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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>140927</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>17475</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROCIO DE LA TORRE</PersonNm>
        <TitleTxt>Family Physician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>140222</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>3517</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORENA BARRAGAN</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>135997</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>12680</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIANA ROMERO</PersonNm>
        <TitleTxt>Pediatrician</TitleTxt>
        <AverageHoursPerWeekRt>40</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>133934</ReportableCompFromOrgAmt>
        <OtherCompensationAmt>11337</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1656905</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>120936</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>17</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FundraisingAmt>248966</FundraisingAmt>
      <GovernmentGrantsAmt>4954564</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2742204</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1038150</NoncashContributionsAmt>
      <TotalContributionsAmt>7945734</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>4851838</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SELF-PAY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1789272</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER THIRD PARTY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>525060</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE</Desc>
        <BusinessCd>624100</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>MANAGED CARE</Desc>
        <BusinessCd>641000</BusinessCd>
        <TotalRevenueColumnAmt>2080555</TotalRevenueColumnAmt>
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      <TotalProgramServiceRevenueAmt>9411578</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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      <GrossRentsGrp>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>47811</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>-37587</ExclusionAmt>
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      <ContriRptFundraisingEventAmt>42289</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>42289</FundraisingDirectExpensesAmt>
      <OtherRevenueMiscGrp>
        <Desc>340 B PHARMACY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>866056</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>866056</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>152976</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>152976</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1019032</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18406554</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10430610</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>30210</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1656905</TotalAmt>
        <ProgramServicesAmt>1439228</ProgramServicesAmt>
        <ManagementAndGeneralAmt>217677</ManagementAndGeneralAmt>
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      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>6358658</TotalAmt>
        <ProgramServicesAmt>5269237</ProgramServicesAmt>
        <ManagementAndGeneralAmt>979667</ManagementAndGeneralAmt>
        <FundraisingAmt>109754</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>45805</TotalAmt>
        <ProgramServicesAmt>39850</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5955</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>957831</TotalAmt>
        <ProgramServicesAmt>796743</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147094</ManagementAndGeneralAmt>
        <FundraisingAmt>13994</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>720777</TotalAmt>
        <ProgramServicesAmt>559860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150139</ManagementAndGeneralAmt>
        <FundraisingAmt>10778</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>66184</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66184</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>87067</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87067</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <AdvertisingGrp>
        <TotalAmt>39109</TotalAmt>
        <ProgramServicesAmt>10191</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28918</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>484351</TotalAmt>
        <ProgramServicesAmt>404696</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79629</ManagementAndGeneralAmt>
        <FundraisingAmt>26</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>168957</TotalAmt>
        <ProgramServicesAmt>146992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21965</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>100557</TotalAmt>
        <ProgramServicesAmt>27738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72819</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>295824</TotalAmt>
        <ProgramServicesAmt>8754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>287070</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>760356</TotalAmt>
        <ProgramServicesAmt>661510</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98846</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>61372</TotalAmt>
        <ProgramServicesAmt>3663</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57709</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>400008</TotalAmt>
        <ProgramServicesAmt>400008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DONATED VACCINES</Desc>
        <TotalAmt>1038150</TotalAmt>
        <ProgramServicesAmt>1038150</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONSUMABLE SUPPLIES</Desc>
        <TotalAmt>779959</TotalAmt>
        <ProgramServicesAmt>718637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59180</ManagementAndGeneralAmt>
        <FundraisingAmt>2142</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY DISPENSING</Desc>
        <TotalAmt>242634</TotalAmt>
        <ProgramServicesAmt>242634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1546478</TotalAmt>
        <ProgramServicesAmt>650825</ProgramServicesAmt>
        <ManagementAndGeneralAmt>865121</ManagementAndGeneralAmt>
        <FundraisingAmt>30532</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>15810982</TotalAmt>
        <ProgramServicesAmt>12418716</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3225040</ManagementAndGeneralAmt>
        <FundraisingAmt>167226</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>330342</BOYAmt>
        <EOYAmt>989539</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>3510</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>584953</EOYAmt>
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      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>47143</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>22804</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>18208692</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10529142</LandBldgEquipAccumDeprecAmt>
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        <BOYAmt>8437695</BOYAmt>
        <EOYAmt>7679550</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1041920</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
        <EOYAmt>1132803</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>93616</BOYAmt>
        <EOYAmt>149484</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>13151690</BOYAmt>
        <EOYAmt>14422494</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3274433</BOYAmt>
        <EOYAmt>1937494</EOYAmt>
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      <DeferredRevenueGrp>
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        <EOYAmt>466834</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6003776</BOYAmt>
        <EOYAmt>5614431</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>63989</BOYAmt>
        <EOYAmt>65925</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>9415509</BOYAmt>
        <EOYAmt>8084684</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>2739025</BOYAmt>
        <EOYAmt>5046254</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>-2844</BOYAmt>
        <EOYAmt>291556</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
