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      <Form990PartVIISectionAGrp>
        <PersonNm>PHYLLIS INGRAM</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1894741</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>176015</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE MEDICAL COST SAVINGS SOLUTION LTD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4786 DRESSLER RD NW</AddressLine1Txt>
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            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44708</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL EXPENSE COST CONTAINMENT PROGRAM</ServicesDesc>
        <CompensationAmt>3201165</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MULTIPLAN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>115 FIFTH AVENUE</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10003</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL EXPENSE COST CONTAINMENT PROGRAM</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WELLRITHMS</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97239</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>MEDICAL EXPENSE COST CONTAINMENT PROGRAM</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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        <CompensationAmt>1066490</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AULTCARE INSURANCE COMPANY</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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        <CompensationAmt>905137</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>195915719</TotalContributionsAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>880333</ExclusionAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-80288</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>69136</TotalRevenueColumnAmt>
        <ExclusionAmt>69136</ExclusionAmt>
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      <OtherRevenueTotalAmt>69136</OtherRevenueTotalAmt>
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        <TotalRevenueColumnAmt>196784900</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>869181</ExclusionAmt>
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      <BenefitsToMembersGrp>
        <TotalAmt>168598575</TotalAmt>
        <ProgramServicesAmt>168598575</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1481339</TotalAmt>
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        <TotalAmt>10695593</TotalAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>101669</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>1034866</ProgramServicesAmt>
        <ManagementAndGeneralAmt>768565</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>1510714</TotalAmt>
        <ProgramServicesAmt>95987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1414727</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>210785</TotalAmt>
        <ProgramServicesAmt>52383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158402</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>124579</TotalAmt>
        <ProgramServicesAmt>124579</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>147064</TotalAmt>
        <ProgramServicesAmt>11351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>135713</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>5152289</TotalAmt>
        <ProgramServicesAmt>4899014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>253275</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>585627</TotalAmt>
        <ProgramServicesAmt>272578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>313049</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1509001</TotalAmt>
        <ProgramServicesAmt>381345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1127656</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>403160</TotalAmt>
        <ProgramServicesAmt>3220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>399940</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>87680</TotalAmt>
        <ProgramServicesAmt>47600</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40080</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>75975</TotalAmt>
        <ProgramServicesAmt>59612</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16363</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>18950</TotalAmt>
        <ProgramServicesAmt>10882</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8068</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>312820</TotalAmt>
        <ManagementAndGeneralAmt>312820</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>318212</TotalAmt>
        <ProgramServicesAmt>4295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>313917</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CREDIT CARD &amp; ACH FEES</Desc>
        <TotalAmt>2564089</TotalAmt>
        <ProgramServicesAmt>16140</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2547949</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>45653</TotalAmt>
        <ProgramServicesAmt>16808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28845</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>182903787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13249066</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>24719999</BOYAmt>
        <EOYAmt>5003046</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <EOYAmt>20659289</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>43566</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>545752</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>6319561</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2058532</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4196334</BOYAmt>
        <EOYAmt>4261029</EOYAmt>
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      <IntangibleAssetsGrp>
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        <EOYAmt>73215</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>57039</BOYAmt>
        <EOYAmt>54000</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>30201316</BOYAmt>
        <EOYAmt>30639897</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2364747</BOYAmt>
        <EOYAmt>2171281</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2364747</BOYAmt>
        <EOYAmt>2171281</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>27836569</BOYAmt>
        <EOYAmt>28468616</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>27836569</BOYAmt>
        <EOYAmt>28468616</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>30201316</BOYAmt>
        <EOYAmt>30639897</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>632047</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>61910623</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>55790558</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>372680514</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>279735494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>195915719</CurrentTaxYearAmt>
