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        <ProgramServicesAmt>453370</ProgramServicesAmt>
        <ManagementAndGeneralAmt>298976</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>52364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9604</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>588153</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187550</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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      <RoyaltiesGrp>
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        <ManagementAndGeneralAmt>105896</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>18010</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46851</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>62020</TotalAmt>
        <ProgramServicesAmt>53282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8738</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>11780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19732</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>66440</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282480</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>37839</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31973</ManagementAndGeneralAmt>
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        <Desc>Contractual Services</Desc>
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        <ProgramServicesAmt>80069</ProgramServicesAmt>
        <ManagementAndGeneralAmt>510197</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Clinical Fees</Desc>
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        <ProgramServicesAmt>2100</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Labs X-rays</Desc>
        <TotalAmt>140754</TotalAmt>
        <ProgramServicesAmt>140754</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Bad Debt Expenses</Desc>
        <TotalAmt>587332</TotalAmt>
        <ProgramServicesAmt>587332</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>93758</TotalAmt>
        <ProgramServicesAmt>1554</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92204</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6068938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3125086</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>741763</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>8747888</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>746386</EOYAmt>
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        <EOYAmt>647195</EOYAmt>
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        <EOYAmt>1393581</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>6773633</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>213976</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>8381190</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>246741</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-8391</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <PublicSupportPY170Pct>1.00000</PublicSupportPY170Pct>
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    <!--FriendlyName:Sch D (990)-->
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      <OtherSecuritiesGrp>
        <Desc>Financial derivatives and other financial products</Desc>
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      <OtherSecuritiesGrp>
        <Desc>Closely-held equity interests</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Federal income taxes</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Loan Payable</Desc>
        <Amt>647195</Amt>
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      <TotalLiabilityAmt>647195</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>9440765</TotalRevEtcAuditedFinclStmtAmt>
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      <ExpensesSubtotalAmt>9194024</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>9194024</TotalExpensesPerForm990Amt>
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    <!--FriendlyName:Sch J (990)-->
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
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      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Monty Small</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
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        <TotalCompensationFilingOrgAmt>150576</TotalCompensationFilingOrgAmt>
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        <PersonNm>Dr FNU Rajlakshmi</PersonNm>
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        <TotalCompensationFilingOrgAmt>185499</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Maryann Arienmughare</PersonNm>
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        <TotalCompensationFilingOrgAmt>191469</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Carlos Salazar</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>165577</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>165577</TotalCompensationFilingOrgAmt>
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    <!--FriendlyName:Sch O (990/990EZ)-->
    <IRS990ScheduleO documentId="990O" softwareId="16000333" softwareVersionNum="17.2.1.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>CFO reviews and agrees Form 990 to AHC original records prior to signing form. CEO also performs a second review prior to form submission.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organizational, conflict of interest policy and financial statement documents are available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors hire fire the CEO along with determining his/her compensation based upon the information retrieved from MGMA Management Compensation Survey and the NACHA Center Salary Benefits report. Both publications provide benchmarks according to the size of the organization, annual operating budget, number of providers, geographic location and work related experience. This also applies to how the CEO determines the compensation for his/her top management.</ExplanationTxt>
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</Return>