUALS RECEIVED FOOD, CASE MANAGEMENT, HOUSING SUBSIDY SERVICES, LINKAGE TO MEDICAL CARE, AND ONGOING CONNECTIONS TO COMMUNITY RESOURCES.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>2069848</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>1359291</RevenueAmt>
        <Desc>PREVENTION, EDUCATION AND LEGAL SERVICES:THE ORGANIZATION PROVIDES COMMUNITY OUTREACH (STREET, INTERNET, SOCIAL MEDIA, ETC.) AIMED AT LINKING AT-RISK INDIVIDUALS TO HIV TESTING, STI SCREENING, AND OTHER SERVICES. THE ORGANIZATION OPERATES THE LARGEST PRIVATE HIV TESTING AND STI SCREENING PROGRAM IN PHILADELPHIA.IN FISCAL YEAR 2021, THE ORGANIZATION PROVIDED 1,250 HIV TESTS AND OVER 400 TAKE-HOME HIV TESTS IN COMMUNITY-BASED SETTINGS. (DATA TAKEN FROM EVALUATIONWEB DATABASE AND PROVIDED BY THE PDPH, DIVISION OF STD CONTROL). THE OUTREACH TEAM ALSO DISTRIBUTED 49,000 CONDOMS IN THE COMMUNITY.CONTINUED ON SCHEDULE O.THE ORGANIZATION PROVIDES EDUCATION AND PROFESSIONAL DEVELOPMENT TRAININGS ON LGBTQ SPECIFIC ISSUES TO MEDICAL, BEHAVIORAL HEALTH, LEGAL, AND OTHER SERVICES PROVIDERS IN PENNSYLVANIA. IN FISCAL YEAR 2021, 2,060 INDIVIDUALS RECEIVED EDUCATION SERVICES. THE ORGANIZATION PROVIDES DIRECT LEGAL SERVICES TO LGBTQ INDIVIDUALS AND HOUSEHOLDS IN THE PHILADELPHIA REGION. IN FISCAL YEAR 2021, 278 INDIVIDUALS RECEIVED THESE SERVICES.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1404224</ExpenseAmt>
        <GrantAmt>0</GrantAmt>
        <RevenueAmt>905557</RevenueAmt>
        <Desc>BEHAVIORAL HEALTH SERVICES:THE ORGANIZATION PROVIDES OUTPATIENT MENTAL HEALTH COUNSELING AND SUBSTANCE ABUSE TREATMENT, SPECIFICALLY SERVING LGBTQ COMMUNITIES IN PHILADELPHIA. SERVICES INCLUDE INDIVIDUAL, COUPLE, FAMILY, AND GROUP THERAPY. THE CONTINUUM OF BEHAVIORAL HEALTH SERVICES ALSO INCLUDES PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT AS WELL AS AN INTENSIVE OUTPATIENT PROGRAM (IOP) FOR SUBSTANCE ABUSE. IN FISCAL YEAR 2021, THE ORGANIZATION CONDUCTED 9,297 BEHAVIORAL HEALTH SESSIONS FOR 450 UNDUPLICATED INDIVIDUALS. IN ADDITION, THE INTENSIVE OUTPATIENT PROGRAM HAS CONDUCTED 669 IOP SESSIONS WITH 42 INDIVIDUALS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>1404224</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>0</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>905557</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>10050786</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">1</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>126</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>187</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>0</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>CHRISTINE CHACKO EXECUTIVE FINANCIAL OFFICER</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2155630652</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1348 BAINBRIDGE STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19147</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK WATKINS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>183514</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27802</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HILARY ROSENSTEIN</PersonNm>
        <TitleTxt>ASSISTANT MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>161413</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34540</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRICIA DRESSEL</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>111973</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22828</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PRIYANKAR SARKAR</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>130086</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE CANAVIN</PersonNm>
        <TitleTxt>DIRECTOR OF COMPLIANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>102867</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21957</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY BRISBON</PersonNm>
        <TitleTxt>EXECUTIVE MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>246294</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29039</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACQUEL ASSAYE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFF. TO FEB 2021</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>200922</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39232</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALECIA MANLEY</PersonNm>
        <TitleTxt>EXECUTIVE OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>189299</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36601</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINE CHACKO</PersonNm>
        <TitleTxt>EXEC. FINANCIAL OFF. FROM FEB 2021</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEOFFREY BRUEN</PersonNm>
        <TitleTxt>EXEC. LEGAL OFFICER FROM MAY 2021</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NU'RODNEY T PRAD MS</PersonNm>
        <TitleTxt>PRESIDENT/TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA PETERSON</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE PRICE</PersonNm>
