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      <Desc>COMMUNICARE HEALTH CENTERS PROVIDE PATIENTS WITH PRIMARY AND PREVENTIVE MEDICAL HEALTH CARE SERVICES TO IMPROVE HEALTH AND WELL BEING. OUR FAMILY MEDICINE SERVICES PROVIDE CARE TO PATIENTS OF ALL AGES, FROM INFANTS TO SENIOR CITIZENS PROVIDING ACUTE CARE, CHRONIC DISEASE MANAGEMENT, IMMUNIZATIONS, PREVENTATIVE HEALTHCARE, AND HEALTH EDUCATION. THE WOMEN'S HEALTH PROGRAM PROVIDES WOMEN OF ALL AGES WITH ACCESS TO THE CARE FOR GENERAL WOMEN'S CARE, OBSTETRIC CARE AND BREAST AND CERVICAL CANCER SCREENINGS. OUR PEDIATRIC SERVICES PROVIDE ACUTE, CHRONIC ILLNESS AND PREVENTIVE CARE, INCLUDING WELL-CHILD EXAMS, IMMUNIZATIONS AND HEALTH EDUCATION. IN ADDITION, WE OFFER A PODIATRY SERVICE THAT IDENTIFIES HIGH RISK DIABETIC FOOT CONDITIONS WITH COMPREHENSIVE ANNUAL EXAMS, TREATMENT FOR NAIL AND SKIN INFECTIONS, AND MINOR TRAUMA INCLUDING SPRAINS AND STRAINS AND OTHER MUSCULOSKELETAL DEFORMITIES. IN 2013, COMMUNICARE HEALTH CENTERS PROVIDED A TOTAL OF 110,376 MEDICAL CARE ENCOUNTERS TO 35,627 PATIENTS WHO RESIDE IN SAN ANTONIO AND SURROUNDING AREAS.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE PENA JR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW KELLY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEIDRE WOLF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JESSE GONZALES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA LE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID GILBERTSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID MORENO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL NGUYEN</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICARDO GONZALEZ</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12107</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTHA MEDRANO</PersonNm>
        <TitleTxt>CHIEF BEHAVIORAL HEALTH</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7983</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIOLETTA ROLLER</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>10616</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIGUEL VAZQUEZ</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>8780</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUIS MORALES</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN NGUYEN</PersonNm>
        <TitleTxt>MD</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE HERNANDEZ</PersonNm>
        <TitleTxt>MD</TitleTxt>
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        <OtherCompensationAmt>6974</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARRON FERNANDEZ</PersonNm>
        <TitleTxt>MD</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11257</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSA MARIA GUEVARA MONTES</PersonNm>
        <TitleTxt>MD</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>VHS SAN ANTONIO IMAGING PARTNERS L</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 849553</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>X-RAYS &amp; MAMMOGRAPHY</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BUCHANAN GROUP LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13617 LYTLE LANE</AddressLine1Txt>
            <CityNm>HELOTES</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78023</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BKD LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10001 REUNION PLACE SUITE 400</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      <NoncashContributionsAmt>67216</NoncashContributionsAmt>
      <TotalContributionsAmt>9501160</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>19512606</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>22628</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2503364</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2503364</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GainOrLossGrp>
        <OtherAmt>-37025</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-37025</TotalRevenueColumnAmt>
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      <FundraisingDirectExpensesAmt>29904</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>2496</TotalRevenueColumnAmt>
        <ExclusionAmt>2496</ExclusionAmt>
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      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>31505229</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>22038598</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-34529</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
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      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>930872</TotalAmt>
        <ProgramServicesAmt>591407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>319993</ManagementAndGeneralAmt>
        <FundraisingAmt>19471</FundraisingAmt>
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      <CompDisqualPersonsGrp>
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        <ProgramServicesAmt>10404846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5892759</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>254720</ProgramServicesAmt>
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        <ProgramServicesAmt>1061327</ProgramServicesAmt>
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        <FundraisingAmt>6813</FundraisingAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>105991</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>53602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>30767</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>1140208</ProgramServicesAmt>
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        <ProgramServicesAmt>213765</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122700</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>616935</ProgramServicesAmt>
        <ManagementAndGeneralAmt>354117</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>493625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>283338</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>656220</ProgramServicesAmt>
        <ManagementAndGeneralAmt>376666</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>75487</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43329</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>233818</TotalAmt>
        <ProgramServicesAmt>148551</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85267</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>333410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191375</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>816203</ProgramServicesAmt>
        <ManagementAndGeneralAmt>468496</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>39314</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22566</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>185232</TotalAmt>
        <ProgramServicesAmt>185232</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES, DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>58216</TotalAmt>
        <ProgramServicesAmt>36986</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21230</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>140038</TotalAmt>
