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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Advance Investigation Grou</BusinessNameLine1Txt>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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        <ContractorName>
          <BusinessName>
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>ELIBEL ORTIZ</PersonNm>
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        <PersonNm>MARIA A RIOS</PersonNm>
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        <TotalCompensationFilingOrgAmt>121391</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>Biomedical Total expenses - $93086.00 Program service expenses - $93086.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Sonograms Total expenses - $229011.00 Program service expenses - $229011.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Health Reform Medical Exp Total expenses - $2601390.00 Program service expenses - $2601390.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual Lab Total expenses - $1171795.00 Program service expenses - $1171795.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractual X-Ray Total expenses - $698802.00 Program service expenses - $698802.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Pharmacy Total expenses - $46694.00 Program service expenses - $46694.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Dental services Total expenses - $8055.00 Program service expenses - $8055.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other professional servic Total expenses - $6595181.00 Program service expenses - $4913422.00 Mgmt and general expenses - $1681759.00 Fundraising expenses - $0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Establish ASC 842 Leases</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Finanace Committee of the Board of Directors</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide excellent ambulatory and home care services</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>in a save environment to procure the physical, mental and social</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>well being of the residents of our communities. SIM provides</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>preventive, primary and home health services that includes</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>many medical services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Provide excellent ambulatory and home care services</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>in a save environment to procure the physical, mental and social</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>well being of the residents of our communities. SIM provides</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>preventive, primary and home health services that includes</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>many medical services.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Once Form 990 is completed, draft is reviewed by management</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>and copy is handed to the governing body.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>In a Board of Directors meeting, the Directors discuss</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>the compensation for the key employee. The Board evaluates</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>the compensation criteria, compare to similar organizations</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>and determines (based performance) any salary increase.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policy and</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>financial statements is available to the public upon</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VII Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing Body do not received compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