        <TitleTxt>GOVERNANCE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEY ARCHER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOBBI BITTKER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ASHLEY BRANDT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAYLOR COBB</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIAS GONZALEZ</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY SUMA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELTON TAYLOR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRESENCIA ALICEA</PersonNm>
        <TitleTxt>BOARD MEMBER TO SEP 2020</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENDRA LEE</PersonNm>
        <TitleTxt>BOARD MEMBER TO OCT 2020</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUZI NAM</PersonNm>
        <TitleTxt>BOARD MEMBER TO DEC 2020</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD VAN FOSSEN</PersonNm>
        <TitleTxt>BOARD MEMBER TO DEC 2020</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1326368</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>211999</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THOMAS JEFFERSON UNIVERSITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1020 WALNUT STREET</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19107</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE SERVICES</ServicesDesc>
        <CompensationAmt>137861</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7443440</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>378375</AllOtherContributionsAmt>
      <NoncashContributionsAmt>10500</NoncashContributionsAmt>
      <TotalContributionsAmt>7821815</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>THIRD PARTY BILLING</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>6453185</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6453185</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROFESSIONAL DEVELOPMENT/TRAINING</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>30580</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>30580</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BEHAVIORAL HEALTH PROGRAM</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>4047</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4047</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>6487812</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>141018</TotalRevenueColumnAmt>
        <ExclusionAmt>141018</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>81878</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>81878</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>81878</TotalRevenueColumnAmt>
        <ExclusionAmt>81878</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>348440</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>356160</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-7720</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-7720</TotalRevenueColumnAmt>
        <ExclusionAmt>-7720</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>11001</TotalRevenueColumnAmt>
        <ExclusionAmt>11001</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL INCENTIVES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3113</TotalRevenueColumnAmt>
        <ExclusionAmt>3113</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>14114</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>14538917</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6487812</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>229290</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>732997</TotalAmt>
        <ProgramServicesAmt>363218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>342681</ManagementAndGeneralAmt>
        <FundraisingAmt>27098</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6931129</TotalAmt>
        <ProgramServicesAmt>5445382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1354959</ManagementAndGeneralAmt>
        <FundraisingAmt>130788</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>210826</TotalAmt>
        <ProgramServicesAmt>170082</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36835</ManagementAndGeneralAmt>
        <FundraisingAmt>3909</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1332669</TotalAmt>
        <ProgramServicesAmt>1012380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>290385</ManagementAndGeneralAmt>
        <FundraisingAmt>29904</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>611535</TotalAmt>
        <ProgramServicesAmt>454589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144755</ManagementAndGeneralAmt>
        <FundraisingAmt>12191</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>104534</TotalAmt>
        <ManagementAndGeneralAmt>104534</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>104623</TotalAmt>
        <ManagementAndGeneralAmt>104623</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>11816</TotalAmt>
        <ManagementAndGeneralAmt>11816</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>381901</TotalAmt>
        <ProgramServicesAmt>280540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100011</ManagementAndGeneralAmt>
        <FundraisingAmt>1350</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>11524</TotalAmt>
        <ProgramServicesAmt>1000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74</ManagementAndGeneralAmt>
        <FundraisingAmt>10450</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>261768</TotalAmt>
        <ProgramServicesAmt>127800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112733</ManagementAndGeneralAmt>
