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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>4246797</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>21618405</EOYAmt>
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        <EOYAmt>706825</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>22325230</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>26572027</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-42912</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-544909</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>-31439</DonatedServicesAndUseFcltsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>true</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1(I)</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE MARYLAND ASSOCIATION OF COMMUNITY HEALTH CENTERS (MACHC). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES.</ExplanationTxt>
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      <InvstProgramRelatedOrgGrp>
        <Desc>INVESTMENT IN SUBSIDIARIES</Desc>
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        <MethodValuationCd>F</MethodValuationCd>
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      <TotalRevEtcAuditedFinclStmtAmt>51930810</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-544909</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>60000</DonatedServicesAndUseFcltsAmt>
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      <RevenueNotReportedAmt>-1848953</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>53779763</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>103881</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-20349</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>83532</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>53863295</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>52643840</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>91439</DonatedServicesUseFcltsAmt>
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        <ExplanationTxt>UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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          <CityNm>BALTIMORE</CityNm>
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        <DeferredCompensationFlngOrgAmt>2837</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12431</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>219034</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S MISSION: FOUNDED IN 1968, TOTAL HEALTH CARE (THC) IS MARYLANDS LARGEST MINORITY-OPERATED, NON-PROFIT COMMUNITY HEALTH ORGANIZATION. DESIGNATED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THC PROVIDED CARE TO 36,000 PATIENTS IN FISCAL YEAR 2015. THC PROVIDES INTEGRATED HEALTH CARE SERVICES ACROSS 10 SITES, 9 IN BALTIMORE CITY (8 OF WHICH ARE IN THE CITYS MOST IMPOVERISHED AREAS IN WEST BALTIMORE) AND 1 IN ANNE ARUNDEL COUNTY. THCS MISSION IS TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF THOSE RESIDING IN THE COMMUNITIES WE SERVE. THIS MISSION IS ACCOMPLISHED THROUGH THE PROVISION OF COMPREHENSIVE MEDICAL AND BEHAVIORAL HEALTH CARE, HEALTH EDUCATION, OUTREACH, AND PREVENTIVE HEALTH PROGRAMS THAT CHANGE LIFESTYLES AND AT-RISK BEHAVIORS. SERVICE IS OFFERED FOR THOSE WITHOUT INSURANCE ACCORDING TO A FEDERALLY APPROVED SLIDING SCALE, WITH FINANCIAL COUNSELING AND LIMITED PAYMENT ASSISTANCE PROVIDED TO THOSE WITH AN INABILITY TO PAY. THC ESPECIALLY SERVES THOSE WHO EXPERIENCE NEGATIVE HEALTH DISPARITIES IN RELATION TO THE BROADER POPULATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY PROGRAM: Total Health Care pharmacists are available to counsel patients on how to safely and effectively use their prescribed medications as well as non prescription medications. Total Health Cares Pharmacy Program also offers Medication Therapy Management Services (MTM) to its patients at no additional charge.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A COPY OF THE FINAL DRAFT OF FORM 990 IS REVIEWED BY THE CEO AND CFO, THEN SUBSEQUENTLY PRESENTED TO THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: TOTAL HEALTH CARE, INC. HAS A WRITTEN CONFLICT OF INTEREST POLICY. KEY EMPLOYEES, OFFICERS AND DIRECTORS UPDATE ANNUALLY THEIR DISCLOSURE STATEMENTS. ANY CONFLICTS ARE REVIEWED BY THE BOARD. IF THE POTENTIAL CONFLICT INVOLVES A BOARD MEMBER, THE POTENTIALLY CONFLICTED BOARD MEMBER SHALL ABSTAIN FROM PARTICIPATING IN THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS. THE DECISION OF THE BOARD IS FINAL. IF THE BOARD DETERMINES A CONFLICT DOES NOT EXIST, THE INTERESTED PERSON MAY PROCEED WITH THE TRANSACTION; HOWEVER, HE OR SHE WILL NOT BE ELIGIBLE TO VOTE ON RELATED ISSUES SHOULD THEY ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR COMPENSATION REVIEW: THE COMPENSATION OF THE CEO IS ESTABLISHED BY THE BOARD OF DIRECTORS AND IS DETERMINED ANNUALLY. CHANGES TO THE CEO'S BASE COMPENSATION AS WELL AS ANY APPLICABLE BONUS PAYOUTS ARE MADE BASED UPON THE CEO'S PERFORMANCE FOR THE YEAR BEING EVALUATED. PERIODICALLY THE BOARD OF DIRECTORS CONDUCTS A MARKET SURVEY OF COMPARABLE COMPENSATION DATA TO ENSURE THAT THE CEO IS BEING FAIRLY COMPENSATED RELATIVE TO MARKET TRENDS. THE BOARD OF DIRECTORS RECORDS AND APPROVES THE TOTAL COMPENSATION PACKAGE FOR THE CEO ON AN ANNUAL BASIS. THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTED A COMPENSATION REVIEW IN 2015.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT DISCLOSURE: ALL ORGANIZATIONAL DOCUMENTS, FINANCIAL STATEMENTS, AND ITS CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES FOR SERVICES: $ 4,179,083 CONTRACT SERVICES 1,106,801 TEMPORARY HELP 938,514 CONSULTING 520,056 MED HELP FEES 234,277 LABORATORY 200,427 PHARMACY 38,084 EMPLOYMENT AGENCY FEES 36,208 PURCHASED SERVICES 4,326 RADIOLOGY 3,920 OTHER 670 VISION ------------ $ 7,262,366</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUERK HOUSE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>730 ASHBURTON STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21216</ZIPCd>
        </USAddress>
        <EIN>520902461</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TOTAL HC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>TUERK HOUSE PROPERTIES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>730 ASHBURTON STREET</AddressLine1Txt>
          <CityNm>BALTIMORE</CityNm>
          <StateAbbreviationCd>MD</StateAbbreviationCd>
          <ZIPCd>21216</ZIPCd>
        </USAddress>
        <EIN>521839817</EIN>
        <PrimaryActivitiesTxt>RE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MD</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>TUERK HOUSE</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>true</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>TUERK HOUSE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>350000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>