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        <PersonNm>MICAH MORTENSEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIGUEL ROJAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAUDIA ALBELAIS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZIAD HEMZAWI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>368777</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>79287</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA SOLTANI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>383286</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>82406</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT WILSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>337962</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>74119</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW ARTHUR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>378396</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>81355</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MILAN JANSKY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>319406</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>70049</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3455134</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>745688</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCRIBE AMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 417756</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>809218</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AEROTECK PROFESSIONAL SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3689 COLLECTION CTR DR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP SERVICES</ServicesDesc>
        <CompensationAmt>667266</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HYLAND SOFTWARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 846261</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>752846261</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>555107</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEKSYSTEMS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 198568</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303848568</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT TEMP SERVICE</ServicesDesc>
        <CompensationAmt>549073</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TEMPDEV INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2550 SAND HILL RD STE 100</AddressLine1Txt>
            <CityNm>MENLO PARK</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94025</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP SERVICE</ServicesDesc>
        <CompensationAmt>399040</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>23</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>34700120</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1128176</AllOtherContributionsAmt>
      <NoncashContributionsAmt>4052353</NoncashContributionsAmt>
      <TotalContributionsAmt>35828296</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICES FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>172370328</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>172370328</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE FEES -HOT</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1853559</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1853559</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>174223887</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>551814</TotalRevenueColumnAmt>
        <ExclusionAmt>551814</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>1797963</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>1030346</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>767617</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>767617</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>767617</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>12687063</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12687063</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE HOT</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1040</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1040</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>12688103</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>187679607</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>551814</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>620310</TotalAmt>
        <ProgramServicesAmt>620310</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>2025778</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>106705667</TotalAmt>
        <ProgramServicesAmt>97858300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8847367</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>4423851</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>10290098</ProgramServicesAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>7923272</TotalAmt>
        <ProgramServicesAmt>7130945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>792327</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>413564</TotalAmt>
        <ManagementAndGeneralAmt>413564</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>480312</TotalAmt>
        <ManagementAndGeneralAmt>480312</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>1395608</TotalAmt>
        <ProgramServicesAmt>1395608</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>127623</TotalAmt>
        <ManagementAndGeneralAmt>127623</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>207906</TotalAmt>
        <ManagementAndGeneralAmt>207906</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>735166</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>4886329</TotalAmt>
        <ProgramServicesAmt>4397696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>488633</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>490199</TotalAmt>
        <ProgramServicesAmt>490199</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SERVICES/SUPPLIES</Desc>
        <TotalAmt>45999956</TotalAmt>
        <ProgramServicesAmt>41399960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4599996</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE CONTRACTS</Desc>
        <TotalAmt>5211833</TotalAmt>
        <ProgramServicesAmt>5211833</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATED SUPPLIES EXPENSE</Desc>
        <TotalAmt>4052353</TotalAmt>
        <ProgramServicesAmt>4052353</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES AND FEES</Desc>
        <TotalAmt>3257123</TotalAmt>
        <ProgramServicesAmt>2102178</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1154945</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>6432239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2087134</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>186540736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22860468</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>5485352</EOYAmt>
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      <AccountsReceivableGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>67025397</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>174632326</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>14658513</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-19490</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>934809</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
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        <CurrentTaxYearMinus3YearsAmt>18516168</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20390637</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27411060</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35627208</CurrentTaxYearAmt>
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      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>20390637</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>27411060</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>35627208</CurrentTaxYearAmt>
        <TotalAmt>119752974</TotalAmt>
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      <PublicSupportTotal170Amt>119752974</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>151270</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>558943</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>505825</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>551814</CurrentTaxYearAmt>
        <TotalAmt>2005882</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>3412349</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3395225</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5185306</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10786091</CurrentTaxYearMinus1YearAmt>
        <TotalAmt>22778971</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>144537827</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>751276844</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.82850</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.78150</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME FOR YEARS 2016-2020 22,778,971</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc4">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>4956588</OtherCostOrOtherBasisAmt>
