﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2019v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2021-05-03T11:04:23-05:00</ReturnTs>
    <TaxPeriodEndDt>2020-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>232749044</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>BEE BERGVALL &amp; CO</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>PO BOX 754</AddressLine1Txt>
        <CityNm>WARRINGTON</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>189760754</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2019-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>233052666</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>HEALTH QUALITY PARTNERS</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>HEAL</BusinessNameControlTxt>
      <PhoneNum>2678801733</PhoneNum>
      <USAddress>
        <AddressLine1Txt>2005 S EASTON ROAD SUITE 208</AddressLine1Txt>
        <CityNm>DOYLESTOWN</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>18901</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>KENNETH D COBURN MD</PersonNm>
      <PersonTitleTxt>PRESIDENT &amp; CEO</PersonTitleTxt>
      <PhoneNum>2678801733</PhoneNum>
      <SignatureDt>2021-04-28</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>CYNTHIA BERGVALL CPA</PreparerPersonNm>
      <PTIN>P00133440</PTIN>
      <PhoneNum>2153432727</PhoneNum>
      <PreparationDt>2021-05-03</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2019</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5">
      <PrincipalOfficerNm>KENNETH D COBURN MD</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>2005 S EASTON RD SUITE 208</AddressLine1Txt>
        <CityNm>DOYLESTOWN</CityNm>
        <StateAbbreviationCd>PA</StateAbbreviationCd>
        <ZIPCd>18901</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>2818155</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.HQP.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2001</FormationYr>
      <LegalDomicileStateCd>PA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>IMPROVE THE QUALITY &amp; EXPERIENCE OF HEALTHCARE FOR PATIENTS, THEIR FAMILIES &amp; HEALTHCARE PROVIDERS THROUGH APPLIED RESEARCH AND DESIGN OF NEW SYSTEMS OF ADVANCED PREVENTATIVE CARE THAT IMPROVE POPULATION HEALTH OUTCOMES, ENHANCE PATIENT &amp; PROVIDER EXPERIENCES, IMPROVE QUALITY OF CARE AND LIFE, AND REDUCE UNNECESSARY HEALTH CARE COSTS OVER THE LONG TERM.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>8</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>6</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
      <TotalVolunteersCnt>7</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>1293</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>83436</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>2445490</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>2724450</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>3659</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>10269</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2450442</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>2818155</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <CYSalariesCompEmpBnftPaidAmt>0</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>9015</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>2474650</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>3005123</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2474650</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>3005123</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-24208</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-186968</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>833979</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1060670</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>285592</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>699251</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>548387</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>361419</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>IMPROVE THE QUALITY &amp; EXPERIENCE OF HEALTHCARE FOR PATIENTS, THEIR FAMILIES &amp; HEALTHCARE PROVIDERS THROUGH APPLIED RESEARCH AND DESIGN OF NEW SYSTEMS OF ADVANCED PREVENTATIVE CARE THAT IMPROVE POPULATION HEALTH OUTCOMES, ENHANCE PATIENT &amp; PROVIDER EXPERIENCES, IMPROVE QUALITY OF CARE AND LIFE, AND REDUCE UNNECESSARY HEALTH CARE COSTS OVER THE LONG TERM.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1398377</ExpenseAmt>
      <RevenueAmt>1234016</RevenueAmt>
      <Desc>ADVANCED PREVENTIVE CARE - HEALTH QUALITY PARTNERS (HQP) HAS 20 YEARS OF EXPERIENCE IN APPLIED RESEARCH AND DEVELOPMENT TO CREATE A HIGHLY EFFECTIVE AND INNOVATIVE CARE SYSTEM FOR COMPLEX OLDER ADULTS: ADVANCED PREVENTIVE CARE. ADVANCED PREVENTIVE CARE IS AN INTENTIONALLY ENGINEERED, NURSE-LED COMMUNITY-BASED SYSTEM OF CARE COMBINING CARE COORDINATION, DISEASE MANAGEMENT, AND PERSONALIZED PREVENTIVE INTERVENTIONS. CREATED USING 6 DESIGN PRINCIPLES WHICH ARE IMPLEMENTED THROUGH 5 OPERATIONAL DOMAINS, ADVANCED PREVENTIVE CARE USES SPECIALLY TRAINED NURSES TO DIRECTLY DELIVER ROBUST, RELIABLE, AND LONG-TERM PREVENTIVE CARE SERVICES FOR AT-RISK OLDER ADULTS, IN CLOSE COLLABORATION WITH PRIMARY CARE PROVIDERS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>591238</ExpenseAmt>
        <RevenueAmt>780640</RevenueAmt>