        <FundraisingAmt>21235</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>147323</TotalAmt>
        <ProgramServicesAmt>117681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27410</ManagementAndGeneralAmt>
        <FundraisingAmt>2232</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>365526</TotalAmt>
        <ProgramServicesAmt>123747</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240624</ManagementAndGeneralAmt>
        <FundraisingAmt>1155</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>374</TotalAmt>
        <ProgramServicesAmt>271</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>51992</TotalAmt>
        <ProgramServicesAmt>9553</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42022</ManagementAndGeneralAmt>
        <FundraisingAmt>417</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>364513</TotalAmt>
        <ManagementAndGeneralAmt>364513</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>534109</TotalAmt>
        <ProgramServicesAmt>45593</ProgramServicesAmt>
        <ManagementAndGeneralAmt>487248</ManagementAndGeneralAmt>
        <FundraisingAmt>1268</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>205266</TotalAmt>
        <ProgramServicesAmt>148670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54394</ManagementAndGeneralAmt>
        <FundraisingAmt>2202</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EXPENSES</Desc>
        <TotalAmt>1916784</TotalAmt>
        <ProgramServicesAmt>1744783</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138723</ManagementAndGeneralAmt>
        <FundraisingAmt>33278</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>153514</TotalAmt>
        <ManagementAndGeneralAmt>153514</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>36654</TotalAmt>
        <ManagementAndGeneralAmt>36654</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND DUES</Desc>
        <TotalAmt>9709</TotalAmt>
        <ProgramServicesAmt>5497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2076</ManagementAndGeneralAmt>
        <FundraisingAmt>2136</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>14481086</TotalAmt>
        <ProgramServicesAmt>10050786</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4150687</ManagementAndGeneralAmt>
        <FundraisingAmt>279613</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4663376</BOYAmt>
        <EOYAmt>4634753</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>3010</BOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2476421</BOYAmt>
        <EOYAmt>2394487</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>40107</BOYAmt>
        <EOYAmt>44184</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>380359</BOYAmt>
        <EOYAmt>453741</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>16431567</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2435391</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14466842</BOYAmt>
        <EOYAmt>13996176</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2495889</BOYAmt>
        <EOYAmt>3185476</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>61603</BOYAmt>
        <EOYAmt>60059</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>18570</BOYAmt>
        <EOYAmt>18570</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24606177</BOYAmt>
        <EOYAmt>24787446</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1300482</BOYAmt>
        <EOYAmt>1567229</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>14000</BOYAmt>
        <EOYAmt>229138</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>10033295</BOYAmt>
        <EOYAmt>9748162</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>1986482</BOYAmt>
        <EOYAmt>1450000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>892691</BOYAmt>
        <EOYAmt>545986</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>14226950</BOYAmt>
        <EOYAmt>13540515</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>10321717</BOYAmt>
        <EOYAmt>11185119</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>57510</BOYAmt>
        <EOYAmt>61812</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>10379227</BOYAmt>
        <EOYAmt>11246931</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24606177</BOYAmt>
        <EOYAmt>24787446</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>57831</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>463168</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>346705</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>9187487</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6800427</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6534058</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6114180</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7812815</CurrentTaxYearAmt>
        <TotalAmt>36448967</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>9187487</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6800427</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6534058</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6114180</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7812815</CurrentTaxYearAmt>
