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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY USHER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1739523</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>199594</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>30</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ST JOSEPH PHYSICIAN ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2801 FRANCISCAN DRIVE</AddressLine1Txt>
            <CityNm>BRYAN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHYSICIANS</ServicesDesc>
        <CompensationAmt>1604689</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNITED SOLUTIONS MSO</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3030 EAST 29TH STREET</AddressLine1Txt>
            <CityNm>BRYAN</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77802</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL BILLING &amp; CREDENTIALING</ServicesDesc>
        <CompensationAmt>536343</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KEYS &amp; WALSH CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1645 GREENS PRAIRIE RD WEST STE 303</AddressLine1Txt>
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            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77845</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RENOVATION &amp; PROPERTY MAINTENANCE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LABORATORY COPORATION OF AMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>NC</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>329516</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SPHERION STAFFING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT EMPLOYEES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>10360136</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>308165</RelatedOrExemptFuncIncomeAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>58805</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-13790</TotalRevenueColumnAmt>
        <ExclusionAmt>-13790</ExclusionAmt>
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        <TotalRevenueColumnAmt>5770</TotalRevenueColumnAmt>
        <ExclusionAmt>5770</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30120214</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>29985</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>632956</TotalAmt>
        <ManagementAndGeneralAmt>632956</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>12928755</TotalAmt>
        <ProgramServicesAmt>12088668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>840087</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>428292</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1991488</ProgramServicesAmt>
        <ManagementAndGeneralAmt>157125</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>962747</TotalAmt>
        <ProgramServicesAmt>876662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86085</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>15112</TotalAmt>
        <ManagementAndGeneralAmt>15112</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>44600</TotalAmt>
        <ManagementAndGeneralAmt>44600</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3418049</TotalAmt>
        <ProgramServicesAmt>3328948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89101</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>181238</TotalAmt>
        <ProgramServicesAmt>138904</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42334</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>530381</TotalAmt>
        <ProgramServicesAmt>496651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33730</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>800484</TotalAmt>
        <ProgramServicesAmt>784779</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15705</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1698752</TotalAmt>
        <ProgramServicesAmt>1623491</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75261</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>62327</TotalAmt>
        <ProgramServicesAmt>61683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>644</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>44623</TotalAmt>
        <ProgramServicesAmt>34200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10423</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>587773</TotalAmt>
        <ProgramServicesAmt>509628</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78145</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>131324</TotalAmt>
        <ProgramServicesAmt>75275</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56049</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1427866</TotalAmt>
        <ProgramServicesAmt>1427866</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>670309</TotalAmt>
        <ProgramServicesAmt>670309</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>59022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4008</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>39426</TotalAmt>
        <ProgramServicesAmt>30217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9209</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>267956</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>24894039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2246600</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>9572139</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>9285381</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>673212</EOYAmt>
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      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>18710</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>209661</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>14823618</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>8713493</EOYAmt>
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        <EOYAmt>30507225</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2140332</EOYAmt>
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        <EOYAmt>497042</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>27788306</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>24361</BOYAmt>
        <EOYAmt>81545</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>24890276</BOYAmt>
        <EOYAmt>27869851</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>29488811</BOYAmt>
        <EOYAmt>30507225</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2979575</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>13778487</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7582341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8348890</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11385475</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12285118</CurrentTaxYearAmt>
        <TotalAmt>53380311</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>7582341</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8348890</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11385475</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12285118</CurrentTaxYearAmt>
        <TotalAmt>53380311</TotalAmt>
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      <PublicSupportTotal170Amt>53380311</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>62030</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>88244</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>178303</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>96810</CurrentTaxYearAmt>
        <TotalAmt>470671</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>84275259</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.99330</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
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        <BookValueAmt>1496090</BookValueAmt>
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      <RevenueNotReportedFinclStmtAmt>670309</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>26470330</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>670309</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE AGENCY IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE AGENCY RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 670,309.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 670,309.</ExplanationTxt>
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    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>576</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13506</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24855</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>385653</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>ADIL NICOLWALA</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMOL DESHPANDE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>290357</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAWRENCE QUAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>202860</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3431</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>374</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235115</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHANSEYA DAVIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>197058</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3411</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>576</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7374</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24157</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>232576</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC TODD</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER (THRU 3/21)</TitleTxt>
        <BaseCompensationFilingOrgAmt>232000</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>29892</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>10515</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14280</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23815</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>310502</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VISHAL KINRA</PersonNm>
        <TitleTxt>CHIEF BUSINESS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>163484</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>4051</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5174</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9809</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8474</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190992</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>144426</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE 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 FINANCE OFFICER AND OTHER SENIOR ADMINISTRATORS IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER, AFTER THEY STUDY 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.</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 483,810. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 483,810. PHYSICIAN &amp; NURSING: PROGRAM SERVICE EXPENSES 1,860,142. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,860,142. X-RAY: PROGRAM SERVICE EXPENSES 47,073. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,073. MISC PROFESSIONAL: PROGRAM SERVICE EXPENSES 319,444. MANAGEMENT AND GENERAL EXPENSES 89,101. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,545. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 118,592. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,592. MEDICAL BILLING FEES: PROGRAM SERVICE EXPENSES 499,887. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 499,887.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