        <Desc>R&amp;D SYSTEMS OF CARE - HQP DESIGNS AND FACILITATES THE IMPLEMENTATION OF NEW SYSTEMS OF CARE FOR VARIOUS VULNERABLE PATIENT POPULATIONS. THIS INCLUDES THE DEVELOPMENT OF ENTERPRISE-WIDE POPULATION HEALTH MANAGEMENT SYSTEMS (INCLUDING, BUT NOT LIMITED TO, POPULATION HEALTH RISK ANALYSIS AND TARGETING, ORGANIZATIONAL SYSTEM DESIGN, STAFF DEVELOPMENT, IMPLEMENTATION PROCESSES, AND DATA MANAGEMENT AND WORKFLOWS) FOR PROACTIVE CARE COORDINATION ACROSS THE CONTINUUM OF CARE TO ADDRESS THE NEEDS AND PREFERENCES OF PATIENTS AND THEIR FAMILIES. A DISCIPLINED APPROACH IS UNDERTAKEN TO DESIGN SYSTEMS OF SUPPORT THAT ARE PATIENT-CENTERED, EFFECTIVE IN ADDRESSING THE HEALTH AND SOCIAL RISKS OF THE POPULATION, AND RELIABLY DELIVERED TO IMPROVE THE QUALITY OF CARE, IMPROVE HEALTH OUTCOMES, AND REDUCE UNNECESSARY HEALTH CARE COSTS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>296878</ExpenseAmt>
        <RevenueAmt>709794</RevenueAmt>
        <Desc>REPLICATION SYSTEMS - SINCE 2015, HQP HAS BEEN DESIGNING SYSTEMS AND PROCESSES TO REPLICATE AND TRAIN OTHER ORGANIZATIONS ON HOW TO IMPLEMENT HQP'S MODEL OF ADVANCED PREVENTIVE CARE WITH FIDELITY AND HIGH RELIABILITY. APPLIED DESIGN, RESEARCH, AND DEVELOPMENT HAS INVOLVED CREATING AN INNOVATIVE SYSTEM OF SUPPORT SERVICES (REPLICATION CONSULTING) TO PROVIDE OTHER ORGANIZATIONS WITH THE TRAINING, CONSULTATION, IT TOOLS, POPULATION TARGETING, DATA ANALYTICS AND FINANCIAL ANALYSIS NEEDED FOR THEM TO SUCCESSFULLY IMPLEMENT HQP'S ADVANCED PREVENTIVE CARE MODEL ON A LARGE SCALE WITH THEIR OWN STAFF AND MANAGEMENT. THIS IS A MAJOR STRATEGIC PRIORITY RELATED TO SUCCESSFUL REPLICATION AND SPREAD OF ADVANCED PREVENTIVE CARE.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>152215</ExpenseAmt>
        <Desc>POP HEALTH CONSULTING &amp; ADVISORY SERVICES</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>152215</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>2438708</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc6">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd referenceDocumentId="RetDoc7">true</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd referenceDocumentId="RetDoc7">false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd referenceDocumentId="RetDoc7">false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>5</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>0</EmployeeCnt>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>8</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>6</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>PA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>ROBERT LAZANSKY</PersonNm>
        <PhoneNum>2678801733</PhoneNum>
        <USAddress>
          <AddressLine1Txt>2005 S EASTON RD SUITE 208</AddressLine1Txt>
          <CityNm>DOYLESTOWN</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>18901</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <InfoInScheduleOPartVIIInd>X</InfoInScheduleOPartVIIInd>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDRICK J WENZEL</PersonNm>
        <TitleTxt>CHAIRMAN</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LEWIS CARBONE</PersonNm>
        <TitleTxt>VICE CHAIRMA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH D COBURN MD</PersonNm>
        <TitleTxt>PRESIDENT &amp;</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>196210</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHERRY MARCANTONIO</PersonNm>
        <TitleTxt>SENIOR VICE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>165658</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELYSE FOX</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM KUHAR DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD A REIF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANNE M OBRIEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT LAZANSKY</PersonNm>
        <TitleTxt>CHIEF-FINANC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>93220</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT CURRAN</PersonNm>
        <TitleTxt>SR DIR. ADMI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>151161</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIC HEIL</PersonNm>
        <TitleTxt>HEAD/GLOBAL</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>119772</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotReportableCompRltdOrgAmt>726021</TotReportableCompRltdOrgAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AVALERE HEALTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 744181</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>135000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>10000</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>73436</AllOtherContributionsAmt>
      <TotalContributionsAmt>83436</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>ADVANCED PREVENTIVE CARE</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>1234016</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1234016</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>R&amp;D SYSTEMS OF CARE</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>780640</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>780640</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REPLICATION SYSTEMS</Desc>
        <BusinessCd>541700</BusinessCd>
        <TotalRevenueColumnAmt>709794</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>709794</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2724450</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>10269</TotalRevenueColumnAmt>
        <ExclusionAmt>10269</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2818155</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2724450</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>10269</ExclusionAmt>
      </TotalRevenueGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>34186</TotalAmt>
        <ProgramServicesAmt>32952</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1234</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>10875</TotalAmt>