        <ProgramServicesAmt>88970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51068</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUGS</Desc>
        <TotalAmt>1879698</TotalAmt>
        <ProgramServicesAmt>1879698</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>247203</TotalAmt>
        <ProgramServicesAmt>157055</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90150</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>30485128</TotalAmt>
        <ProgramServicesAmt>20053694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10313117</ManagementAndGeneralAmt>
        <FundraisingAmt>118317</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1345559</BOYAmt>
        <EOYAmt>2660606</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>543</BOYAmt>
        <EOYAmt>543</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>444227</BOYAmt>
        <EOYAmt>616803</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1268172</BOYAmt>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>212483</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>35313950</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>10642516</LandBldgEquipAccumDeprecAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>373914</EOYAmt>
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      <GrantsPayableGrp>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>15066122</BOYAmt>
        <EOYAmt>15256558</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>15284327</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <PermanentlyRstrNetAssetsGrp>
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        <EOYAmt>0</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>14509420</BOYAmt>
        <EOYAmt>15284327</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>30540885</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1020101</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-245194</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="IRS990ScheduleA">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>12638237</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14026380</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9930344</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9501160</CurrentTaxYearAmt>
        <TotalAmt>59091590</TotalAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
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      </TaxRevLeviedOrgnztnlBnft170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
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      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>12638237</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14026380</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9930344</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9501160</CurrentTaxYearAmt>
        <TotalAmt>59091590</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>8552895</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>50538695</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>58</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
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      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
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      </OtherIncome170Grp>
      <TotalSupportAmt>59091648</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>85377910</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.85526</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.87152</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <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="IRS990ScheduleD">
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      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp>
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        <BookValueAmt>2055148</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>4915516</DepreciationAmt>
        <BookValueAmt>20058341</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
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        <DepreciationAmt>3177652</DepreciationAmt>
        <BookValueAmt>2496031</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>2549348</DepreciationAmt>
        <BookValueAmt>61914</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>24671434</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>31772766</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>842350</OtherRevenueAmt>
      <RevenueNotReportedAmt>842350</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30930416</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>574813</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>574813</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>31505229</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>31005491</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>705595</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>705595</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>30299896</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>185232</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>185232</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>30485128</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - REVENUES INCLUDED ON LINE 1 BUT NOT ON FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF ASSETS INCLUDED WITH EXPENSES ON FINANCIAL STATEMENT: 37,025 RESTRICTED NET ASSET RELEASES INCULDED IN REVENUES ON AUDITED FINANCIAL STATEMENT: 255,326 FUNDRAISING EXPENSES PRESENTED IN REVENUES ON THE FORM 990 &amp; EXPENSE ON AUDITED FINANCIAL STATEMENT: 29,904 TAXABLE ENTITY INCLUDED IN CONSOLIDATED REVENUES OF AUDITED FINANCIAL STATEMENT AND NOT ON FORM 990: 520,035 ----------- TOTAL TO LINE 2D: 842,350</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - REVENUES INCLUDED ON FORM 990 BUT ON LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>RESTRICTED CONTRIBUTIONS INCLUDED IN REVENUE ON FORM 990 AND NOT THE AUDITED FINANCIAL STATEMENT: 389,581 BAD DEBT EXPENSE PRESENTED WITH REVENUES ON AUDITED FINANCIAL STATEMENT: 185,232 ------------ TOTAL TO LINE 4B: 574,813</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - EXPENSES INCLUDED ON LINE 1 BUT NOT ON FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>TAXABLE ENTITY INCLUDED IN CONSOLIDATED EXPENSES PER FINANCIAL STATEMENT AND NOT ON FORM 990: 638,666 LOSS INCLUDED WITH EXPENSES ON FINANCIAL STATEMENT AND PRESENTED WITH REVENUES ON FORM 990: 37,025 FUNDRAISING EXPENSE INCLUDED IN EXPENSES ON FINANCIAL STATEMENT AND INCLUDED WITH REVENUE ON FORM 990: 29,904 ---------- TOTAL TO LINE 2D 705,595</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - EXPENSES INCLUDED ON FORM 990 BUT NOT ON LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE PRESENTED WITH REVENUES ON AUDITED FINANCIAL STATEMENT: 185,232</ExplanationTxt>
      </SupplementalInformationDetail>
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        <FoodAndBeverageEvent1Amt>9640</FoodAndBeverageEvent1Amt>
