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        <ReportableCompFromOrgAmt>85040</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM DAKE MD</PersonNm>
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        <PersonNm>CAROL MITCHELL MD</PersonNm>
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        <PersonNm>TERESA DAVIES MD</PersonNm>
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        <PersonNm>JOHN LANDIS DMD</PersonNm>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>KY</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
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          <PersonNm>VISUALUTIONS</PersonNm>
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          <USAddress>
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      <BenefitsToMembersGrp>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <TotalLiabilityAmt>2436084</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>24332754</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>24332754</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>1428488</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>1428488</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>25761242</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12968061</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>503723</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>503723</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12464338</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>1932211</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>1932211</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>14396549</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Uncertain Tax Positions ------------------------- The organization's audited financial statements did not include a footnote that addressed the organization's liability for uncertain tax positions under FIN48 (ASC 740). Management has evaluated their income tax positions under the guidance included in ASC 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF REVENUE ------------------------------ Other: PHARMACY COST OF GOODS SOLD $(503,723) Provision for uncollectible Accounts $1,932,211 ----------------- $ 1,428,488</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D AND 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF EXPENSES ------------------------------ Other LINE 2D: PHARMACY COST OF GOODS SOLD $ 503,723 Other LINE 4B: BAD DEBTS EXPENSES $ 1,932,211</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <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>WILLIAM DAKE MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>156222</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>156222</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH STANLEY MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>167440</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>167440</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWING OF FORM 990 ------------------------- A COPY OF THE 990 IS PROVIDED TO THE BOARD FOR REVIEW AND APPROVAL BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING COMPLIANCE ----------------------- BOARD MEMBERS ARE PROVIDED WITH AND REQUIRED TO SIGN UPON INDUCTION AND ANNUALLY THE STANDARDS OF CONDUCT FOR BOARD MEMBERS WHICH OUTLINES THE HEALTHFIRST CONFLICT OF INTEREST POLICY. IF THERE IS AN APPRENT CONFLICT, THE BOARD MEMBERS WILL SIT OUT OF THAT VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A AND 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>DETERMINING COMPENSATIONS ------------------------------- COMPENSATION IS DETERMINED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MAKING DOCUMENTS AVAILABLE TO THE PUBLIC ------------------------------------------------- THE GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT HEALTHFIRST BLUEGRASS INC'S OFFICES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>