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        <PersonNm>Sandra B Noel</PersonNm>
        <TitleTxt>Assistant Secretary</TitleTxt>
        <AverageHoursPerWeekRt>0.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>45.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>37993</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9173</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary A Tacconi</PersonNm>
        <TitleTxt>Assistant Secretary</TitleTxt>
        <AverageHoursPerWeekRt>0.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>45.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>62385</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25725</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer E Ward-McDonal</PersonNm>
        <TitleTxt>Assistant Secretary</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>58210</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25613</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Vigneshwar Kasirajan</PersonNm>
        <TitleTxt>Dept Chair</TitleTxt>
        <AverageHoursPerWeekRt>42.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>33.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>525953</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>283227</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>115192</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Brian M Cameron</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>55.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>855161</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>35354</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60809</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John F Reavey-Cantwell</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>55.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>821554</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>262340</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>148004</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alex B Valadka</PersonNm>
        <TitleTxt>Dept Chair</TitleTxt>
        <AverageHoursPerWeekRt>66.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>12.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>109588</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>85384</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Yeh</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>955771</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>48588</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64636</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert S Graham</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>2.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>50442</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67244</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Harinder S Dhindsa</PersonNm>
        <TitleTxt>Former Board Member</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>404585</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>55126</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>60524</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ann S Fulcher</PersonNm>
        <TitleTxt>Former Board Member</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>5.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>714670</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>99850</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>74252</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>10441924</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>2341715</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1547892</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>808</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Medkoder</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 Greenleaves Blvd Suite 7</AddressLine1Txt>
            <CityNm>Mandeville</CityNm>
            <StateAbbreviationCd>LA</StateAbbreviationCd>
            <ZIPCd>70448</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>medical coding svcs</ServicesDesc>
        <CompensationAmt>1178111</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>QuadMed Graphics Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 644840</AddressLine1Txt>
            <CityNm>Pittsburgh</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>152644840</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>professional mgmt</ServicesDesc>
        <CompensationAmt>1156562</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Scribe America</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 417756</AddressLine1Txt>
            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>022417756</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>scribe staffing svcs</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Medical Reimbursement Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2950 Robertson Avenue</AddressLine1Txt>
            <CityNm>Cincinnati</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>45209</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>medical coding svcs</ServicesDesc>
        <CompensationAmt>610623</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>AMN Healthcare</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 281923</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303841923</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>hospitalists svcs</ServicesDesc>
        <CompensationAmt>520009</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>0</FundraisingAmt>
      <RelatedOrganizationsAmt>61000000</RelatedOrganizationsAmt>
      <AllOtherContributionsAmt>5456060</AllOtherContributionsAmt>
      <NoncashContributionsAmt>0</NoncashContributionsAmt>
      <TotalContributionsAmt>66456060</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Service Reven</Desc>
        <BusinessCd>812900</BusinessCd>
        <TotalRevenueColumnAmt>257143617</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>257143617</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Contract Revenue from MCV</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>62305875</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>62305875</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Other Contract Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18126380</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18126380</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Medical Consultation Inco</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>760038</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>760038</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>338335910</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2107385</TotalRevenueColumnAmt>
        <ExclusionAmt>2107385</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>4277</TotalRevenueColumnAmt>
        <ExclusionAmt>4277</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>54921450</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>52155071</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
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      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
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      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1745600</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1745600</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Services</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>513916</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>513916</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>Other Interest Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>189825</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>189825</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>5160</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>5160</ExclusionAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>7332542</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>7697991</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>4472717</ProgramServicesAmt>