        <TotalAmt>36448967</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>36448967</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>95182</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>192524</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>191941</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>216704</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>222896</CurrentTaxYearAmt>
        <TotalAmt>919247</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>120685</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>186306</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>35645</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>89029</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14114</CurrentTaxYearAmt>
        <TotalAmt>445779</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>37813993</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>45096839</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.96390</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.96020</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>GROSS REVENUE FROM SPECIAL FUNDRAISING EVENTS - 2016 AMOUNT: $ 18,745. 2017 AMOUNT: $ 93,630. PROFESSIONAL DEVELOPMENT - 2017 AMOUNT: $ 34,266. MEDICAL INCENTIVES - 2017 AMOUNT: $ 11,974. 2018 AMOUNT: $ 12,328. 2019 AMOUNT: $ 62,129. 2020 AMOUNT: $ 3,113. LEGAL SETTLEMENTS-CLIENT CASES - 2017 AMOUNT: $ 11,216. 2018 AMOUNT: $ 6,363. MEDICAL RECORDS - 2017 AMOUNT: $ 4,416. 2018 AMOUNT: $ 4,358. REFUNDS - 2017 AMOUNT: $ 4,059. 2018 AMOUNT: $ 3,500. EXTERNAL AGENCIES - 2017 AMOUNT: $ 13,152. 2018 AMOUNT: $ 1,471. JURY DUTY - 2018 AMOUNT: $ 104. OTHER REVENUE - 2016 AMOUNT: $ 101,940. 2017 AMOUNT: $ 13,593. 2018 AMOUNT: $ 7,521. 2019 AMOUNT: $ 26,900. 2020 AMOUNT: $ 11,001.</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">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>14282712</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1464336</DepreciationAmt>
        <BookValueAmt>12818376</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1109613</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>100422</DepreciationAmt>
        <BookValueAmt>1009191</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1039242</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>870633</DepreciationAmt>
        <BookValueAmt>168609</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>13996176</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LIABILITY UNDER INTEREST RATE SWAP AGREEMENT</Desc>
        <Amt>545986</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>545986</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14991738</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>463168</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>1469</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>464637</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>14527101</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>11816</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>11816</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>14538917</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14470739</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>1469</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>1469</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>14469270</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>11816</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>11816</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14481086</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A NONPROFIT ENTITY AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME TAXES. BECAUSE THE ORGANIZATION IS THE SOLE MEMBER OF THE LLC, THE LLC WILL BE TREATED AS A DISREGARDED ENTITY FOR TAX PURPOSES AND, THEREFORE, THEIR ACTIVITIES ARE COMBINED WITH THE ORGANIZATION AND REPORTED AS ONE. THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAD NO IMPACT ON ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>MARK WATKINS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>183514</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7115</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20687</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211316</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HILARY ROSENSTEIN</PersonNm>
        <TitleTxt>ASSISTANT MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>161413</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6585</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27955</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>195953</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANCY BRISBON</PersonNm>
        <TitleTxt>EXECUTIVE MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>246294</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9740</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19299</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>275333</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACQUEL ASSAYE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFF. TO FEB 2021</TitleTxt>
        <BaseCompensationFilingOrgAmt>200922</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7824</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>31408</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>240154</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALECIA MANLEY</PersonNm>
