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        <PersonNm>JEANNE CHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>332015</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24534</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JACQUELINE L COOPER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>323914</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41248</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1959215</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>218838</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>19</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CEDAR RAPIDS MED EDUC FOUND</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1260 2nd Ave</AddressLine1Txt>
            <CityNm>Cedar Rapids</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52403</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHYSICIAN SERVICES</ServicesDesc>
        <CompensationAmt>644418</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BKD LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>910 E St Louis St 200</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65806</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING</ServicesDesc>
        <CompensationAmt>103829</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1996287</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>239212</AllOtherContributionsAmt>
      <TotalContributionsAmt>2235499</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>11120151</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11120151</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEANINGFUL USE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>110500</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>110500</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>48368</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>48368</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11279019</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>27735</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27735</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC INCOME</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>17614</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17614</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>IA HLTH ACO JT VENT</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>92228</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>92228</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>CRPHO K1</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>7287</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7287</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>117129</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13659382</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11423883</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1959215</TotalAmt>
        <ProgramServicesAmt>1671623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>287592</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5442261</TotalAmt>
        <ProgramServicesAmt>4808972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>588015</ManagementAndGeneralAmt>
        <FundraisingAmt>45274</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>232641</TotalAmt>
        <ProgramServicesAmt>198565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32218</ManagementAndGeneralAmt>
        <FundraisingAmt>1858</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>884722</TotalAmt>
        <ProgramServicesAmt>772041</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107375</ManagementAndGeneralAmt>
        <FundraisingAmt>5306</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>469527</TotalAmt>
        <ProgramServicesAmt>401934</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64337</ManagementAndGeneralAmt>
        <FundraisingAmt>3256</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>100059</TotalAmt>
        <ManagementAndGeneralAmt>100059</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>84759</TotalAmt>
        <ManagementAndGeneralAmt>84759</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1812675</ProgramServicesAmt>
        <ManagementAndGeneralAmt>136650</ManagementAndGeneralAmt>
        <FundraisingAmt>3213</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
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        <ProgramServicesAmt>10653</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3516</ManagementAndGeneralAmt>
        <FundraisingAmt>1665</FundraisingAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>504218</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106869</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>109568</TotalAmt>
        <ProgramServicesAmt>70452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39116</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>41148</TotalAmt>
        <ProgramServicesAmt>18130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23018</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>81320</TotalAmt>
        <ProgramServicesAmt>81320</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>343860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3474</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ManagementAndGeneralAmt>37396</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>2655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23669</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>681167</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36254</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LOSS ON EQUIPMENT</Desc>
        <TotalAmt>22281</TotalAmt>
        <ProgramServicesAmt>22281</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUESSUBSBOOKSLIC</Desc>
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        <ProgramServicesAmt>113260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-2317</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>28796</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5942</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>13281116</TotalAmt>
        <ProgramServicesAmt>11542602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1677942</ManagementAndGeneralAmt>
        <FundraisingAmt>60572</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
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        <EOYAmt>668641</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>619236</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1095526</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>60703</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>178362</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>4265269</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>994494</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3270775</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1466135</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1657059</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
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        <EOYAmt>3123194</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>3842636</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>221401</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3685771</BOYAmt>
        <EOYAmt>4064037</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>7187231</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>378266</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>3055916</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>2235499</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>8488261</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11055238</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11279019</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>13514518</CurrentTaxYearAmt>
        <TotalAmt>53448073</TotalAmt>
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      <PublicSupportTotal509Amt>53448073</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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        <TotalAmt>38612</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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      <PublicSupportPY509Pct>0.99750</PublicSupportPY509Pct>
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      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
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    <IRS990ScheduleB documentId="990B">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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    <IRS990ScheduleC documentId="990C">
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      <PaidStaffOrManagementInd>false</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>false</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
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    <IRS990ScheduleD documentId="990D">
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        <BookValueAmt>231100</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>494089</DepreciationAmt>
        <BookValueAmt>2416449</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>500405</DepreciationAmt>
        <BookValueAmt>623226</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3270775</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13659382</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>13659382</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>13659382</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>13281116</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>13281116</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>13281116</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G" />
    <IRS990ScheduleJ documentId="990J">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>
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        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>13706</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17219</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>373586</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BASSELL EID</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>27773</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>472025</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>URSULA LIVERMORE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>9835</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22170</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>277873</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE LOCK</PersonNm>
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        <TotalCompensationFilingOrgAmt>190690</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEANNE CHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>332015</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13281</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11253</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>356549</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACQUELINE L COOPER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>323914</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12957</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28291</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>365162</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 will be presented to board of directors</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board would discuss any conflict of interest</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive committee and finance committee review and make recommendation to board for CEO salary</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO makes recommendation for compensation, executive committee and finance committee review and make recommendation to board for overall organizations wage increases.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy, and financial statements are not available to the general public. Public officials serve on the board and would share documents with their governmental entities.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Services - Interpretation Services $106,608 Contracted Physician $627,240 Recruitment $13,470 340B Fee $101,936 Patient Claim Processing $626,421 Collections $14,561 Pass through Grant Expense $57,990 Payroll Processing Fees $102,683 IT Interface Contracts $84,016 Other Purchased Services $77,750 Total $1,812,675 Administrative Services - Consultants $12,000 IT Contract Services $46,643 Accounting $10,487 Payroll Processing 26,407 IT Software $2,793 Other $38,320 Total $136,650Fund Raising - IT Software $3,213</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>