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        <OtherEventsTotalCnt>0</OtherEventsTotalCnt>
        <GrossReceiptsTotalAmt>120288</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>87888</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>32400</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>439</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>5070</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>9640</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>7711</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>7044</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>29904</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>2496</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>PAUL NGUYEN</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <TitleTxt>CHIEF BEHAVIORAL HEALTH</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>7244</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>739</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>249101</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIOLETTA ROLLER</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>171659</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5462</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>182275</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MIGUEL VAZQUEZ</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>206524</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3292</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5488</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215304</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SPLENDORA CULTURAL EDUCATION FACILITIES FINANCE</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>760664368</BondIssuerEIN>
        <BondIssuedDt>2011-12-19</BondIssuedDt>
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        <PurposeDesc>REFINANCED LOANS FOR CAPITAL ADDIT</PurposeDesc>
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        <PoolFinancingInd>false</PoolFinancingInd>
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        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>113573</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
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        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
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        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>true</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>10.</TermOfHedgePct>
        <SuperintegratedHedgeInd>true</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CALCULATION DATE UTILIZED</FormAndLineReferenceDesc>
        <ExplanationTxt>CALCULATIONS ARE BASED ON A BOND YEAR END OF DECEMBER 19, 2014</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
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      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>67216</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>fair market value</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ESPERANZA VILLAREAL - 1319 CERALVO STREET, SAN ANTONIO, TX 78207; MATTHEW BELL - 723 RUIDOSA DOWNS, HELOTES, TX 78023; JUAN AGUILERA - 8630 PENDRAGON, SAN ANTONIO, TX 78254; JOE PENA, JR. - 454 CARROLL STREET, SAN ANTONIO, TX 78225</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE ORGANIZATION'S MANAGEMENT WILL REVIEW THE 990 IN DETAIL WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. A FINAL DRAFT OF THE FORM WILL BE PROVIDED TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ANNUALLY PROVIDES A CODE OF CONDUCT STATEMENT LETTER TO ALL BOARD MEMBERS, PROVIDERS, EMPLOYEES, CONTRACTORS, AGENTS, REPRESENTATIVES, AND VENDORS. THE LETTER INCLUDES THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. IF A CONFLICT IS DISCOVERED, INTERESTED PARTIES ARE EXPECTED TO DISCLOSE THE SITUATION TO THE COMPLIANCE OFFICER OR EXECUTIVE DIRECTOR FOR FURTHER REVIEW. UPON REVIEW, SENIOR MANAGEMENT DETERMINES THE BEST COURSE OF ACTION. BOARD MEMBERS ARE SPECIFICALLY REQUIRED TO DISCLOSE ANY PERSONAL INTERESTS OR POTENTIAL CONFLICTS OF INTEREST BEFORE THE BOARD AND SHALL REFRAIN FROM PARTICIPATION IN ANY DECISION ON SUCH MATTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HR DIRECTOR COLLECTS DATA AND RESEARCHES COMPENSATION INFORMATION FROM LIKE KIND HEALTH CARE PROVIDERS. THIS INFORMATION IS USED BY THE HR DIRECTOR AND THE BOARD TO REVIEW TOP MANAGEMENT COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>TOP MANAGEMENT ALSO USES THE INFORMATION TO REVIEW KEY EMPLOYEE COMPENSATION. IN ADDITION, INDEPENDENT COMPENSATION CONSULTANTS HAVE BEEN USED TO REVIEW COMPENSATION AT ALL LEVELS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO GOVERNMENTAL AGENCIES AND FUNDING SOURCES UPON WRITTEN REQUEST FOR A LEGITIMATE BUSINESS PURPOSE. THE AUDIT REPORT AND FORM 990 IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PG 1, LINE C AND THROUGHOUT RETURN</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FULL NAME OF THE ORGANIZATION IS BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER, INC. D/B/A COMMUNICARE HEALTH CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MATTHEW BELL IS AN EXECUTIVE COACH TO PAUL NGUYEN</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CHC Ventures INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>755 E Mulberry Ave STE 200</AddressLine1Txt>
          <CityNm>San Antonio</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78212</ZIPCd>
        </USAddress>
        <EIN>462393589</EIN>
        <PrimaryActivitiesTxt>See Part VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>See Part VII</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>520035</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>99404</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
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      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
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      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
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      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
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      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
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          <BusinessNameLine1Txt>chc ventures inc</BusinessNameLine1Txt>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>115000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>cash</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
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        <FormAndLineReferenceDesc>PRIMARY ACTIVITY - PART IV, LINE 1, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE INVESTMENT IN AND MANAGEMENT OF VITAL HEALTH LLC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DIRECT CONTROLLING ENTITY - PART IV, LINE 1, COLUMN D</FormAndLineReferenceDesc>
        <ExplanationTxt>BARRIO COMPREHENSIVE FAMILY HEALTH CARE CENTER INC.</ExplanationTxt>
      </SupplementalInformationDetail>
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  </ReturnData>
</Return>