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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>Juan Camargo</PersonNm>
        <TitleTxt>Director of Finance</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10275</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kathleen Caldwell</PersonNm>
        <TitleTxt>Staff Pharmacist</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <TitleTxt>APP</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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            <BusinessNameLine1Txt>Tonja Perkins</BusinessNameLine1Txt>
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            <BusinessNameLine1Txt>Robert Half</BusinessNameLine1Txt>
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          <USAddress>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>3997797</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>WALK-IN PATIENT REVENUE</Desc>
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        <ManagementAndGeneralAmt>64955</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>34973971</ProgramServicesAmt>
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        <ProgramServicesAmt>1895635</ProgramServicesAmt>
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        <FormAndLineReferenceDesc>Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY</FormAndLineReferenceDesc>
        <ExplanationTxt>Various firms PROVIDED GOVERNMENT ADVOCACY SERVICES FOR CEMPA DURING THIS TIME PERIOD. THESE SERVICES INCLUDE ADVISING CEMPA WITH RELATIONSHIP BUILDING AND ADVOCATING TO LOCAL AND STATE ELECTED OFFICIALS, LOCAL AND STATE GOVERNMENT AGENCY OFFICIALS AND LOCAL COMMUNITY OFFICIALS ON BEHALF OF CEMPA PROGRAMS AND INITIATIVES and firms REPRESENTED CEMPA'S ADVOCACY INTERESTS BEFORE THE TENNESSEE GENERAL ASSEMBLY AND MONITORED STATE AND LOCAL LEGISLATION PERTAINING TO CEMPA. Engaged firms have SENT NO MAILINGS, VIA THE UNITED STATES POSTAL SERVICE OR ANY OTHER COMMON CARRIER, ON BEHALF OF CEMPA COMMUNITY CARE ADVOCACY EFFORTS DURING THIS TIME PERIOD. Firms HAve SENT ROUTINE ELECTRONIC CORRESPONDENCE, AND PARTICIPATED IN DIRECT COMMUNICATIONS, IN RELATION TO CEMPA ADVOCACY EFFORTS AND POLICY POSITIONS TO MEMBERS OF THE TENNESSEE GENERAL ASSEMBLY AND STAFF DURING THE TENNESSEE GENERAL ASSEMBLY LEGISLATIVE SESSION. The firms ALSO ENGAGED IN DIRECT COMMUNICATIONS WITH STAFF OF VARIOUS STATE DEPARTMENTS AND LOCAL GOVERNMENT OFFICIALS AND STAFF ON BEHALF OF CEMPA.</ExplanationTxt>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="24020961" softwareVersionNum="2024v5.1">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1853911</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1853911</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>8617894</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>751998</DepreciationAmt>
        <BookValueAmt>7865896</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>1067529</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>103681</DepreciationAmt>
        <BookValueAmt>963848</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>1836908</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>866152</DepreciationAmt>
        <BookValueAmt>970756</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>11654411</TotalBookValueLandBuildingsAmt>
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        <Desc>RIGHT-OF-USE LEASE ASSET</Desc>
        <BookValueAmt>2745673</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>2745673</TotalBookValueOtherAssetsAmt>
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        <Desc>Federal Income Taxes</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT-OF-USE LEASE LIABILITY</Desc>
        <Amt>2791102</Amt>
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      <TotalLiabilityAmt>2791102</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24018247</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>36869605</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>36869605</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>60887852</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>15967193</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>0</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>15967193</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>36869606</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>36869606</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>52836799</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH INCOME TAX ACCOUNTING GUIDANCE ASC TOPIC 740, INCOME TAXES. THE ORGANIZATION FOLLOWSTHE ACCOUNTING GUIDANCE FOR RECOGNIZING AND MEASURING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE STATUTORY REQUIREMENTS FOR ITS INCOME TAX ACCOUNTING AND GENERALLY AVOIDS RISKS ASSOCIATED WITH POTENTIALLY PROBLEMATIC TAX POSITIONS THAT MAY BE CHALLENGED UPON EXAMINATION. MANAGEMENT BELIEVES ANY LIABILITY RESULTING FROM TAXING AUTHORITIES IMPOSING ADDITIONAL INCOME TAXES FROM ACTIVITIES DEEMED TO BE UNRELATED TO THE ORGANIZATION'S NON-TAXABLE STATUS WOULD NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenses Reported Net of Revenue Contractual Insurance Write-offs - 1895635 Expenses Reported Net of Revenue: Pharmaceutical Costs - 34973970</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenses Reported Net of Revenue Contractual Insurance Write-offs - 1895635 Expenses Reported Net of Revenue: Pharmaceutical Costs - 34973971</ExplanationTxt>
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    </IRS990ScheduleD>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Shannon Burger</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>335670</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19027</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10277</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>364974</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr James Sizemore</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>369948</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Michael Davis</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>13605</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24383</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>291941</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Patrick Durham</PersonNm>
        <TitleTxt>Director of Pharmacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>176165</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>23000</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6509</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>205674</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 788,066 including grants of $) EDUCATION SERVICES: PREVENTION, EDUCATION, AND OUTREACH SERVICES PARTNERS WITH OVER SIXTY AGENCIES AND ORGANIZATIONS TO PROVIDE TESTING, EDUCATION, AND OUTREACH TO CHAMPION HEALTHY COMMUNITIES AND TO HELP PREVENT THE SPREAD OF INFECTIOUS DISEASE IN OUR COMMUNITY. SYRINGE TRADE &amp; EDUCATION (PART OF PREVENTION) IS A HARM REDUCTION AND EDUCATION PROGRAM FOR INJECTION DRUG USERS DEVELOPED BY CEMPA COMMUNITY CARE. STEP TN IS DESIGNED TO REDUCE THE SPREAD OF HIV, HCV, AND OTHER BLODDBORNE INFECTIONS, AS WELL AS PROVIDE SAFE DISPOSAL OF NEEDLES AND SYRINGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A COPY OF THE 990 TO EACH BOARD MEMBER FOR REVIEW prior to filing with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST DISCLOSURE FORM IS REQUIRED TO BE COMPLETED AND SIGNED BY EACH BOARD MEMBER ANNUALLY, DISCLOSING ANY CONFLICTS AND ACKNOWLEDGEMENT OF ACCEPTANCE OF THE POLICY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF DETERMINING COMPENSATION INCLUDES A REVIEW FROM THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>there were no changes in process from the prior year.</ExplanationTxt>
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</Return>