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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8742</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Qian Wang</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>150814</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12603</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Norma B Westervelt</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>126965</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13172</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Virginia M Schmidt</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <ReportableCompFromOrgAmt>128732</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5565</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Edward Kirsh</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11464</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Fatima Saaduddin</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>121564</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8906</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lorena Barragan</PersonNm>
        <TitleTxt>Family Physician</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>1737841</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>85097</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>624100</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER MANAGED CARE</Desc>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD PARTY</Desc>
        <BusinessCd>641000</BusinessCd>
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        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8448272</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>306</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>340 B PHARMACY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>3544108</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3544108</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2660</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3546768</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>30467525</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12014962</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>306</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1822938</TotalAmt>
        <ProgramServicesAmt>1716119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81227</ManagementAndGeneralAmt>
        <FundraisingAmt>25592</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9352498</TotalAmt>
        <ProgramServicesAmt>8733003</ProgramServicesAmt>
        <ManagementAndGeneralAmt>464833</ManagementAndGeneralAmt>
        <FundraisingAmt>154662</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>64682</TotalAmt>
        <ProgramServicesAmt>60892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2882</ManagementAndGeneralAmt>
        <FundraisingAmt>908</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>953829</TotalAmt>
        <ProgramServicesAmt>897938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42501</ManagementAndGeneralAmt>
        <FundraisingAmt>13390</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>700335</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128793</ManagementAndGeneralAmt>
        <FundraisingAmt>13285</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>72788</TotalAmt>
        <ProgramServicesAmt>64843</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7945</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28300</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28300</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>705</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>37396</TotalAmt>
        <ProgramServicesAmt>4865</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20362</ManagementAndGeneralAmt>
        <FundraisingAmt>12169</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>419092</TotalAmt>
        <ProgramServicesAmt>230278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>185617</ManagementAndGeneralAmt>
        <FundraisingAmt>3197</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1366441</TotalAmt>
        <ProgramServicesAmt>1230336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132517</ManagementAndGeneralAmt>
        <FundraisingAmt>3588</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>385483</TotalAmt>
        <ProgramServicesAmt>233479</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152004</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>142092</TotalAmt>
        <ProgramServicesAmt>94921</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47171</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>238346</TotalAmt>
        <ProgramServicesAmt>124437</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113909</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>17601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>404557</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>126618</TotalAmt>
        <ProgramServicesAmt>40349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86269</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debts</Desc>
        <TotalAmt>400034</TotalAmt>
        <ProgramServicesAmt>400034</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Staff Development / Education</Desc>
        <TotalAmt>9526</TotalAmt>
        <ProgramServicesAmt>9526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Consumable supplies</Desc>
        <TotalAmt>2632522</TotalAmt>
        <ProgramServicesAmt>2628010</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>4512</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Consultant Fees</Desc>
        <TotalAmt>679302</TotalAmt>
        <ProgramServicesAmt>337478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>341141</ManagementAndGeneralAmt>
        <FundraisingAmt>683</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>538726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>268286</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>20804175</TotalAmt>
        <ProgramServicesAmt>18063170</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2509019</ManagementAndGeneralAmt>
        <FundraisingAmt>231986</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>13293341</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3510</BOYAmt>
        <EOYAmt>3510</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>2639581</BOYAmt>
        <EOYAmt>2689055</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>3138438</BOYAmt>
        <EOYAmt>3841309</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>35657</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>15283</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>18483939</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>12536391</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>6006142</BOYAmt>
        <EOYAmt>5947548</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1466083</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>2132644</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <TotalAssetsGrp>
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        <EOYAmt>29424430</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2875289</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>7231253</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>80245</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>10186787</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>9252262</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1336974</BOYAmt>
        <EOYAmt>9985381</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>9252263</BOYAmt>
        <EOYAmt>19237643</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>16950479</BOYAmt>
        <EOYAmt>29424430</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>9663350</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>322030</NetUnrlzdGainsLossesInvstAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>false</FSAuditedInd>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>false</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA-01" softwareId="20011577">
      <HospitalInd>X</HospitalInd>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB-01">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD-01" softwareId="20011577">
      <CYEndwmtFundGrp>
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        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1000000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
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        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1000000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
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        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
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      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
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      <LandGrp>
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        <BookValueAmt>471567</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <BookValueAmt>4148405</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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        <BookValueAmt>729092</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>598484</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>5947548</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVESTMENT IN LIMITED LIABILITY COM</Desc>
        <BookValueAmt>2132644</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>2132644</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFFERED COMP</Desc>
        <Amt>80245</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>80245</TotalLiabilityAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Fund of perpetual duration.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Provision of bad debt is offset against patient service revenue per audited financial statements. For Form 990 purposes it is presented as an expense on Part IX, line 24a.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Provision of bad debt is offset against patient service revenue per audited financial statements. For Form 990 purposes it is presented as an expense on Part IX, line 24a.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ-01">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <PersonNm>Esther Corpuz</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Vargas</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Abdul Bhurgri</PersonNm>
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        <PersonNm>Martha M Yanez</PersonNm>
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        <PersonNm>Qian Wang</PersonNm>
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    <IRS990ScheduleO documentId="IRS990ScheduleO-01" softwareId="20011577">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes all governing documents,conflict of interest policies and financial statements available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The members must disclose if there is a conflict of interest at the annual Board Meeting. The Board Members complete and sign a form documenting that at the time there are no conflicts of interest. Each year the board members sign a new form and if there is a conflict the member abstains from voting. If a board member is found to have not disclosed a conflict, the member will be brought before the executive committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors Reviews Annually, the compensation of the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO Evaluates compensation of employees every two years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to time constrains, a copy of Form 990 will be provided to the board at the next board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 3b</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to implementation of ASC606 Revenue recognition, the organization needs more time to implement the new standard.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 8138133. 0. 2763387.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <BusinessName>
          <BusinessNameLine1Txt>MHN ACO LLC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>939 W North Avenue Suite 875</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60642</ZIPCd>
        </USAddress>
        <EIN>300833127</EIN>
        <PrimaryActivitiesTxt>Health Care Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <AllPartnersC3SInd>true</AllPartnersC3SInd>
        <ShareOfEOYAssetsAmt>2132644</ShareOfEOYAssetsAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.11111</OwnershipPct>
      </UnrelatedOrgTxblPartnershipGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>