        <BookValueAmt>4956588</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>60635772</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>26207635</DepreciationAmt>
        <BookValueAmt>34428137</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>47746900</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>26676616</DepreciationAmt>
        <BookValueAmt>21070284</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>60455009</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>ASSETS LIMITED AS TO USE</Desc>
        <BookValueAmt>12000000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>4757682</BookValueAmt>
      </OtherAssetsOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CONTINGENCY AND RISK POOL RESERVES</Desc>
        <Amt>4000000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO OTHER FUNDS</Desc>
        <Amt>1576152</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>INTEREST RATE SWAP</Desc>
        <Amt>1177191</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER MISC LIABILITIES</Desc>
        <Amt>915427</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT</Desc>
        <Amt>342671</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>8011441</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>224040227</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-19490</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-19490</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>224059717</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>224059717</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>209401204</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>209401204</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GRANT ROAD HOLDINGS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>450 W PASEO REDONDO</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85701</ZIPCd>
        </USAddress>
        <RecipientEIN>831644508</RecipientEIN>
        <IRCSectionDesc>3</IRCSectionDesc>
        <CashGrantAmt>620310</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUPPORTING</PurposeOfGrantTxt>
      </RecipientTable>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SUB-RECIPIENT SHALL ALLOW EL RIO TO PERFORM ANY NECESSARY OVERSIGHT FUNCTIONS TO ENSURE PROPER MANAGEMENT. SUB-RECIPIENT ALSO SHALL ALLOW EL RIO TO PROVIDE OVERSIGHT AND/OR TAKE CORRECTIVE MEASURES, IF INSTANCES OF NON-COMPLIANCE, MATERIAL WEAKNESSES, OR FINANCIAL, CLINICAL AND/OR PERSONNEL MISMANAGEMENT ARE DETECTED. SUB-RECIPIENT SHALL SUBMIT TO EL RIO A LINE ITEM BUDGET FOR THE SCOPE OF PROJECT FOR APPROVAL AT LEAST 45 DAYS BEFORE THE ANNIVERSARY DATE OF THE SUB RECIPIENT AGREEMENT. WITHIN SIXTY DAYS AFTER THE END OF THE BUDGET PERIOD, SUB-RECIPIENT SHALL PROVIDE EL RIO WITH A FULL ACCOUNTING OF PROGRAM INCOME RECEIVED FOR SERVICES PROVIDED AND TOTAL COSTS INCURRED.</ExplanationTxt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>CEO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>17431</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>72051</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>505675</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARLOS RICO</PersonNm>
        <TitleTxt>PRIOR CFO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>12866</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>48608</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>347397</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGORY RAGLOW</PersonNm>
        <TitleTxt>CQMIO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>13467</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>54863</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>386143</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DOUGLAS SPEGMAN</PersonNm>
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        <DeferredCompensationFlngOrgAmt>14396</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>67247</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>461379</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA CARZOLI</PersonNm>
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        <DeferredCompensationFlngOrgAmt>12044</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>45499</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>325185</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ZIAD HEMZAWI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>368777</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>79287</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>448064</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA SOLTANI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>383286</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>82406</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>465692</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT WILSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>337962</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>74119</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>412081</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW ARTHUR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>81355</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>459751</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MILAN JANSKY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>70049</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>389455</TotalCompensationFilingOrgAmt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>COMPASS NOTE-EL PUEBLO</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860445981</BondIssuerEIN>
        <BondIssuedDt>2010-06-01</BondIssuedDt>
        <IssuePriceAmt>4000000</IssuePriceAmt>
        <PurposeDesc>DEVELOPMENT OF MEDICAL FACILITIES AND TO PAY THE COST OF ISSUANCE.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
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        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPASS NOTE-EL PUEBLO DEVELOPMENT OF MEDICAL FACILITIES AND TO PAY THE COST OF ISSUANCE.</ExplanationTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>115</ContributionCnt>
        <NoncashContributionsRptF990Amt>4052353</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
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      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE REVIEWED BY THE CEO AND CFO, THEN BY THE BUDGET &amp; FINANCE COMMITTEE MEMBERS EITHER AT A BOARD MEETING, TIME PERMITTING, OR VIA EMAIL IF TIME DOES NOT ALLOW IT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IN MATTERS RELATED TO BOARD MEMBERS, REVIEW AND FOLLOW-UP WILL BE THE RESPONSIBILITY OF THE BOARD PRESIDENT; IN MATTERS RELATED TO THE MEDICAL STAFF AND EMPLOYEES, REVIEW AND FOLLOW-UP WILL BE THE RESPONSIBILITY OF THE CEO. IF REVIEW / INVESTIGATION SHOULD DISCOVER: -REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST; THEY SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. -IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, A DETERMINATION SHALL BE MADE THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE KEY EMPLOYEES INCLUDED A REVIEW AND APPROVAL BASED ON A COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEY/STUDY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>1) A REASONABLE RANGE OF COMPENSATION AND BENEFITS PACKAGES, FOR EACH POSITION, IS DETERMINED BY AN INDEPENDENT AND CERTIFIED COMPENSATION/BENEFITS CONSULTANT, 2) CONSULTANT ESTABLISHES THE RANGES OF SALARIES AND BENEFITS BY USING RECOGNIZED SURVEYS FROM ORGANIZATIONS THAT ARE COMPARABLE TO EL RIO IN SIZE, GEOGRAPHIC AREA AND SERVICES THAT ARE PROVIDED, 3) ALL SURVEY DATA IS REDUCED TO A WRITTEN REPORT THAT CONTAINS RECOMMENDATIONS BY THE INDEPENDENT CONSULTANT, AND 4) THE INDEPENDENT CONSULTANT THEN PRESENTS THE DATA AND RECOMMENDATIONS TO THE EL RIO BOARD OF DIRECTORS FOR A FORMAL VOTE WHICH IS THEN DOCUMENTED IN THE BOARD MINUTES. ONLY "DISINTERESTED" PARTIES, AS DEFINED BY THE CODE, ARE ALLOWED TO PARTICIPATE IN THE DECISION MAKING PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE IN ADMINISTRATION: 450 W. PASEO REDONDO, TUCSON, AZ 85701.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE INT RATE SWAP 750,330 JOINT VENTURE - HEALTH ON TUCSON 184,479 TOTAL 934,809</ExplanationTxt>
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        <EndOfYearAssetsAmt>2687274</EndOfYearAssetsAmt>
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          <ZIPCd>85701</ZIPCd>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
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      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>EL RIO FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>253375</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT SPENT</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>GRANT ROAD HOLDINGS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>SOUTHEAST HOLDINGS</BusinessNameLine1Txt>
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        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>105000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
