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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>316774</ProgramServicesAmt>
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        <Desc>CLAIM PAID AND IBRN</Desc>
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        <ProgramServicesAmt>21581125</ProgramServicesAmt>
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        <Desc>DRUG AND MEDICINE</Desc>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
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        <ProgramServicesAmt>1372202</ProgramServicesAmt>
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        <ProgramServicesAmt>51238775</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6947646</ManagementAndGeneralAmt>
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      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>1063262</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>290697</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>38536057</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10312094</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>28223963</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>6826244</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>59233</BOYAmt>
        <EOYAmt>47357</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>67170010</BOYAmt>
        <EOYAmt>70580545</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>3593061</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3212192</BOYAmt>
        <EOYAmt>3593061</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>63905386</BOYAmt>
        <EOYAmt>66935052</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>52432</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>66987484</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>70580545</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>4746748</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="1" softwareId="17005072">
      <HospitalInd>X</HospitalInd>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="2" softwareId="17005072" />
    <IRS990ScheduleD documentId="3" softwareId="17005072">
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2975836</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2975836</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>4445185</DepreciationAmt>
        <BookValueAmt>19230672</BookValueAmt>
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        <DepreciationAmt>1564566</DepreciationAmt>
        <BookValueAmt>2547819</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>3884001</DepreciationAmt>
        <BookValueAmt>3245016</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>642962</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>418342</DepreciationAmt>
        <BookValueAmt>224620</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>28223963</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>MARKETABLE SECURITY</Desc>
        <BookValueAmt>6826244</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>6826244</TotalBookValueSecuritiesAmt>
      <TotalRevEtcAuditedFinclStmtAmt>62933159</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>62933159</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>62933159</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>59903493</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>59903493</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>59903493</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="4" softwareId="17005072">
      <WrittenPolicyRefTAndEExpnssInd>false</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GLORIA C AMADOR</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTO</TitleTxt>
        <BaseCompensationFilingOrgAmt>203205</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>203205</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="6" softwareId="17005072">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>I LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>To provide excellent ambulatory and home health care service in a safe eviroment to procure the physical,metal and social well being of the residents of our community.SIM provides preventive, primary, medical and home health services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>III LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>To provide excellent ambulatory and home health care service in a safe eviroment to procure the physical,metal and social well being of the residents of our community.SIM provides preventive, primary, medical and home health services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VI LINE 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Once Form 990 is completed,draft is reviewed by management and copy is handed to the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VI Linea 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>In Board of Directors meeting,the Directors discuss the compensation for the key employee. The Board evaluates and determines (based performance) any salary increase.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents,conflict of interest policy and financial statements is avaliable to the public upon request</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VII Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing Body do not receive compesation. The Salud Integral de la Montana, Inc. Organization have two vacancy place in the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Training total expenses $97407.00 Program services expenses $29440 Mgmt and general expenses $67967.00 Fundraising expenses-$0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Bank charges total expenses $36487.00 Program services expenses $2.00 Mgmt and general expenses $36485.00 Fundraising expenses-$0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Donation total expenses $852780 Program services expenses $852780 Mgmt and general expenses $0.00 Fundraising expenses-$0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Other total expenses $730378.00 Program services expenses $430035.00 Mgmt and general expenses $299943.00 Fundraising expenses-$0.00</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>