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        <TotalCompensationRltdOrgsAmt>728885</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PRESIDENT IS COMPENSATED BY A RELATED ORGANIZATION, ALTAMED HEALTH SERVICES CORP. (AHSC), WHERE SHE SERVES AS THE CHIEF ADMIN OFFICER. AHSC'S BOARD HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO MS. ESCOBAR INCLUDES THE APPROVAL OF THE COMPENSATION ARRANGEMENT IN ADVANCE, BY THE BOARD OF DIRECTORS, WITH ALL PERSONS WITH A CONFLICT OF INTEREST ABSTAINING FROM THE BOARD'S DELIBERATION AND DISCUSSION. THE DOCUMENTATION OF THE BOARD INCLUDES THE TERMS OF THE TRANSACTION AND THE DATE OF ITS APPROVAL, THE MEMBERS WHO WERE PRESENT DURING THE DEBATE AND VOTE ON THE TRANSACTION, A DESCRIPTION OF THE COMPARABLE DATA AND HOW IT WAS OBTAINED, AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CASTULO DE LA ROCHA, BOARD MEMBER, AND ZOILA D. ESCOBAR, PRESIDENT, HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALTAMED FOUNDATION'S OUTSIDE CPA FIRM AND FINANCE STAFF PREPARE THE FORM 990. THE FORM IS THEN REVIEWED AND APPROVED BY THE ORGANIZATION'S PRESIDENT. THE FORM IS SUBSEQUENTLY PROVIDED TO THE FULL BOARD FOR REVIEW BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE COVERED PERSONS UNDER ALTAMED HEALTH FOUNDATION'S CONFLICT OF INTEREST POLICY. THE PURPOSE OF THE POLICY IS TO PROTECT THE CORPORATION'S INTERESTS WHEN IT IS CONTEMPLATING ENTERING INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT BENEFIT THE PRIVATE INTERESTS OF A TRUSTEE, OFFICER OR OTHER PERSON IN A POSITION OF AUTHORITY WITHIN THE CORPORATION AND TO ENSURE COMPLIANCE WITH APPLICABLE LAW. AN INTERESTED PERSON IS REQUIRED TO MAKE AN APPROPRIATE DISCLOSURE OF ALL MATERIAL FACTS, INCLUDING THE EXISTENCE OF ANY FINANCIAL INTEREST, AT ANY TIME THAT ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. THIS DISCLOSURE OBLIGATION INCLUDES INSTANCES IN WHICH AN INTERESTED PERSON WHO IS A TRUSTEE KNOWS OF THE POTENTIAL FOR A SELF-DEALING TRANSACTION AS DESCRIBED IN THE POLICY, OR A TRANSACTION INVOLVING COMMON DIRECTORSHIP AS DESCRIBED IN THE POLICY, INVOLVING HIM OR HER. IT ALSO INCLUDES INSTANCES IN WHICH THE INTERESTED PERSON PLANS NOT TO ATTEND A MEETING OF THE BOARD OR A BOARD COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS (A "COMMITTEE") AT WHICH HE OR SHE HAS REASON TO BELIEVE THAT THE BOARD OR COMMITTEE WILL ACT REGARDING A MATTER ABOUT WHICH HE OR SHE MAY HAVE A CONFLICT. DEPENDING ON THE CIRCUMSTANCES, THIS DISCLOSURE MAY BE MADE TO THE CHAIR OF THE BOARD, OR, IF THE POTENTIAL CONFLICT OF INTEREST FIRST ARISES IN THE CONTEXT OF A BOARD OR COMMITTEE MEETING, THE ENTIRE BOARD OR THE MEMBERS OF THE COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT THAT RELATES TO THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST. IN ADDITION, INTERESTED PERSONS ARE REQUIRED TO MAKE AN ANNUAL DISCLOSURE OF ONGOING RELATIONSHIPS AND INTERESTS THAT MAY PRESENT A CONFLICT OF INTEREST. IF AN INTERESTED PERSON BECOMES AWARE OF ANY POTENTIAL SELF-DEALING OR COMMON DIRECTORSHIP TRANSACTION OR OTHER CONFLICT OF INTEREST INVOLVING ANOTHER INTERESTED PERSON, HE OR SHE IS REQUIRED TO PROMPTLY REPORT IT CONSISTENTLY WITH THE REPORTING PROCEDURES AND REQUIREMENTS OF THE POLICY. FACTORS THE DECISION-MAKING BODY MAY CONSIDER WHEN DETERMINING WHETHER AN ACTUAL CONFLICT EXISTS INCLUDE: (I) THE PROXIMITY OF THE INTERESTED PERSON TO THE DECISION-MAKING AUTHORITY OF THE OTHER ENTITY INVOLVED IN THE TRANSACTION, (II) WHETHER THE AMOUNT OF THE FINANCIAL INTEREST OR INVESTMENT IS DE MINIMIS RELATIVE TO THE OVERALL FINANCIAL SITUATION OF THE CORPORATION, AND (III) THE DEGREE TO WHICH THE INTERESTED PERSON MIGHT BENEFIT PERSONALLY IF A PARTICULAR TRANSACTION WERE APPROVED. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WHICH ALSO CONSTITUTES A "SELF-DEALING" TRANSACTION AS DESCRIBED IN THE POLICY, THEN THE TRANSACTION OR MATTER IN QUESTION MAY BE AUTHORIZED ONLY IF APPROVED BY THE VOTE DESCRIBED IN THE POLICY AFTER THE CORPORATION HAS FOLLOWED THE PROCEDURES SET FORTH IN THE POLICY. THE INTERESTED PERSON OR A FAMILY MEMBER OF SUCH PERSON HAS FINANCIAL INTEREST, OR (III) AN ENTITY WITH WHICH THE INTERESTED PERSON HAS AN AGENCY RELATIONSHIP ON THE OTHER HAND, THEN THE MATTER IN QUESTION MAY BE AUTHORIZED ONLY IF APPROVED BY THE VOTE DESCRIBED IN THIS POLICY AFTER THE CORPORATION HAS FOLLOWED THE PROCEDURES SET FORTH IN THIS POLICY. IN ALL CIRCUMSTANCES WHERE IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS, THE DECISION-MAKING BODY SHALL RECOMMEND AN APPROPRIATE COURSE OF ACTION TO PROTECT THE INTERESTS OF THE CORPORATION. ALL DISCLOSURES AND THE OUTCOME OF THE DELIBERATION ABOUT WHETHER A CONFLICT OF