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      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>8542254</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Overpayment of 3rd Party Settlements</Desc>
        <Amt>1900000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1900000</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>33453444</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>1271311</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>1271311</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>32182133</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>32182133</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>32979187</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>32979187</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>32979187</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="16000303" softwareVersionNum="2016v3.0">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bob Peng</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>462332</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13968</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8333</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19810</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>504443</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Harold Mccoy</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <BonusFilingOrganizationAmount>100512</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11756</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312006</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jill Bolstad</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>5321</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>Jon Yoshiyama</PersonNm>
        <TitleTxt>Assistant Medical Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lalitha M Vakkalanka</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <BonusFilingOrganizationAmount>171</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsFilingOrgAmt>10641</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>256258</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maximiliano Cuevas</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>238090</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>104574</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>9967</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>352631</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Oguchi Nkwacha</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>234065</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8333</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>242398</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ramiro Mancias</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>177285</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>23955</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4514</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16519</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>222273</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Clyde Hostetter</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>182467</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8163</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24546</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>215176</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Huerta Jr</PersonNm>
        <TitleTxt>Dental Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>165971</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>21067</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8333</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5831</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>201202</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="16000303" softwareVersionNum="2016v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is prepared by an independent CPA, and then is reviewed by the controller and approved for filing by the CFO. The 990 is filed by the independent CPA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization investigates potential conflicts of interest when they arise in accordance with the written policies and procedures.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation surveys are performed by the COO and director of human resources using state and national databases. The board of directors determines the CEO compensation based upon surveys and other comparable data.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>The ceo, coo, and director of human resources determine the compensation for other officers and highly compensated employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public Inspection</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is available for review upon written request at the organization's administrative office during normal business hours.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing Docs, Policies, and Financial statements are available for review upon written request at the organization's administrative office during normal business hours.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>