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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>18845209</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Third Party Liability</Desc>
        <Amt>619462</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liability</Desc>
        <Amt>1064006</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1683468</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>58115429</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1525493</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>1525493</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>56589936</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>120495</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>1000000</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1120495</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>57710431</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>53717725</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>53717725</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>120495</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>1000000</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1120495</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>54838220</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Contigency Loss $1000000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Contigency Loss $1000000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="23017517" softwareVersionNum="2023v6.0">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bob Peng</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>507048</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4506</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26151</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>558205</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Harold M McCoy</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>166457</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>102599</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8793</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>307849</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jon Yoshiyama</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>598015</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>32175</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30500</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>660690</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maximiliano Cuevas</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>396510</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>111534</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18397</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>556441</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Oguchi Nkwocha</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>18397</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>387533</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Pablo S Marchevsky</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>297941</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>250</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>20500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5904</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>324595</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Terrence Charles Hack</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>337315</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>11536</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>18122</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>366973</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Victor Otto Brooks</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>292235</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3250</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>16528</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312013</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Huerta Jr</PersonNm>
        <TitleTxt>Dental Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>146951</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4975</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>7800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7988</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167714</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7: Non-Fixed payments not listed above</FormAndLineReferenceDesc>
        <ExplanationTxt>Nonfixed payments include bonuses and incentives and other contractual compensation. Incentives and bonuses are tied to patient care incentives, organizational performance measures, provider productivity and other contract related provisions. Other contractual compensation primarily includes hospital pay, extra days and Saturdays worked by providers, and taxable group life insurance.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017517" softwareVersionNum="2023v6.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared and filed by an independent CPA. Prior to filing, the 990 is reviewed by the controller and CFO before sending to the Board of Directors for their review.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization investigates potential conflicts of interest when they arise in accordance with the written policies and procedures. The Organization reviews conflict of interest policy every two years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation surveys are performed by the director of human resources using state and national databases. The board of directors determines the CEO compensation based upon surveys and other comparable data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and Director of Human Resources determine the compensation for other officers and highly compensated employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is available for review upon written request at the organization's administrative office during normal business hours.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing Docs, Policies, and Financial statements are available for review upon written request at the organization's administrative office during normal business hours.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in net assets with donor restrictions per ASC 958 = -$1816715</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>