INTEREST EXISTS SHALL BE RECORDED IN THE MINUTES OF THE APPROPRIATE DELIBERATIVE MEETING. PRIOR TO VOTING ON A CONTRACT, THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING AT WHICH SUCH TRANSACTION IS BEING CONSIDERED, BUT FOLLOWING THE PRESENTATION, HE OR SHE MUST LEAVE THE MEETING PRIOR TO THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST. THE CHAIR OF THE BOARD OR COMMITTEE, IF APPROPRIATE, WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE DETERMINES WHETHER THE CORPORATION COULD OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF THE BOARD OR COMMITTEE DETERMINES THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT NOT PRODUCING A CONFLICT OF INTEREST IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES, THE BOARD OR COMMITTEE WILL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTERESTS, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE TO THE CORPORATION. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT BY THE VOTE DESCRIBED IN THE POLICY. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT WILL INFORM THE INTERESTED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INTERESTED PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE INTERESTED PERSON'S RESPONSE AND MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD DETERMINES THE INTERESTED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.</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. HOWEVER CURRENT TAX LAW DOES NOT REQUIRE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIALS BE PROVIDED TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>ALTURA MANAGEMENT SERVICES LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>2040 CAMFIELD AVENUE</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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          <BusinessNameLine1Txt>ALTAMED HEALTH SERVICES CORPORATION</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ALTAMED HEALTH SERVICES CORP</BusinessNameLine1Txt>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <ShareOfEOYAssetsAmt>77944381</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>ALTAMED HOLDINGS INC</BusinessNameLine1Txt>
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          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90040</ZIPCd>
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        <EIN>842867692</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY-REAL ESTATE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>OMNICARE MEDICAL GROUP INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>2040 CAMFIELD AVENUE</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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        <EIN>954449869</EIN>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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        <ShareOfTotalIncomeAmt>28228808</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>22998957</ShareOfEOYAssetsAmt>
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      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ALTAMED INDEPENDENT PHYSICIAN NETWORK INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>2040 CAMFIELD AVENUE</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
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        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>ALTAMED HEALTH SERVICES CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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        <ShareOfEOYAssetsAmt>44579</ShareOfEOYAssetsAmt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ALTAMED HEALTH NETWORK SENIOR SERVICES PLAN INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2040 CAMFIELD AVENUE</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
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      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALTAMED HEALTH SERVICES CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>317734</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOKS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>ALTAMED HEALTH SERVICES CORP</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>E</TransactionTypeTxt>
        <InvolvedAmt>201322</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOKS</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I - IDENTIFICATION OF DISREGARDED ENTITY</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE THE FOUNDATION IS RELATED TO ALTAMED HEALTH SERVICES CORP., IT IS ALSO RELATED TO THE 2 SMLLC'S BY ATTRIBUTION. THE "DIRECT CONTROLLING ENTITY" IN COLUMN (F) IS LISTED AS ALTAMED HEALTH SERVICES CORP. TO BE CLEAR AS TO OWNERSHIP/CONTROL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