        <BOYAmt>1000000</BOYAmt>
        <EOYAmt>1000000</EOYAmt>
      </PermanentlyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3736181</BOYAmt>
        <EOYAmt>6337810</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13151690</BOYAmt>
        <EOYAmt>14422494</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2595572</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6057</NetUnrlzdGainsLossesInvstAmt>
      <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="00000002" softwareId="15000272">
      <HospitalInd>X</HospitalInd>
      <PublicSupportTotal170Amt>0</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <PublicSupportCY170Pct>0</PublicSupportCY170Pct>
      <PublicSupportTotal509Amt>0</PublicSupportTotal509Amt>
      <PublicSupportCY509Pct>0</PublicSupportCY509Pct>
      <InvestmentIncomeCYPct>0</InvestmentIncomeCYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="00000003">
      <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>
    <IRS990ScheduleD documentId="00000004" softwareId="15000272">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>1000000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1000000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1000000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1000000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>1000000</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1000000</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>471567</OtherCostOrOtherBasisAmt>
        <BookValueAmt>471567</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>10839533</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4931747</DepreciationAmt>
        <BookValueAmt>5907786</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <BookValueAmt>921296</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <BookValueAmt>173276</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>22618</DepreciationAmt>
        <BookValueAmt>205625</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7679550</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>INVESTMENT IN LIMITED LIABILITY COM</Desc>
        <BookValueAmt>1132803</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>1132803</TotalBookValueProgramRltdAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFFERED COMP</Desc>
        <Amt>65925</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>65925</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18012603</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>6057</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>6057</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18006546</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>400008</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>400008</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>18406554</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>15410974</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>400008</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Fund of perpetual duration.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Provision of bad debt is offset against patient service revenue per audited financial statements. For Form 990 purposes it is presented as an expense on Part IX, line 24a.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Provision of bad debt is offset against patient service revenue per audited financial statements. For Form 990 purposes it is presented as an expense on Part IX, line 24a.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="00000005">
      <FundraisingEventInformationGrp>
        <Event1Nm>Anniversary Gala</Event1Nm>
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        <GrossRevenueEvent1Amt>42869</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>42869</FoodAndBeverageEvent1Amt>
        <GrossReceiptsTotalAmt>291835</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>248966</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>42869</GrossRevenueTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>42869</FoodAndBeverageTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>42869</DirectExpenseSummaryEventsAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="00000006">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <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>MARK KOSANOVICH</PersonNm>
        <BaseCompensationFilingOrgAmt>219442</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16833</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>236275</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>216080</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIA CORMANO</PersonNm>
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        <DeferredCompensationFlngOrgAmt>5279</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>189871</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEILA BELARDO</PersonNm>
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        <DeferredCompensationFlngOrgAmt>16835</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>195290</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ESTHER CORUPUZ</PersonNm>
        <BaseCompensationFilingOrgAmt>177905</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>568</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>178473</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER VARGAS</PersonNm>
        <BaseCompensationFilingOrgAmt>148138</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17625</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>165763</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD WOZNICA</PersonNm>
        <BaseCompensationFilingOrgAmt>140927</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17475</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>158402</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="00000007">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1038150</NoncashContributionsRptF990Amt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="00000008" softwareId="15000272">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes all governing documents,conflict of interest policies and financial statements available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The members must disclose if there is a conflict of interest at the annual Board Meeting. The Board Members complete and sign a form documenting that at the time there are no conflicts of interest. Each year the board members sign a new form and if there is a conflict the member abstains from voting. If a board member is found to have not disclosed a conflict, the member will be brought before the executive committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors Reviews Annually, the compensation of the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO Evaluates compensation of employees every two years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Due to time constrains, a copy of Form 990 will be provided to the board at the next board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 826217. 0. 853834.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>LAB TESTS AND ANALYSIS 14117. 14117. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYROLL PROCESSING FEES 58601. 712. 57889. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>STAFF DEVELOPMENT/EDUCATION 11973. 11583. 390. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EXPENSES 134617. 9570. 124823. 224.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>DUES &amp; SUBSCRIPTIONS 10881. 0. 10881. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Consultant Fees 623690. 12282. 583908. 27500.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Cleaning Maintenance and Security 692599. 602561. 87230. 2808.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="00000009" softwareId="15000272">
      <UnrelatedOrgTxblPartnershipGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MHN ACO LLC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>939 W North Avenue Suite 875</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60642</ZIPCd>
        </USAddress>
        <EIN>300833127</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <PredominateIncomeDesc>Related</PredominateIncomeDesc>
        <AllPartnersC3SInd>true</AllPartnersC3SInd>
        <ShareOfTotalIncomeAmt>1082803</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1172456</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.11111</OwnershipPct>
      </UnrelatedOrgTxblPartnershipGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>