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      <FeesForServicesAccountingGrp>
        <TotalAmt>54197</TotalAmt>
        <ProgramServicesAmt>1466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52639</ManagementAndGeneralAmt>
        <FundraisingAmt>92</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>48000</TotalAmt>
        <FundraisingAmt>48000</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>61113</TotalAmt>
        <ProgramServicesAmt>24180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36663</ManagementAndGeneralAmt>
        <FundraisingAmt>270</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>980</TotalAmt>
        <ProgramServicesAmt>882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>9949</TotalAmt>
        <ProgramServicesAmt>6744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2781</ManagementAndGeneralAmt>
        <FundraisingAmt>424</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>6488</TotalAmt>
        <ProgramServicesAmt>4397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1814</ManagementAndGeneralAmt>
        <FundraisingAmt>277</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Electronic Prescribing</Desc>
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        <ProgramServicesAmt>6336</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Other</Desc>
        <TotalAmt>37799</TotalAmt>
        <ProgramServicesAmt>29077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8722</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>VAFC Fees</Desc>
        <TotalAmt>6007</TotalAmt>
        <ProgramServicesAmt>6007</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2763294</TotalAmt>
        <ProgramServicesAmt>2396022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>289703</ManagementAndGeneralAmt>
        <FundraisingAmt>77569</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>191780</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>389987</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>96000</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2471</BOYAmt>
        <EOYAmt>2396</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>818383</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>21777</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>194249</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>108517</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9681</BOYAmt>
        <EOYAmt>85732</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>15348</BOYAmt>
        <EOYAmt>7775</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>1646649</BOYAmt>
        <EOYAmt>1613830</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>32709</BOYAmt>
        <EOYAmt>52541</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>117000</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>32709</BOYAmt>
        <EOYAmt>169541</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1230530</BOYAmt>
        <EOYAmt>1075079</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>383410</BOYAmt>
        <EOYAmt>369210</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1613940</BOYAmt>
        <EOYAmt>1444289</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1646649</BOYAmt>
        <EOYAmt>1613830</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-169651</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>4787693</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2439547</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2423849</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2581397</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2560730</CurrentTaxYearAmt>
        <TotalAmt>14793216</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>103412</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>91185</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>82013</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65101</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>32426</CurrentTaxYearAmt>
        <TotalAmt>374137</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4891105</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2530732</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2505862</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2646498</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2593156</CurrentTaxYearAmt>
        <TotalAmt>15167353</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>15167353</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>255</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>330</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>579</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>802</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>487</CurrentTaxYearAmt>
        <TotalAmt>2453</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>255</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>330</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>579</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>802</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>487</CurrentTaxYearAmt>
        <TotalAmt>2453</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
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        <CurrentTaxYearMinus3YearsAmt>120</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus1YearAmt>886</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>2885</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>2531182</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2506441</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2648186</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2593643</CurrentTaxYearAmt>
        <TotalAmt>15172691</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99960</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99960</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>4779</DepreciationAmt>
        <BookValueAmt>81221</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>58218</DepreciationAmt>
        <BookValueAmt>761</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>45520</DepreciationAmt>
        <BookValueAmt>3750</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>85732</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Accrued Revenue</Desc>
        <BookValueAmt>7775</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>7775</TotalBookValueOtherAssetsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2658857</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>65214</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>65214</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2593643</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2593643</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2828508</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>65214</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>65214</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2763294</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2763294</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>NSC follows the Financial Accounting Standards Board Accounting Standards Codification, which provides guidance on accounting for uncertainty in income taxes recognized in NSCs financial statements, if any. At year end, NSC had no unrecognized tax benefits related to uncertain tax positions in its information return that would qualify for either recognition or disclosure in its financial statements. NSCs policy would be to recognize interest and penalties on tax positions related to its unrecognized tax benefits in income tax expense in the financial statements. Through year end, there have been no matters that would have resulted in an accrual for interest and/or penalties. Generally, the tax years before 2016 are no longer subject to examination by federal, state, or local taxing authorities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
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        <RecipientCnt>2647</RecipientCnt>
        <NonCashAssistanceAmt>1863595</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Fair Market Value</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medication Dispensed</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Monitoring procedures (Part I, line 2)</FormAndLineReferenceDesc>
        <ExplanationTxt>Medications are dispensed to eligible patients through a network of clinics in Northern Virginia.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="990M">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>1671558</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The form 990 is prepared by an independent certified public accountant and then reviewed by the organizations Executive Director, Business Manager, and Board Treasurer. The form is then provided to all Board of Directors members and submitted to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization maintains a written Conflict of Interest Policy. The Policy requires periodic reviews by the Board of Directors. All actual and potential conflicts of interest are required to be reported to the Board of Directors. In addition, each Director is required to submit a form annually to the Board which affirms such person has (a) received, read, and understands the Policy, and (b) complied with the Policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the Executive Director and other management is established by the Board after looking at industry standards and peer data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation of the Executive Director and other management is established by the Board after looking at industry standards and peer data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
