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        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Clark</PersonNm>
        <TitleTxt>Chief Population Health Officer</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>140809</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Jordan</PersonNm>
        <TitleTxt>Family Nurse Practioner</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>178175</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gregory Parranto</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>245954</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Soraya Gomez-Greer</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Satinder K Pandher</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lauren J Stoffel</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Zaynab Al-Quraishi</PersonNm>
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        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2038801</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cardinal Health</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Schimmoeller Construction Inc</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Greenway Health</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
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      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
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      <GovernmentGrantsAmt>5362881</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>266000</NoncashContributionsAmt>
      <TotalContributionsAmt>6992981</TotalContributionsAmt>
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        <RelatedOrExemptFuncIncomeAmt>7127149</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Insurance</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1511790</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Patient Fees</Desc>
        <BusinessCd>621498</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>796075</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Other Third Party</Desc>
        <BusinessCd>621498</BusinessCd>
        <TotalRevenueColumnAmt>98121</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>11927302</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>25777</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <PersonalAmt>10774</PersonalAmt>
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        <PersonalAmt>0</PersonalAmt>
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      <RentalIncomeOrLossGrp>
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        <PersonalAmt>10774</PersonalAmt>
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        <TotalRevenueColumnAmt>10774</TotalRevenueColumnAmt>
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      <ContriRptFundraisingEventAmt>0</ContriRptFundraisingEventAmt>
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        <Desc>Medical Records</Desc>
        <BusinessCd>621498</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Physician Income</Desc>
        <BusinessCd>621498</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>14005</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CPC &amp; Misc Income</Desc>
        <BusinessCd>621498</BusinessCd>
        <TotalRevenueColumnAmt>388284</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ProgramServicesAmt>1594576</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>8750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1176</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>35935</ManagementAndGeneralAmt>
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        <EOYAmt>3361653</EOYAmt>
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        <EOYAmt>150513</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>62228</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>17128139</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>11999587</EOYAmt>
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        <EOYAmt>20361029</EOYAmt>
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        <EOYAmt>6243093</EOYAmt>
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        <EOYAmt>14117936</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12983392</BOYAmt>
        <EOYAmt>14117936</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>17548454</BOYAmt>
        <EOYAmt>20361029</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1872794</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>0</NetUnrlzdGainsLossesInvstAmt>
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        <TransactionDesc>Employee</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Cathy Corcella</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Family member of Janis Sunderhaus</RelationshipDescriptionTxt>
        <TransactionAmt>27688</TransactionAmt>
        <TransactionDesc>Contract prep for grant writing</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="R000007" softwareId="17005980" softwareVersionNum="v1.00">
      <RealEstateCommercialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>266000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Opinion of Experts</MethodOfDeterminingRevenuesTxt>
      </RealEstateCommercialGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="R000008" softwareId="17005980" softwareVersionNum="v1.00">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Myrtle A Johnson and Mary J Williamson are sisters and serve on the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The completed 990 is furnished to the Finance Committee to review and to the Board of Directors to review and approve.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization/corporation reviews the compliance policies annually as well as conducts audits on these policies.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors perform an annual review and approval of the employment of key employees in the organization/corporation; this review is completed through the budgeting process and the budget is Board approved.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>These documents are available to view in the organization/corporation. The documents are also available online through the charitable organization/corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 3b</FormAndLineReferenceDesc>
        <ExplanationTxt>The A-133 for this 2017-2018 Reporting (December 1, 2017 - November 30, 2018) will occur May 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>