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        <ManagementAndGeneralAmt>51231</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>12645143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4085347</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2418901</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>4137009</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>6555910</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1864136</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>86929</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus3YearsAmt>5683758</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6795167</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6577363</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5124522</CurrentTaxYearAmt>
        <TotalAmt>29480889</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>5300079</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5683758</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6795167</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6577363</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5124522</CurrentTaxYearAmt>
        <TotalAmt>29480889</TotalAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>8887700</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9703448</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9398533</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>35293745</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>214583</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus1YearAmt>334866</CurrentTaxYearMinus1YearAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME 710,107</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>2019 OTHER INCOME 447,959 2020 OTHER INCOME 160.658 2021 OTHER INCOME 214,583 2022 OTHER INCOME 334,866 2023 OTHER INCOME 1,158,066</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc2">
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        <BookValueAmt>1138426</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>1741106</DepreciationAmt>
        <BookValueAmt>2429640</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>2573427</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>2136572</DepreciationAmt>
        <BookValueAmt>436855</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>4004921</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>515574</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>515574</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYROLL LIABILITIES</Desc>
        <Amt>1320373</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>547429</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1867802</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>14866354</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>14866354</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>14866354</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16730490</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>16730490</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16730490</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>PHYSICIAN/CMO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>590760</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR SWETHA JANGANGARI</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>301146</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>301146</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR KHADIJAH ABDURRAZA</PersonNm>
        <TitleTxt>PHYSICIAN/PEDIATRICS</TitleTxt>
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        <TotalCompensationFilingOrgAmt>286371</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IRINA REMSBERG</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>250441</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL OKOYE</PersonNm>
        <TitleTxt>DO/MEDICAL DOCTOR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>242058</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 SUPPORT AND BACK UP IS PROVIDED TO THE CEO AND BOARD FOR REVIEW. AFTER IT IS REVIEWED BY THE BOARD, 990 IS SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE BY ENFORCING THE IMPORTANCE OF FOLLOWING AND COMPLYING WITH THE ORGANIZATION'S POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY RANGE FOR EACH CLASSIFICATION IS DETERMINED BY A MARKET ANALYSIS OF PAY SCALES FOR SIMILAR JOBS IN LIKE ORGANIZATIONS IS THE SAME OR SIMILAR GEOGRAPHIC AREAS. A BROADER GEOGRAPHIC AREA MAY BE ANALYZED FOR A PARTICULAR CLASSIFICATION IF THERE IS A SHORTAGE OF QUALIFIED PEOPLE AVAILABLE LOCALLY FOR SOME POSITIONS. THE MARKET ANALYSIS WILL BE PERFORMED ANNUALLY. THE SALARY RANGE INCLUDES FIVE DIVISIONAL LEVELS OR BANDS WITHIN EACH CLASSIFICATION AND ARE DETERMINED BASED ON CRITERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SALARY RANGE FOR EACH CLASSIFICATION IS DETERMINED BY A MARKET ANALYSIS OF PAY SCALES FOR SIMILAR JOBS IN LIKE ORGANIZATIONS IN THE SAME OR SIMILAR GEOGRAPHIC AREAS. A BROADER GEOGRAPHIC AREA MAY BE ANALYZED FOR A PARTICULAR CLASSIFICATION IF THERE IS A SHORTAGE OF QUALIFIED PEOPLE AVAILABLE LOCALLY FOR SOME POSITIONS. THE MARKET ANALYSIS WILL BE PERFORMED ANNUALLY. THE SALARY RANGE INCLUDES FIVE DIVISIONAL LEVELS OR BANDS WITHIN EACH CLASSIFICATION AND ARE DETERMINED BASED ON CRITERIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>