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      <ContractorCompensationGrp>
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        <ExplanationTxt>The Organization has adopted FASB standard for Accounting for Uncertainty in Income Taxes. Upon adoption of this standard, the Organization will recognize a tax benefit only if it is more likely than not the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized will be the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the more-likely-than-not test, no tax benefit will be recorded. Currently, the Organization accounts for contingencies associated with certain tax positions in accordance with the FASB standard Accounting for Contingencies, which provides the recording of a contingency based on the probability of certain events to transpire that range from probable to remote as opposed to applying a more likely than not recognition threshold. The Organization has examined this issue and has determined there are no material contingent tax liabilities.</ExplanationTxt>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BETH WROBEL</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>212350</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>14861</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>10670</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>237881</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gerard Roberts</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>178279</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4300</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>26299</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14676</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223554</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer M Maya</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>176963</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3060</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>25018</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6018</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>211059</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOAN BONDI</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>144040</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>9780</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>22332</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13765</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189917</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Kelly</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>168409</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>15360</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>33327</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9327</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226423</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rafal R Kurzawa</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>176780</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>9065</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>26224</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14676</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226745</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rishi Sud</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>249620</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3875</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>33966</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13766</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>301227</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>The Executive Committee and the Finance Committee of the Board of Directors reviews the Form 990 with Management before it is signed and filed. The Board of Directors are given a copy of the return prior to it being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>A conflict of interest policy and questionnaire is distributed annually to members of the Board of Directors and employees. Individuals must acknowledge through signature they have read and understand the policy and indicate on the questionnaire if there is any conflict or potential conflict of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>the executive COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY COLLECTS AND ANALYZES COMPENSATION DATA FOR COMPARABLE POSITIONS TO THE ORGANIZATION'S C.E.O. THIS DATA IS PRESENTED TO THE FULL BOARD AS A BASIS FOR SETTING the COMPENSATION FOR C.E.O. ALL INFORMATION USED IN MAKING THE DECISION AND THE SUBSTANCE OF THE DELIBERATION WILL BE DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>the executive COMMITTEE OF THE BOARD OF DIRECTORS ANNUALLY COLLECTS AND ANALYZES COMPENSATION DATA FOR COMPARABLE POSITIONS TO THE ORGANIZATION'S C.E.O. THIS DATA IS PRESENTED TO THE FULL BOARD AS A BASIS FOR SETTING the COMPENSATION FOR C.E.O. ALL INFORMATION USED IN MAKING THE DECISION AND THE SUBSTANCE OF THE DELIBERATION WILL BE DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>the organization's governing documents, policies, financial information and tax returns are made available UPON receipt of reasonable REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>