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        <ProgramServicesAmt>1119255</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>28643309</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>23383925</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1071215</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5531459</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>11247570</ProgramServicesAmt>
        <ManagementAndGeneralAmt>924610</ManagementAndGeneralAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>1093977</ProgramServicesAmt>
        <ManagementAndGeneralAmt>317005</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>714671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66516</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>8030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57235</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>1150717</TotalAmt>
        <ProgramServicesAmt>563466</ProgramServicesAmt>
        <ManagementAndGeneralAmt>587251</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <ProgramServicesAmt>833185</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>56708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>350</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4709829</TotalAmt>
        <ProgramServicesAmt>4457364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>252465</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1245198</TotalAmt>
        <ProgramServicesAmt>1245198</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>3244287</TotalAmt>
        <ProgramServicesAmt>2335969</ProgramServicesAmt>
        <ManagementAndGeneralAmt>908318</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>2251880</TotalAmt>
        <ProgramServicesAmt>2113940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137940</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>1384753</TotalAmt>
        <ProgramServicesAmt>1346805</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37948</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1149294</TotalAmt>
        <ProgramServicesAmt>1059456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89838</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>-42618</TotalAmt>
        <ProgramServicesAmt>-92059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49441</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>5214826</TotalAmt>
        <ProgramServicesAmt>4791950</ProgramServicesAmt>
        <ManagementAndGeneralAmt>422876</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues &amp; Subscriptions</Desc>
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        <TotalCompensationRltdOrgsAmt>70533</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>H Joel Schmidt</PersonNm>
        <TitleTxt>Board Member &amp; Professor</TitleTxt>
        <BaseCompensationFilingOrgAmt>104570</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>49212</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>238</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1767</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13236</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7044</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>16880</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>126855</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>66092</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John D Ward</PersonNm>
        <TitleTxt>President</TitleTxt>
        <BaseCompensationFilingOrgAmt>528284</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>146103</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>83926</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>15857</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>35910</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11546</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>50113</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>675523</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>196216</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Darrell Griffith Beg 716</PersonNm>
        <TitleTxt>Exec. Director &amp; Treasurer</TitleTxt>
        <BaseCompensationFilingOrgAmt>165369</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2139</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14615</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20516</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>237639</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Keith W Purcell</PersonNm>
        <TitleTxt>MCVP CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>159909</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>11688</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1981</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18744</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23890</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216212</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Brian M Cameron</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>515117</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>35354</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>27690</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20993</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>12126</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>903844</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>47480</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John F Reavey-Cantwell</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>410765</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>262340</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>35910</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22111</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>879575</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>352323</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alex B Valadka</PersonNm>
        <TitleTxt>Dept Chair</TitleTxt>
        <BaseCompensationFilingOrgAmt>703300</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>109588</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>152039</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17120</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>37589</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>911153</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>147177</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Thomas Yeh</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>849300</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>48588</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>100000</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>6471</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21371</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>16666</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1003741</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>65254</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert S Graham</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>614010</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>50442</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>209015</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>4071</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>30377</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19565</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17302</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>877038</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>67744</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Vigneshwar Kasirajan</PersonNm>
        <TitleTxt>Dept Chair</TitleTxt>
        <BaseCompensationFilingOrgAmt>382959</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>283227</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>139569</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>3425</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7653</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10392</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>97147</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>543998</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>380374</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michel B Aboutanos</PersonNm>
