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      <TotalReportableCompFromOrgAmt>1880116</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>188095</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>7</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>541120</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>123185</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>1797445</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>254416</AllOtherContributionsAmt>
      <TotalContributionsAmt>2051861</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>10898414</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10898414</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEANINGFUL USE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>136000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>136000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>20824</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20824</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11055238</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1593</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1593</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC INCOME</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>32924</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32924</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>IA HLTH ACO JT VENT</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>44687</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44687</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>77611</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>13186303</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11134442</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1880116</TotalAmt>
        <ProgramServicesAmt>1616623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>263493</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4718250</TotalAmt>
        <ProgramServicesAmt>4131704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>562554</ManagementAndGeneralAmt>
        <FundraisingAmt>23992</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>206613</TotalAmt>
        <ProgramServicesAmt>179296</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26906</ManagementAndGeneralAmt>
        <FundraisingAmt>411</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>842289</TotalAmt>
        <ProgramServicesAmt>733564</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107010</ManagementAndGeneralAmt>
        <FundraisingAmt>1715</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>415824</TotalAmt>
        <ProgramServicesAmt>360499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54011</ManagementAndGeneralAmt>
        <FundraisingAmt>1314</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>49025</TotalAmt>
        <ManagementAndGeneralAmt>49025</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>147561</TotalAmt>
        <ManagementAndGeneralAmt>147561</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1759893</TotalAmt>
        <ProgramServicesAmt>1582977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175416</ManagementAndGeneralAmt>
        <FundraisingAmt>1500</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>37006</TotalAmt>
        <ProgramServicesAmt>6973</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30033</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
        <TotalAmt>567709</TotalAmt>
        <ProgramServicesAmt>419743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147966</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>109919</TotalAmt>
        <ProgramServicesAmt>62651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47268</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>48747</TotalAmt>
        <ProgramServicesAmt>16400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32347</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>89876</TotalAmt>
        <ProgramServicesAmt>15443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74433</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>370517</TotalAmt>
        <ProgramServicesAmt>346495</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24022</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>19178</TotalAmt>
        <ManagementAndGeneralAmt>19178</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>28562</TotalAmt>
        <ProgramServicesAmt>10475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18087</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>636177</TotalAmt>
        <ProgramServicesAmt>581327</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54823</ManagementAndGeneralAmt>
        <FundraisingAmt>27</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LOSS ON EQUIPMENT</Desc>
        <TotalAmt>53565</TotalAmt>
        <ManagementAndGeneralAmt>53565</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUESSUBSBOOKSLIC</Desc>
        <TotalAmt>143548</TotalAmt>
        <ProgramServicesAmt>74923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68625</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>23475</TotalAmt>
        <ProgramServicesAmt>19175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4300</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>12147850</TotalAmt>
        <ProgramServicesAmt>10158268</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1960623</ManagementAndGeneralAmt>
        <FundraisingAmt>28959</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>367788</BOYAmt>
        <EOYAmt>805990</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>395294</BOYAmt>
        <EOYAmt>242023</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>2212407</BOYAmt>
        <EOYAmt>1889640</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <EOYAmt>47311</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>83323</BOYAmt>
        <EOYAmt>109650</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4256912</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>668602</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3822987</BOYAmt>
        <EOYAmt>3588310</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>22462</BOYAmt>
        <EOYAmt>67149</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>6904261</BOYAmt>
        <EOYAmt>6750073</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1152817</BOYAmt>
        <EOYAmt>1280670</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>3104126</BOYAmt>
        <EOYAmt>1783632</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>4256943</BOYAmt>
        <EOYAmt>3064302</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>2497360</BOYAmt>
        <EOYAmt>3526249</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>149958</BOYAmt>
        <EOYAmt>159522</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2647318</BOYAmt>
        <EOYAmt>3685771</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6904261</BOYAmt>
        <EOYAmt>6750073</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1038453</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>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1066586</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1194987</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2026589</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3055916</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2051861</CurrentTaxYearAmt>
        <TotalAmt>9395939</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>4662826</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5551851</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6508852</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8488261</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11055238</CurrentTaxYearAmt>
        <TotalAmt>36267028</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>5729412</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6746838</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8535441</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11544177</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13107099</CurrentTaxYearAmt>
        <TotalAmt>45662967</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>45662967</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>2719</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1565</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>977</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6742</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1593</CurrentTaxYearAmt>
        <TotalAmt>13596</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>2719</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1565</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>977</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6742</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1593</CurrentTaxYearAmt>
        <TotalAmt>13596</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus2YearsAmt>-6603</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>29327</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>77611</CurrentTaxYearAmt>
        <TotalAmt>100335</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>5732131</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>6748403</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8529815</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11580246</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13186303</CurrentTaxYearAmt>
        <TotalAmt>45776898</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99750</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99900</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" />
    <IRS990ScheduleC documentId="990C">
      <VolunteersInd>false</VolunteersInd>
      <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>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>231100</OtherCostOrOtherBasisAmt>
        <BookValueAmt>231100</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2910538</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>346257</DepreciationAmt>
        <BookValueAmt>2564281</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1115274</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>322345</DepreciationAmt>
        <BookValueAmt>792929</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3588310</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13186303</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>13186303</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>13186303</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12147850</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>12147850</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>12147850</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>
        <PersonNm>SIDNEY J SMITH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>324147</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10417</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22754</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>357318</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BASSELL EID</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>412487</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16499</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19321</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>448307</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>URSULA LIVERMORE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>239559</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9582</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19356</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>268497</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE LOCK</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157413</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6297</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21762</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>185472</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEANNE CHAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>323738</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12950</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7299</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>343987</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACQUELINE L COOPER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>316692</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12668</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17289</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>346649</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 $85,505 Contracted Physician $607,260 Recruitment $36,090 340B Fee $78,120Patient Claim Processing $585,470 Collections $9,746 Pass through Grant Expense $53,150 Other Purchased Services $127,636 Total $1,582,977 Administrative Services - Consultants $55,935 IT Contract Services $17,626 Accounting $10,919 Payroll Processing 29,331 IT Software $41,169 Other $20,436 Total $175,416Fund Raising - IT Software $1,500</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>