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      <Form990PartVIISectionAGrp>
        <PersonNm>David Pryor</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matt Insigna</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Pon-Gee</PersonNm>
        <TitleTxt>Director (through 9/2016)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Teresa Wolownik</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Audrey Lamastro</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>aldy Duffield</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Linne Hillock</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Laurie Dornan</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kristen Brown</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lance Lang</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Doug McKeever</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Bob Ihrie</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cindy Eng</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Kay Gilhooly</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shari Little</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Lowe</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Josh Marehbian</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dee McKellin</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Donna Sexton</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dorothy Teeter</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey White</PersonNm>
        <TitleTxt>director</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa Woods</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Deborah Boccuzzi</PersonNm>
        <TitleTxt>director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cindy Conway</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>David Lansky</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>William Kramer</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Diane Stewart</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Emma Hoo</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Lauren Vela</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Israel Ghebretinsae</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marybeth Sharpe</PersonNm>
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        <PersonNm>Margaret Simenstad</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>Integrated Healthcare Association</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 12th Street Suite 310</AddressLine1Txt>
            <CityNm>Oakland</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94607</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Tides CenterCenter for Care Innovations</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>PO Box 29907</AddressLine1Txt>
            <CityNm>San Francisco</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94129</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>National Partnership for Women &amp; Familie</BusinessNameLine1Txt>
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          <USAddress>
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            <CityNm>Washington</CityNm>
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            <ZIPCd>20009</ZIPCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PricewaterhouseCoopers LLP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>POBox 514038</AddressLine1Txt>
            <CityNm>Los Angeles</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AppleCare Medical Management LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6131 Orangethorpe Avenue Suite 280</AddressLine1Txt>
            <CityNm>Buena Park</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90620</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <GovernmentGrantsAmt>6491269</GovernmentGrantsAmt>
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        <BusinessCd>541610</BusinessCd>
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      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>13711</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>4220801</SecuritiesAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>260964</SecuritiesAmt>
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        <TotalRevenueColumnAmt>260964</TotalRevenueColumnAmt>
        <ExclusionAmt>260964</ExclusionAmt>
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        <Desc>Other Income</Desc>
        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueTotalAmt>131588</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12752417</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1566501</RelatedOrExemptFuncIncomeAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>140000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1003582</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143107</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3564665</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>196715</TotalAmt>
        <ProgramServicesAmt>172165</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24550</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>312346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44539</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emma Hoo</PersonNm>
        <TitleTxt>Dir. of Value Purchasing</TitleTxt>
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        <TotalCompensationFilingOrgAmt>280932</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lauren Vela</PersonNm>
        <TitleTxt>Senior Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Israel Ghebretinsae</PersonNm>
        <TitleTxt>Dir. of Finance &amp; Admin.</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marybeth Sharpe</PersonNm>
        <TitleTxt>COO &amp; Dir of Strategy</TitleTxt>
        <BaseCompensationFilingOrgAmt>220027</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Margaret Simenstad</PersonNm>
        <TitleTxt>Dir of Med Complex Program</TitleTxt>
        <BaseCompensationFilingOrgAmt>156496</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6657</BonusFilingOrganizationAmount>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Provided up to $40.00 per month per employee for reimbursement of health club costs. The reimbursement of health club costs has been included in the employees' taxable wages.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2016, bonuses were paid contingent upon meeting both revenue and net earnings targets. The bonus plan is implemented for all employees and depends upon 3 major factors: 1) Individual performance on job-specific competencies, 2) achievement of individual goals; and 3) organizational performance on corporate-level goals. The corporate-level goals included net income goal, revenue goal, and 9 other goals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>During 2016, Bonuses were paid contingent upon meeting both revenue and net earnings targets. The bonus plan is set up for all employees and it is depended on three major factors: a.) Competency Score b.) Personal Level Job Goals c.) Organization Level Goals; these include: i. 11 other goals ii. Net Earnings Goal iii. Revenue Goal</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Initially reviewed by the CEO, COO &amp; Director of Finance. Subsequently reviewed by the Audit Committee, acting on behalf of the Board. Following these reviews and prior to filing the return with the Internal Revenue Service, copies of the Form 990 will be emailed to all board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The policy covers Board members, officers, and key employees who are required to annually disclose any potential conflicts. Disclosures are collected and reviewed by the Director of Finance who reports to the COO on any potential conflicts. The Board of Directors decides if any additional action is necessary such as recusal or removal of the conflicted individual.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation, compensation increases, and incentive payments for the Chief Executive Officer and President are based upon a performance review conducted by the Compensation Committee of the Board. Compensation for officers and key employees is based upon industry-specific benchmark studies conducted by Human Resources periodically. The benchmark studies are then provided to the Compensation Committee to assess CEO compensation. The CEO also receives copies of the benchmark studies to assess compensation for key employees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflict of interest policy and financial statements are all available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Consulting fees: Program service expenses 3,345,138. Management and general expenses 477,003. Fundraising expenses 0. Total expenses 3,822,141. Honorarium: Program service expenses 500,956. Management and general expenses 0. Fundraising expenses 0. Total expenses 500,956. Recruitment: Program service expenses 46,691. Management and general expenses 6,658. Fundraising expenses 0. Total expenses 53,349. Temporary employment: Program service expenses 86,622. Management and general expenses 12,352. Fundraising expenses 0. Total expenses 98,974. PEO: Program service expenses 79,154. Management and general expenses 11,287. Fundraising expenses 0. Total expenses 90,441.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2 &amp; Part IV, Line 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Although the Organization's audited financial statements were prepared on a consolidated basis, supplemental schedules were prepared as part of the audit that provided separate financial information for this organization. The financial information from the separately prepared supplemental schedules has been used to prepared Parts XI, XII and XIII of Schedule D.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization has not changed either its oversight or selection process during 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043500001">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Pacific Business Group on Health Negotiating Alliance</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>575 Market Street Ste 600</AddressLine1Txt>
          <CityNm>San Francisco</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94105</ZIPCd>
        </USAddress>
        <EIN>943219430</EIN>
        <PrimaryActivitiesTxt>Healthcare improvement - negotiate lower healthcare costs</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Pacific Business Group on Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>835715</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>250637</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>