        <TitleTxt>Board Member &amp; Div. Chair</TitleTxt>
        <BaseCompensationFilingOrgAmt>523844</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>109678</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>23923</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3021</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>19624</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11166</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>37620</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>581578</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>147298</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John F Butterworth</PersonNm>
        <TitleTxt>Board Member &amp; Dept Chair</TitleTxt>
        <BaseCompensationFilingOrgAmt>431839</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>112425</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>103562</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>8154</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22234</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11976</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>38562</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>577765</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>150987</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David P Chelmow</PersonNm>
        <TitleTxt>Board Member &amp; Dept Chair</TitleTxt>
        <BaseCompensationFilingOrgAmt>432539</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>97425</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>109148</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>3594</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>22234</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12094</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>33417</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>579609</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>130842</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Harinder S Dhindsa</PersonNm>
        <TitleTxt>Former Board Member</TitleTxt>
        <BaseCompensationFilingOrgAmt>341542</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>55126</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>60058</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2985</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>29198</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12418</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18908</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>446201</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>74034</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ann S Fulcher</PersonNm>
        <TitleTxt>Former Board Member</TitleTxt>
        <BaseCompensationFilingOrgAmt>486839</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>99850</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>221543</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6288</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>25338</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14665</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>34249</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>754673</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>134099</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR FISCAL YEAR ENDING JUNE 30, 2017 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE PRESIDENT OF MCV PHYSICIANS, DR. JOHN D. WARD, AND THE EXECUTIVE DIRECTOR OF MCV PHYSICIANS, DARRELL GRIFFITH, IS DETERMINED BY THE CEO OF THE VCU HEALTH SYSTEM. THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF INDIVIDUAL PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE CEO THEN MEETS WITH THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER AND PRESENT RECOMMENDATIONS AND RECEIVE FINAL APPROVAL. THE COMPENSATION COMMITTEE MAY DISCUSS THESE RECOMMENDATIONS IN EXECUTIVE SESSION OF THE VCUHS BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 6 &amp; 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SELECTION PROCESS FOR THE GOVERNING BODY OF MCV PHYSICIANS IS AS FOLLOWS: The Chairs of each School of Medicine clinical department shall recommend appointment of the four departmental Chair Directors to the sole Corporate member, VCUHS. THE FULL-TIME FACULTY OF THE SCHOOL OF MEDICINE SHALL RECOMMEND TO THE CORPORATE MEMBER APPOINTMENT OF THE FOUR FACULTY DIRECTORS WHO ARE NOT DEPARTMENTAL CHAIRS. THE PRESIDENT AND EXECUTIVE DIRECTOR OF THE CORPORATION SHALL RECOMMEND THREE INDEPENDENT DIRECTORS TO THE BOARD OF DIRECTORS; THE BOARD, AFTER CONSIDERATION OF THE RECOMMENDATIONS FROM THE PRESIDENT AND EXECUTIVE DIRECTOR, SHALL RECOMMEND THREE INDEPENDENT DIRECTORS TO THE CORPORATE MEMBER. ALL RECOMMENDATIONS FOR APPOINTED DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER BY THE PRESIDENT OF THE CORPORATION, FOLLOWING NOTIFICATION OF THE RECOMMENDATIONS TO THE CEO/VCUHS AND THE DEAN. AFTER CONSIDERATION OF THE RECOMMENDATIONS, THE CORPORATE MEMBER SHALL APPOINT DIRECTORS TO THE BOARD, FOR TERMS OF SERVICE CONSISTENT WITH THE PROVISIONS OF THESE BYLAWS. of the four departmental Chair Directors to the Corporate member, VCUHS. CORPORATE MEMBER SHALL APPOINT DIRECTORS TO THE BOARD, FOR TERMS OF SERVICE CONSISTENT WITH THE PROVISIONS OF THESE BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MCV PHYSICIANS BOARD OF DIRECTORS DECISIONS ARE SUBJECT TO APPROVAL OF THE CORPORATE MEMBER, VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL INFORMATION IS PROVIDED TO EY BY THE MCV PHYSICIANS CHIEF FINANCIAL OFFICER. EY PREPARES THE FORM 990 AND RETURNS THE COMPLETED FORM 990 TO MCV PHYSICIANS FOR REVIEW. THE CHIEF FINANCIAL OFFICER OF MCV PHYSICIANS REVIEWS THE FORM 990 TO ENSURE IT IS COMPLETE AND ACCURATE. THE CHIEF FINANCIAL OFFICER WILL REVIEW THE FORM 990 WITH THE EXECUTIVE DIRECTOR OF MCV PHYSICIANS. UPON COMPLETING THE REVIEW WITH THE EXECUTIVE DIRECTOR, THE GOVERNING BODY OF MCV PHYSICIANS IS PROVIDED WITH A COPY OF FORM 990 BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>VCU HEALTH SYSTEM POLICY 2104.01 - TERMS OF EMPLOYMENT CONTAINS THE HEALTH SYSTEM'S POLICY REGARDING CONFLICTS OF INTEREST IN SECTION I. ALSO, VCU HEALTH SYSTEM IS REQUIRED TO PARTICIPATE IN THE COMMONWEALTH'S STATEMENT OF ECONOMIC INTEREST PROCESS. VCU HEALTH SYSTEM'S PARTICIPATION IN THIS PROCESS IS MANDATED BY THE ENABLING LEGISLATION FOR THE HEALTH SYSTEM. ADDITIONALLY, EMPLOYEES ARE ENCOURAGED TO CONTACT THE COMPLIANCE HELPLINE IF THEY ARE AWARE OF ANY VIOLATIONS OF HEALTH SYSTEM POLICY OR HAVE ANY COMPLIANCE CONCERNS. ALL CONCERNS REPORTED VIA THIS VENUE ARE INVESTIGATED AND APPROPRIATE REMEDIATION IS IMPLEMENTED. WHEN A BOARD MEMBER HAS A CONFLICT, THE BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND DECISIONS RELATED TO THE CONFLICTING TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR FISCAL YEAR ENDING JUNE 30, 2017 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE PRESIDENT OF MCV PHYSICIANS, DR. JOHN D. WARD, AND THE EXECUTIVE DIRECTOR OF MCV PHYSICIANS, DARRELL GRIFFITH, IS DETERMINED BY THE CEO OF THE VCU HEALTH SYSTEM. THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF INDIVIDUAL PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE CEO THEN MEETS WITH THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER AND PRESENT RECOMMENDATIONS AND RECEIVE FINAL APPROVAL. THE COMPENSATION COMMITTEE MAY DISCUSS THESE RECOMMENDATIONS IN EXECUTIVE SESSION OF THE VCUHS BOARD OF DIRECTORS. THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE KEY EMPLOYEES IS DETERMINED BY THE DEAN OF THE SCHOOL OF MEDICINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FOR MCV PHYSICIANS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Process for making documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FOR MCV PHYSICIANS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>