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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1645 GREENS PRAIRIE RD WEST STE</AddressLine1Txt>
            <CityNm>COLLEGE STATION</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77845</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENOVATION AND PROPERTY MAINTENANCE</ServicesDesc>
        <CompensationAmt>707303</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNITED SOLUTIONS MSO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3030 EAST 29TH ST SUITE 101</AddressLine1Txt>
            <CityNm>BRYAN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING &amp; CREDENTIALING</ServicesDesc>
        <CompensationAmt>540036</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LABORATORY CORPORATION OF AMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 12140</AddressLine1Txt>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>272162140</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LAB SERVICES</ServicesDesc>
        <CompensationAmt>284090</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPHERION STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4101 S TEXAS AVE B</AddressLine1Txt>
            <CityNm>BRYAN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT EMPLOYEES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9501320</GovernmentGrantsAmt>
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      <TotalContributionsAmt>11385475</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>17744995</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17744995</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>55306</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>17800301</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>93493</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>84810</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>84810</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>84810</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>84810</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>291500</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>95442</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>95442</TotalRevenueColumnAmt>
        <ExclusionAmt>95442</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>29459521</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>188935</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>460921</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>12615490</TotalAmt>
        <ProgramServicesAmt>12033272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>582218</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>395598</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1934714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113818</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>959055</TotalAmt>
        <ProgramServicesAmt>891619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67436</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>11326</TotalAmt>
        <ManagementAndGeneralAmt>11326</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>58125</TotalAmt>
        <ManagementAndGeneralAmt>58125</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3209694</TotalAmt>
        <ProgramServicesAmt>3145860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63834</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>230317</TotalAmt>
        <ProgramServicesAmt>192874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37443</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>576779</TotalAmt>
        <ProgramServicesAmt>552431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24348</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>864364</TotalAmt>
        <ProgramServicesAmt>850160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14204</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1706012</TotalAmt>
        <ProgramServicesAmt>1543942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162070</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>78195</TotalAmt>
        <ProgramServicesAmt>76665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1530</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>75010</TotalAmt>
        <ProgramServicesAmt>60448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14562</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>539090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56589</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>71579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51415</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1559441</TotalAmt>
        <ProgramServicesAmt>1559441</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>421939</TotalAmt>
        <ProgramServicesAmt>421939</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>129291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25099</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>32198</TotalAmt>
        <ProgramServicesAmt>26964</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5234</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>205548</TotalAmt>
        <ProgramServicesAmt>193966</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11582</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>26387900</TotalAmt>
        <ProgramServicesAmt>24619853</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1768047</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>12711752</EOYAmt>
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        <EOYAmt>6229963</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>903037</EOYAmt>
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        <EOYAmt>19860</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>146787</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>3071621</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>7582341</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8348890</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11385475</CurrentTaxYearAmt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHANSEYA DAVIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>193320</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>231</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>576</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6015</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>25170</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225312</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAWRENCE QUAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>185697</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>10131</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>342</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10894</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13296</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>220360</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC TODD</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>226844</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>232</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11379</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13971</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24005</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>276431</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VISHAL KINRA</PersonNm>
        <TitleTxt>CHIEF BUSINESS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>160925</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>231</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5174</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9656</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8504</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>184490</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED IN DETAIL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND THEN PRESENTED TO THE BOARD OF DIRECTORS AS A WHOLE AT THE NEXT BOARD MEETING, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IT SHALL BE THE POLICY THAT EVERY MEMBER OF THE BOARD OF DIRECTORS OF THE ORGANIZATION AND EVERY KEY EMPLOYEE CHARGED WITH THE ABILITY AND RESPONSIBILITY FOR PROCUREMENT OF GOODS AND SERVICES BE REQUIRED TO ANNUALLY COMPLETE AND SUPPLY A CONFLICT OF INTEREST DISCLOSURE FORM TO THE BOARD OF DIRECTOR'S CHAIR. IT SHALL BE THE RESPONSIBILITY OF THE BOARD OF DIRECTORS TO MITIGATE AGAINST OPPORTUNITIES FOR CONFLICT OF INTEREST WITHIN THE BOARD OF DIRECTORS AND THROUGH THE CHIEF EXECUTIVE OFFICER, WITHIN THE RANKS OF KEY EMPLOYEES. ANY INDIVIDUAL WITH AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST IS RECUSED FROM ANY DISCUSSION OR VOTING TO WHICH THE CONFLICT RELATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION PACKAGE FOR THE CHIEF EXECUTIVE OFFICER IS DETERMINED BY THE BOARD OF DIRECTORS. THE COMPENSATION PACKAGE FOR CHIEF BUSINESS OFFICER AND OTHER SENIOR ADMINISTRATORS IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER, AFTER HE STUDIES THE WAGE COMPARABILITY AND COMPENSATION STUDY PROVIDED BY AN INDEPENDENT VENDOR. ALL OTHER COMPENSATION PACKAGES ARE DETERMINED BY THE RESPECTIVE MANAGER OR SUPERVISOR. WAGE COMPARABILITY STUDIES ARE USED IN SETTING SALARIES. A FULL WAGE COMPARABILITY STUDY WAS DONE IN MAY 2018 BY AN INDEPENDENT OUTSIDE VENDOR AND PRESENTED TO THE BOARD FOR THE TOP TEN POSITIONS INCLUDING THAT OF THE CEO. SALARIES WERE DETERMINED AND APPLIED BASED ON THAT STUDY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>LAB: PROGRAM SERVICE EXPENSES 292,601. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 292,601. PHYSICIAN &amp; NURSING: PROGRAM SERVICE EXPENSES 1,860,714. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,860,714. X-RAY: PROGRAM SERVICE EXPENSES 2,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,337. MISC PROFESSIONAL: PROGRAM SERVICE EXPENSES 330,242. MANAGEMENT AND GENERAL EXPENSES 63,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 394,076. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 111,279. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 111,279. MEDICAL BILLING FEES: PROGRAM SERVICE EXPENSES 548,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 548,687.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>