        <ManagementAndGeneralAmt>10875</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>234725</TotalAmt>
        <ProgramServicesAmt>234279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>446</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>109</TotalAmt>
        <ProgramServicesAmt>85</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>51105</TotalAmt>
        <ProgramServicesAmt>41874</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9231</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>168325</TotalAmt>
        <ProgramServicesAmt>157759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10566</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>124070</TotalAmt>
        <ProgramServicesAmt>96941</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27129</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>32669</TotalAmt>
        <ProgramServicesAmt>29973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2696</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5841</TotalAmt>
        <ProgramServicesAmt>4564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1277</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>89</TotalAmt>
        <ManagementAndGeneralAmt>89</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>42328</TotalAmt>
        <ProgramServicesAmt>33072</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9256</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>LEASED EMPLOYEES</Desc>
        <TotalAmt>2224575</TotalAmt>
        <ProgramServicesAmt>1731108</ProgramServicesAmt>
        <ManagementAndGeneralAmt>484452</ManagementAndGeneralAmt>
        <FundraisingAmt>9015</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SPERO EXPENSES</Desc>
        <TotalAmt>60000</TotalAmt>
        <ProgramServicesAmt>60000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NURSE PPE</Desc>
        <TotalAmt>15653</TotalAmt>
        <ProgramServicesAmt>15653</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEMBERSHIPS</Desc>
        <TotalAmt>573</TotalAmt>
        <ProgramServicesAmt>448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3005123</TotalAmt>
        <ProgramServicesAmt>2438708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>557400</ManagementAndGeneralAmt>
        <FundraisingAmt>9015</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4333</BOYAmt>
        <EOYAmt>7735</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>510624</BOYAmt>
        <EOYAmt>701744</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>206871</BOYAmt>
        <EOYAmt>260406</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>46635</BOYAmt>
        <EOYAmt>31876</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>300648</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>290893</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>9844</BOYAmt>
        <EOYAmt>9755</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>9367</BOYAmt>
        <EOYAmt>9367</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>46305</BOYAmt>
        <EOYAmt>39787</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>833979</BOYAmt>
        <EOYAmt>1060670</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>185592</BOYAmt>
        <EOYAmt>175891</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>100000</BOYAmt>
        <EOYAmt>194360</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <EOYAmt>329000</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>285592</BOYAmt>
        <EOYAmt>699251</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>545472</BOYAmt>
        <EOYAmt>324453</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>2915</BOYAmt>
        <EOYAmt>36966</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>548387</BOYAmt>
        <EOYAmt>361419</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>833979</BOYAmt>
        <EOYAmt>1060670</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-186968</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>5142</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4738</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2477</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1293</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>83436</CurrentTaxYearAmt>
        <TotalAmt>97086</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>2980786</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2854600</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2397924</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2445490</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2724450</CurrentTaxYearAmt>
        <TotalAmt>13403250</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>2985928</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2859338</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2400401</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2446783</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2807886</CurrentTaxYearAmt>
        <TotalAmt>13500336</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>13500336</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1143</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1397</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2237</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3659</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10269</CurrentTaxYearAmt>
        <TotalAmt>18705</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>1143</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1397</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2237</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3659</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10269</CurrentTaxYearAmt>
