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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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        </ContractorName>
        <ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
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    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="16000303" softwareVersionNum="2016v3.0">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>3649514</OtherCostOrOtherBasisAmt>
        <BookValueAmt>3649514</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>2943627</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>138523</DepreciationAmt>
        <BookValueAmt>2805104</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1852110</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1242613</DepreciationAmt>
        <BookValueAmt>609497</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4904290</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2851353</DepreciationAmt>
        <BookValueAmt>2052937</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>59300</OtherCostOrOtherBasisAmt>
        <BookValueAmt>59300</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>9176352</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>25661471</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>25661471</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>25661471</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23834383</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>23834383</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>23834383</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="16000303" softwareVersionNum="2016v3.0">
      <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>ALLEN WENDT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>260215</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6448</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24509</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>291172</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FADEL SHAMMOUT MD</PersonNm>
        <TitleTxt>PHYSICIAN OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>293945</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11413</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24398</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>329756</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRACIELA SOTO-PEREZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>292200</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>27177</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>324577</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIN PANG MD</PersonNm>
        <TitleTxt>DIRECTOR OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>354458</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12318</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18541</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>385317</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAN T TRUONG</PersonNm>
        <TitleTxt>PHYSICIAN/ OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>318422</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11403</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10187</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>340012</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICTOR SUNGA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>284394</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10479</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24617</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>319490</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="16000303" softwareVersionNum="2016v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 AND ALL RELATED SCHEDULES AND STATEMENTS WAS PROVIDED TO THE BOARD PRIOR TO FILING IN ORDER TO ALLOW SUFFICIENT TIME FOR REVIEW AND COMMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE UPDATED AND REVIEWED PERIODICALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF KEY EMPLOYEES IS REVIEWED BY THE FULL BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>DECREASE IN TEMPORARILY RESTRICTED NET ASSETS = -$21859</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>