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        </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>652920</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>165588</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2270535</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>785381</AllOtherContributionsAmt>
      <TotalContributionsAmt>3055916</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>8189036</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8189036</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEANINGFUL USE</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>293250</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>293250</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>6847</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6847</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8489133</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>742</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>742</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISC INCOME</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>13573</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13573</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LLC INVESTMENT INC</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>14882</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14882</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>28455</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>11574246</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8518330</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1668019</TotalAmt>
        <ProgramServicesAmt>1507328</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160691</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>4030849</TotalAmt>
        <ProgramServicesAmt>3224193</ProgramServicesAmt>
        <ManagementAndGeneralAmt>806656</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>167099</TotalAmt>
        <ProgramServicesAmt>133900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33199</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>646723</TotalAmt>
        <ProgramServicesAmt>499722</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147001</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>360154</TotalAmt>
        <ProgramServicesAmt>282376</ProgramServicesAmt>
        <ManagementAndGeneralAmt>77778</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>42909</TotalAmt>
        <ManagementAndGeneralAmt>42909</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>132525</TotalAmt>
        <ManagementAndGeneralAmt>132525</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>26059</TotalAmt>
        <FundraisingAmt>26059</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>1746768</TotalAmt>
        <ProgramServicesAmt>1440909</ProgramServicesAmt>
        <ManagementAndGeneralAmt>305859</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>59630</TotalAmt>
        <ProgramServicesAmt>4277</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55353</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OccupancyGrp>
        <TotalAmt>536099</TotalAmt>
        <ProgramServicesAmt>224602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>311497</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>120683</TotalAmt>
        <ProgramServicesAmt>57233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63450</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>39703</TotalAmt>
        <ProgramServicesAmt>22435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17268</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>93616</TotalAmt>
        <ProgramServicesAmt>1470</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92146</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>278541</TotalAmt>
        <ProgramServicesAmt>133789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144752</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>15781</TotalAmt>
        <ManagementAndGeneralAmt>15781</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>35386</TotalAmt>
        <ProgramServicesAmt>24793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10593</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>647229</TotalAmt>
        <ProgramServicesAmt>563788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83441</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LOSS ON EQUIPMENT</Desc>
        <TotalAmt>6045</TotalAmt>
        <ProgramServicesAmt>6045</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUESSUBSBOOKSLIC</Desc>
        <TotalAmt>94038</TotalAmt>
        <ProgramServicesAmt>44741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49297</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>18180</TotalAmt>
        <ProgramServicesAmt>3501</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14679</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>10766036</TotalAmt>
        <ProgramServicesAmt>8175102</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2564875</ManagementAndGeneralAmt>
        <FundraisingAmt>26059</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>902594</BOYAmt>
        <EOYAmt>367788</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>545660</BOYAmt>
        <EOYAmt>395294</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1617524</BOYAmt>
        <EOYAmt>1827097</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>54260</BOYAmt>
        <EOYAmt>83323</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>4639942</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>816955</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1797506</BOYAmt>
        <EOYAmt>3822987</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>7580</BOYAmt>
        <EOYAmt>22462</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4925124</BOYAmt>
        <EOYAmt>6518951</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1061755</BOYAmt>
        <EOYAmt>767507</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2024261</BOYAmt>
        <EOYAmt>3104126</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>3086016</BOYAmt>
        <EOYAmt>3871633</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>1699988</BOYAmt>
        <EOYAmt>2497360</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>139120</BOYAmt>
        <EOYAmt>149958</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1839108</BOYAmt>
        <EOYAmt>2647318</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>4925124</BOYAmt>
        <EOYAmt>6518951</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>808210</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>1074005</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1066586</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1194987</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2026589</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3055916</CurrentTaxYearAmt>
        <TotalAmt>8418083</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>3920545</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4662826</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5551851</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6508852</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8488261</CurrentTaxYearAmt>
        <TotalAmt>29132335</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>4994550</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5729412</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6746838</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8535441</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11544177</CurrentTaxYearAmt>
        <TotalAmt>37550418</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>37550418</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1502</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2719</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1565</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>977</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6742</CurrentTaxYearAmt>
        <TotalAmt>13505</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>1502</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2719</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1565</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>977</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6742</CurrentTaxYearAmt>
        <TotalAmt>13505</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus1YearAmt>-6603</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>29327</CurrentTaxYearAmt>
        <TotalAmt>22724</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>4996052</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5732131</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6748403</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>8529815</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>11580246</CurrentTaxYearAmt>
        <TotalAmt>37586647</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99900</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <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>193291</DepreciationAmt>
        <BookValueAmt>2717247</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1498304</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>623664</DepreciationAmt>
        <BookValueAmt>874640</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>3822987</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>11574246</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>11574246</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>11574246</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10766036</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>10766036</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>10766036</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="990G">
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>GRANTS FOR GOOD LLC</PersonNm>
        <USAddress>
          <AddressLine1Txt>73 AUGUSTA DR</AddressLine1Txt>
          <CityNm>CEDAR RAPIDS</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52403</ZIPCd>
        </USAddress>
        <ActivityTxt>SOLICITATION OF GRANTS AND DONATIONS</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>634989</GrossReceiptsAmt>
        <RetainedByContractorAmt>26059</RetainedByContractorAmt>
        <NetToOrganizationAmt>608930</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>634989</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>26059</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>608930</TotalNetToOrganizationAmt>
      <LicensedStatesCd>IA</LicensedStatesCd>
    </IRS990ScheduleG>
    <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>327568</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3108</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23288</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>353964</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BASSELL EID</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>410436</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16417</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20825</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>447678</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>URSULA LIVERMORE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>231690</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9268</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19507</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>260465</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOE LOCK</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>145433</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5817</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21566</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172816</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA STOEHR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>326491</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13060</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18817</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>358368</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACQUELINE L COOPER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>211142</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8446</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9179</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228767</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 $89,257 Contracted Dental $9,303 Contracted Physician $539,740 Recruitment $20,989 Laboratory $28,483 Labs Clinic $2,187 340B Fee $117,378 Patient Claim Processing $372,647 Collections $10,914 Marketing &amp; Comm $80,304 Clinical Quality Improvement $15,225 Pass through Grant Expense $45,554 Other Purchased Services $108,928 Total $1,440,909 Administrative Services - Consultants $75,379 IT Contract Services $96,660 Accounting $11,247 Payroll Processing 6,270 Purchased Services $112,250 Other $4,053 Total $305,859</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>