        <TotalAmt>18705</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>2987071</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2860735</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2402638</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2450442</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2818155</CurrentTaxYearAmt>
        <TotalAmt>13519041</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99860</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99930</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>7435</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>178</DepreciationAmt>
        <BookValueAmt>7257</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>293213</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>290715</DepreciationAmt>
        <BookValueAmt>2498</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9755</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYCHECK PROTECTION PROGRAM</Desc>
        <Amt>329000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>329000</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2818155</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>2818155</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>2818155</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3005123</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>3005123</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>3005123</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>AS REQUIRED BY THE FASB ACCOUNTING STANDARDS CODIFICATION, ENTITIES ARE REQUIRED TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITIES BEFORE ANY PART OF THE BENEFIT CAN BE RECORDED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE ON THE RECOGNITION, MEASUREMENT AND CLASSIFICATION OF INCOME TAX UNCERTAINTIES, ALONG WITH ANY RELATED INTEREST OR PENALTIES. THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL TAX RETURN IS SUBJECT TO AUDIT BY TAXING AUTHORITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="RetDoc7">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>EAST ASIA AND THE PACIFIC</RegionTxt>
        <TypeOfActivitiesConductedTxt>PROGRAM SERVICE</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>REPLICATION SYSTEMS</SpecificServicesProvidedTxt>
        <RegionTotalExpendituresAmt>15512</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <SubtotalSpentAmt>15512</SubtotalSpentAmt>
      <TotalSpentAmt>15512</TotalSpentAmt>
      <TransferToForeignCorpInd>false</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>false</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE F, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>EAST ASIA AND THE PACIFIC 15,512 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="RetDoc4">
      <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>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KENNETH D COBURN MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>196210</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>196210</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERRY MARCANTONIO</PersonNm>
        <TitleTxt>SENIOR VICE PRES.</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>165658</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>165658</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT CURRAN</PersonNm>
        <TitleTxt>SR DIR. ADMIN &amp; OPS</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>151161</CompensationBasedOnRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>151161</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>IMPROVE THE QUALITY &amp; EXPERIENCE OF HEALTHCARE FOR PATIENTS, THEIR FAMILIES &amp; HEALTHCARE PROVIDERS THROUGH APPLIED RESEARCH AND DESIGN OF NEW SYSTEMS OF ADVANCED PREVENTATIVE CARE THAT IMPROVE POPULATION HEALTH OUTCOMES, ENHANCE PATIENT &amp; PROVIDER EXPERIENCES, IMPROVE QUALITY OF CARE AND LIFE, AND REDUCE UNNECESSARY HEALTH CARE COSTS OVER THE LONG TERM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>R&amp;D SYSTEMS OF CARE - HQP DESIGNS AND FACILITATES THE IMPLEMENTATION OF NEW SYSTEMS OF CARE FOR VARIOUS VULNERABLE PATIENT POPULATIONS. THIS INCLUDES THE DEVELOPMENT OF ENTERPRISE-WIDE POPULATION HEALTH MANAGEMENT SYSTEMS (INCLUDING, BUT NOT LIMITED TO, POPULATION HEALTH RISK ANALYSIS AND TARGETING, ORGANIZATIONAL SYSTEM DESIGN, STAFF DEVELOPMENT, IMPLEMENTATION PROCESSES, AND DATA MANAGEMENT AND WORKFLOWS) FOR PROACTIVE CARE COORDINATION ACROSS THE CONTINUUM OF CARE TO ADDRESS THE NEEDS AND PREFERENCES OF PATIENTS AND THEIR FAMILIES. A DISCIPLINED APPROACH IS UNDERTAKEN TO DESIGN SYSTEMS OF SUPPORT THAT ARE PATIENT-CENTERED, EFFECTIVE IN ADDRESSING THE HEALTH AND SOCIAL RISKS OF THE POPULATION, AND RELIABLY DELIVERED TO IMPROVE THE QUALITY OF CARE, IMPROVE HEALTH OUTCOMES, AND REDUCE UNNECESSARY HEALTH CARE COSTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>POP HEALTH CONSULTING &amp; ADVISORY SERVICES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS GIVEN TO BOARD OF DIRECTORS FOR REVIEW PRIOR TO ISSUANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POLICY IS REVIEWED ANNUALLY WITH THE BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>A PERIODIC REVIEW OF THE CEO'S COMPENSATION BY THE BOARD IS REQUIRED BY THE BY-LAWS. THE PROCESS INCLUDES A REVIEW OF COMPENSATION FROM COMPARABLE ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL KEY EMPLOYEES AND OFFICERS HAVE THEIR COMPENSATION REVIEWED BY THE BOARD WHEN DEEMED APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL REQUIRED DOCUMENTS WILL BE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS LISTED REPRESENTS ONLY THE W-2 EARNINGS ASSOCIATED WITH SERVICES PROVIDED FOR HEALTH QUALITY PARTNERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>