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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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        <PersonNm>GREG YOUNG</PersonNm>
        <TitleTxt>DIRECTOR TILL 1/25</TitleTxt>
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        <PersonNm>ABIGAIL SEARS</PersonNm>
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        <PersonNm>BRENDA GARSKE</PersonNm>
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        <PersonNm>KIMBERLY KLUPENGER</PersonNm>
        <TitleTxt>CHIEF EXPERIENCE OFFICER</TitleTxt>
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        <PersonNm>JULIE VAILS</PersonNm>
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        <PersonNm>KATHLEEN ELLINGTON</PersonNm>
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        <PersonNm>JENNIFER STOLL</PersonNm>
        <TitleTxt>CHIEF OF EXTERNAL AFFAIRS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES MALDONADO</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA MAY</PersonNm>
        <TitleTxt>CHIEF OF PEOPLE &amp; CULTURE</TitleTxt>
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        <PersonNm>KEVIN GEOFFROY</PersonNm>
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        <PersonNm>LAURA HASTINGS-BROOKS</PersonNm>
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        <PersonNm>LAUREN ALDERSON</PersonNm>
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        <PersonNm>RYAN ODORIZZI</PersonNm>
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        <PersonNm>ENGERS FERNANDEZ-NUNEZ</PersonNm>
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        <PersonNm>MARY DALLAS</PersonNm>
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        <PersonNm>VANCE BAUER</PersonNm>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <BusinessName>
            <BusinessNameLine1Txt>ARTERA</BusinessNameLine1Txt>
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        <EOYAmt>5936786</EOYAmt>
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        <EOYAmt>129848782</EOYAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER STOLL</PersonNm>
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        <TotalCompensationFilingOrgAmt>403433</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MALDONADO</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
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        <BonusFilingOrganizationAmount>44859</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>396080</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA MAY</PersonNm>
        <TitleTxt>CHIEF OF PEOPLE &amp; CULTURE</TitleTxt>
        <BaseCompensationFilingOrgAmt>323117</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12444</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20368</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>388475</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAUREN ALDERSON</PersonNm>
        <TitleTxt>CHIEF MEDICAL INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>313560</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>21513</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>371910</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KEVIN GEOFFROY</PersonNm>
        <TitleTxt>EVP, REVENUE ENHANCEMENT SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>294922</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12052</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20206</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>357108</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RYAN ODORIZZI</PersonNm>
        <TitleTxt>DIRECTOR EPIC ENHANCEMENTS</TitleTxt>
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        <TotalCompensationFilingOrgAmt>344475</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ENGERS FERNANDEZ-NUNEZ</PersonNm>
        <TitleTxt>VP LEARNING</TitleTxt>
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        <TotalCompensationFilingOrgAmt>335514</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY DALLAS</PersonNm>
        <TitleTxt>MANAGER, MEDICAL INFORMATICS</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>332844</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VANCE BAUER</PersonNm>
        <TitleTxt>VP RESEARCH</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA HASTINGS-BROOKS</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A 457(F) PLAN FOR SELECT OFFICERS. CONTRIBUTIONS AND DISTRIBUTIONS FOR THE YEAR, AS APPLICABLE, WERE AS FOLLOWS: -ABIGAIL SEARS, CEO - CONTRIBUTIONS OF $59,890</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DRAFT 990 IS REVIEWED AND APPROVED BY MANAGEMENT AND THE FINANCE COMMITTEE CHAIR. A COPY OF THE APPROVED FORM 990 IS AVAILABLE TO ALL BOARD MEMBERS PRIOR TO BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST AGREEMENT IS REVIEWED AND SIGNED BY BOARD MEMBERS EACH YEAR. ANY RELATED PARTY TRANSACTIONS, WHICH MIGHT BE THE SOURCE OF A CONFLICT OF INTEREST, ARE DISCUSSED IN CONNECTION WITH THE REVIEW OF THE MONTHLY FINANCIALS BY THE BOARD FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES THE CEO'S SALAY BASED ON PERFORMANCE AND COMPARABLE MARKET SALARIES. THE CEO USES THIS SAME PROCESS TO PREPARE THE EMPLOYMENT COMPENSATION OF OTHER EXECUTIVES. THIS REVIEW PROCESS IS COMPLETED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>UNREALIZED LOSS ON BUILDING -1,677,569.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR REVIEWING FINANCIAL STATEMENTS HAS NOT CHANGED FROM PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>OCHIN PRACTICE SERVICES</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
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          <ZIPCd>972285426</ZIPCd>
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          <CityNm>PORTLAND</CityNm>
          <StateAbbreviationCd>OR</StateAbbreviationCd>
          <ZIPCd>972285426</ZIPCd>
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        <PrimaryActivitiesTxt>TECHNOLOGY-BASED SERVICES FOR PLANNED PARENTHOOD TO IMPROVE PRACTICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
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        <PrimaryActivitiesTxt>ADVANCED INFO TECHNOLOGIES TO IMPROVE ACCESS TO QUALITY HEALTHCARE</PrimaryActivitiesTxt>
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      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
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      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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        <InvolvedAmt>95414</InvolvedAmt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CALIFORNIA TELEHEALTH NETWORK</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>1895824</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL BALANCE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>OHIO SHARED INFORMATION SERVICES</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VOXENT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>3724728</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>ACTUAL BALANCE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>