        <TitleTxt>EXECUTIVE OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>189299</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7569</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29032</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225900</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A CONTINUUM OF PREVENTION AND CARE SERVICES, INCLUDING HIV COUNSELING AND TESTING, PRIMARY MEDICAL SERVICES, TRANSGENDER SPECIFIC MEDICAL CARE, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES, CASE MANAGEMENT, HOUSING, NUTRITION AND FOOD BANK SERVICES, EDUCATION SERVICES AND LEGAL SERVICES. THE ORGANIZATION PROVIDES SERVICES TO PATIENTS AND CLIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THE ORGANIZATION DEFINES AND MEASURES ITS "INVESTMENT IN AND "PARTNERSHIP WITH" THE COMMUNITY THROUGH OFFERING OUR LOW-INCOME AND/OR UNINSURED PATIENTS AND CLIENTS SERVICES AT REDUCED COST OR FREE OF CHARGE, AS DEFINED UNDER ITS FINANCIAL ASSISTANCE DEPARTMENTAL POLICIES. KEY ELEMENTS USED TO DETERMINE ELIGIBILITY INCLUDE A PATIENT'S DEMONSTRATED INABILITY TO PAY BASED ON FAMILY SIZE AND HOUSEHOLD INCOME RELATED TO FEDERAL INCOME POVERTY GUIDELINES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE, THEY ARE NOT REPORTED AS REVENUE. THE ORGANIZATION HAS ESTIMATED ITS COSTS OF PROVIDING CHARITY CARE BY REDUCING THE AMOUNT COLLECTED FROM PATIENT ABILITY TO PAY TO THE ACTUAL COST OF DELIVERING THE SERVICE. USING THIS METHODOLOGY, THE ORGANIZATION HAS ESTIMATED THE COSTS FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY AGGREGATED APPROXIMATELY $383,000 FOR THE YEAR ENDED JUNE 30, 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD SHALL HAVE AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD AND THE CEO AS A NON-VOTING OFFICER. THE IMMEDIATE PAST BOARD PRESIDENT SHALL SERVE ON THE EXECUTIVE COMMITTEE FOR ONE YEAR FOLLOWING THE END OF THEIR TERM AS PRESIDENT, PROVIDED THEY REMAIN AN ACTIVE DIRECTOR. THE EXECUTIVE COMMITTEE SHALL HAVE AUTHORITY TO ACT ONLY DURING INTERVALS BETWEEN MEETINGS OF THE BOARD AND SHALL HAVE AND MAY EXERCISE THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE ORDINARY BUSINESS AND AFFAIRS OF THE CORPORATION EXCEPT THAT THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE AUTHORITY OF THE BOARD IN REFERENCE TO: 1) AMENDING THE ARTICLES OF INCORPORATION 2) AMENDING, ALTERING OR REPEALING THE BYLAWS 3) FILLING VACANCIES IN OR REMOVING MEMBERS OF THE BOARD OR OF ANY COMMITTEE APPOINTED BY THE BOARD 4) ADOPTING A PLAN OF MERGER OR ADOPTING A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION 5) AUTHORIZING THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION 6) AUTHORIZING THE VOLUNTARY DISSOLUTION OF MAZZONI CENTER OR REVOKING PROCEEDINGS THEREFORE 7) ADOPTING A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF MAZZONI CENTER 8) AMENDING, ALTERING, OR REPEALING ANY RESOLUTION OF THE BOARD WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY SUCH COMMITTEE. THE DELEGATION OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OR ANY INDIVIDUAL DIRECTOR OF ANY RESPONSIBILITY IMPOSED ON IT OR HIM/HER BY LAW. THE EXECUTIVE COMMITTEE SHALL REPORT ITS ACTIVITIES AT EACH BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND IS REVIEWED BY THE CFO AND DESIGNATED BOARD/COMMITTEE MEMBERS. PRIOR TO FILING, THE ENTIRE BOARD RECEIVES A COMPLETE COPY OF THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL DIRECTORS AND OFFICERS ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. AN INTERESTED PERSON IS A PERSON WHO HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: (1) AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH MAZZONI CENTER HAS A TRANSACTION OR ARRANGEMENT, (2) A COMPENSATION ARRANGEMENT WITH MAZZONI CENTER, (3) A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH MAZZONI CENTER IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. A FINANCIAL INTEREST IS NOT NECESSARILY A CONFLICT OF INTEREST. A CONFLICT OF INTEREST WILL EXIST ONLY IF THE BOARD OR EXECUTIVE COMMITTEE DECIDES THAT SUCH CONFLICT EXISTS. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST TO THE BOARD OR EXECUTIVE COMMITTEE. AFTER MAKING THE PRESENTATION REGARDING A TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST, THE INTERESTED PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION AND THE VOTE. ANY TRANSACTION EXCEEDING $5,000 AND INVOLVING A POSSIBLE CONFLICT OF INTEREST MUST BE PRESENTED BY STAFF TO THE BOARD OR EXECUTIVE COMMITTEE. THE BOARD OR EXECUTIVE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN MAZZONI CENTER'S BEST INTEREST, AND WHETHER IT IS FAIR AND REASONABLE. EACH DIRECTOR AND OFFICER SHALL ANNUALLY SIGN A COPY OF THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS READILY AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT 346,705.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>1334-48 BAINBRIDGE STREET LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1348 BAINBRIDGE STREET</AddressLine1Txt>
          <CityNm>PHILADELPHIA</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19147</ZIPCd>
        </USAddress>
        <EIN>821911541</EIN>
        <PrimaryActivitiesTxt>LEASING AND IMPROVING REAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <TotalIncomeAmt>81878</TotalIncomeAmt>
        <EndOfYearAssetsAmt>14344399</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MAZZONI CENTER</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