        <TotalAmt>966032908</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>55790558</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>372680514</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>279735494</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>195915719</CurrentTaxYearAmt>
        <TotalAmt>966032908</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>966032908</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>688</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>170</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>161</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>31</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>880333</CurrentTaxYearAmt>
        <TotalAmt>881383</TotalAmt>
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      <OtherIncome170Grp>
        <CurrentTaxYearAmt>69136</CurrentTaxYearAmt>
        <TotalAmt>69136</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>966983427</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>-12145</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99900</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
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      <TotalLobbyingExpendituresAmt>124579</TotalLobbyingExpendituresAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYMENTS TO VARIOUS LOBBYING CONSULTANTS HIRED FOR GOVERNMENT RELATIONS MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
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        <BookValueAmt>788304</BookValueAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>196865188</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>-80288</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>196233141</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION QUALIFIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. IN ADDITION, THE ORGANIZATION QUALIFIES FOR CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE ORGANIZATION TREATS TAX POSITIONS TAKEN USING THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD. TAX POSITIONS ARE MEASURED IN THE YEAR THAT THE ORGANIZATION BELIEVES THAT THE POSITION IS MORE-LIKELY-THAN NOT TO BE SUSTAINED. ANY POSITIONS THAT ARE NOT EXPECTED TO BE SUSTAINED WILL BE RECORDED AS A LIABILITY. INTEREST AND PENALTIES, IF ANY, ARE RECORDED AS OPERATING EXPENSES WHEN INCURRED. THE ORGANIZATION DOES NOT BELIEVE THAT THE EFFECT OF ANY OF THE TAX POSITIONS TAKEN WOULD BE MATERIAL TO THE FINANCIAL STATEMENTS. CURRENTLY THE TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) ARE 2022, 2021, AND 2020. AS OF THE DATE OF THIS REPORT, THE ORGANIZATION HAS NO KNOWLEDGE OF MATERIAL MODIFICATIONS FROM THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL RECLASS -80,288.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DORSEY MORROW</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>99500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17968</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>419423</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW BERNAT</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>9030</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>9509</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>207007</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL FAIRLESS</PersonNm>
        <TitleTxt>EXEC V.P. OF H.R. AND ADMI</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1872</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>190704</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT KINTIGH</PersonNm>
        <TitleTxt>EXEC V.P. OF OPERATIONS AN</TitleTxt>
        <BaseCompensationFilingOrgAmt>167215</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>8350</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8767</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2317</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>186649</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDY FOSTER</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>153908</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7755</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8170</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10548</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>180381</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY HAGEN</PersonNm>
        <TitleTxt>V.P. OF MEDICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>149532</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7583</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7989</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12484</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>177588</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ABBY DELIGIANNIDES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF EXEC VP OF HR AND ADMINISTRATION</RelationshipDescriptionTxt>
        <TransactionAmt>64560</TransactionAmt>
        <TransactionDesc>EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MICHAEL SCOTT FAIRLESS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SON OF EXEC VP OF HR AND ADMINISTRATION</RelationshipDescriptionTxt>
        <TransactionAmt>25717</TransactionAmt>
        <TransactionDesc>EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ISAAC KINTIGH</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SON OF EXEC VP OF OPERATIONS AND IT</RelationshipDescriptionTxt>
        <TransactionAmt>33956</TransactionAmt>
        <TransactionDesc>EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEW THE 990 TAX RETURN AND SUBMIT ANY QUESTIONS TO THE CFO THAT THEY MAY HAVE ON THE INFORMATION CONTAINED IN THE FORM. ONCE ALL OF THE DIRECTORS HAVE GIVEN THEIR APPROVAL OF THE 990, THE 990 IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS MONITOR AND MAINTAIN THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, LINE 15A - COMPENSATION REVIEW &amp; APPROVAL PROCESS - CEO THE BOARD OF DIRECTORS REVIEWS THE PERFORMANCE AND COMPENSATION OF THE CEO</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-ADMINISTRATIVE VENDOR EXPENSES PAID OUT OF MEMBER SHARING FUNDS (SHAREPOWER) THAT REDUCED MEMBER HEALTH CARE EXPENSES (FOOTNOTE REFERENCE IN STATEMENT IX) VENDOR &amp; PURPOSE TOTAL HEALTH CARE BLUE BOOK - HEALTHCARE PRICING 145,508 DIALCARE - TELEHEALTH 417,417 MED COST SAVINGS SOLUTIONS - MEDICAL EXPENSE NEGOTIATIONS 3,201,165 IMPAC CONSULTING LP - MEDICAL EXPENSE NEGOTIATIONS 34,868 SFUR - MEDICAL EXPENSE NEGOTIATIONS 725,085 SMART DATA SOLUTIONS - MEDICAL EXPENSE NEGOTIATIONS 69,154 MULTIPLAN - MEDICAL EXPENSE NEGOTIATIONS 2,036,291 WELLRITHMS - MEDICAL EXPENSE NEGOTIATIONS 1,618,912 CONNOR LAW - MEDICAL EXPENSE NEGOTIATIONS 96,166 DR. CHRISTOPHER D. COTRELL - MEDICAL EXPENSE NEGOTIATIONS 1,800 STRIPE - CONTRIBUTION PROCESSING 785,685 TOTAL AMOUNT PAID FOR THE PERIOD JAN. 1 - DEC 31, 2023 9,132,050 VENDORS CONTRIBUTED IN PART TO SAVINGS IN 2023 OF AS MUCH AS: 375,296,220 TOTAL SHARE POWER RECEIVED FROM MEMBERS 168,326,000 CONTAINMENT AND ADMIN RELATED VENDORS (9,132,050) NET SHAREPOWER 159,193,950</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
