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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID WILEY</PersonNm>
        <TitleTxt>DIRECTOR - VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUAN AGUILERA</PersonNm>
        <TitleTxt>DIRECTOR-PARLIMENTARIAN</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>KELLY RUEL</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>JOE PENA JR</PersonNm>
        <TitleTxt>DIRECTOR-PRESIDENT</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>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>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEIDRE WOLF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSE GONZALES</PersonNm>
        <TitleTxt>DIRECTOR-TREASURER</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 LEE</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>PAUL NGUYEN</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>190000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19984</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICARDO GONZALEZ</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11168</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARTHA MEDRANO</PersonNm>
        <TitleTxt>CCO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIOLETTA ROLLER</PersonNm>
        <TitleTxt>CDO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>9732</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUIS MORALES</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN NGUYEN</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>15221</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON FERNANDEZ</PersonNm>
        <TitleTxt>MD</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10813</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER CARABIN</PersonNm>
        <TitleTxt>DDS</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>166254</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12119</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD MOORE SWITZER JR</PersonNm>
        <TitleTxt>DDS</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12438</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1805506</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>111471</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>40</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>VHS SAN ANTONIO IMAGING PARTNERS</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 849553</AddressLine1>
            <City>DALLAS</City>
            <State>TX</State>
            <ZIPCode>75284</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>X-RAYS &amp; MAMMOGRAPHY</ServicesDesc>
        <CompensationAmt>267221</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BKD LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>10001 REUNION PLACE STE 400</AddressLine1>
            <City>SAN ANTONIO</City>
            <State>TX</State>
            <ZIPCode>78216</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT &amp; CONSULTING</ServicesDesc>
        <CompensationAmt>118037</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ROBERT HALF TECHNOLOGY</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO BOX 743295</AddressLine1>
            <City>LOS ANGELES</City>
            <State>CA</State>
            <ZIPCode>90074</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>114958</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>THE ROSENBERG GROUP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>755 EAST MULBERRY STE 200</AddressLine1>
            <City>SAN ANTONIO</City>
            <State>TX</State>
            <ZIPCode>78212</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL &amp; CONSULTING</ServicesDesc>
        <CompensationAmt>113039</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>FARMA CONSULTING INTERNATIONAL</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>11905 SARA ROAD B 84-146</AddressLine1>
            <City>LAREDO</City>
            <State>TX</State>
            <ZIPCode>78045</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANG &amp; CONSULTING</ServicesDesc>
        <CompensationAmt>110559</CompensationAmt>
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      <FundraisingAmt>63274</FundraisingAmt>
      <GovernmentGrantsAmt>6687089</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3179981</AllOtherContributionsAmt>
      <NoncashContributionsAmt>1080181</NoncashContributionsAmt>
      <TotalContributionsAmt>9930344</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>17307275</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17307275</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>USE AGREEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>100000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>100000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>27318</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27318</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1512472</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1512472</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>18947065</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-18762</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-18762</TotalRevenueColumnAmt>
        <ExclusionAmt>-18762</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>27000</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>63274</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>26290</FundraisingDirectExpensesAmt>
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        <TotalRevenueColumnAmt>710</TotalRevenueColumnAmt>
        <ExclusionAmt>710</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>28859357</TotalRevenueColumnAmt>
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      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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        <ProgramServicesAmt>503026</ProgramServicesAmt>
        <ManagementAndGeneralAmt>282441</ManagementAndGeneralAmt>
        <FundraisingAmt>20887</FundraisingAmt>
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        <ProgramServicesAmt>9725687</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5787248</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>224036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>132964</ManagementAndGeneralAmt>
        <FundraisingAmt>2131</FundraisingAmt>
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        <ProgramServicesAmt>899112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>534196</ManagementAndGeneralAmt>
        <FundraisingAmt>7974</FundraisingAmt>
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        <ProgramServicesAmt>760288</ProgramServicesAmt>
        <ManagementAndGeneralAmt>450983</ManagementAndGeneralAmt>
        <FundraisingAmt>7476</FundraisingAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>157621</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>86900</TotalAmt>
        <ProgramServicesAmt>54211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32689</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2281976</TotalAmt>
        <ProgramServicesAmt>1423560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>858416</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>199342</TotalAmt>
        <ProgramServicesAmt>124355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74987</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>948033</TotalAmt>
        <ProgramServicesAmt>591409</ProgramServicesAmt>
        <ManagementAndGeneralAmt>356624</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>216676</TotalAmt>
        <ProgramServicesAmt>135169</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81507</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>787562</TotalAmt>
        <ProgramServicesAmt>491303</ProgramServicesAmt>
        <ManagementAndGeneralAmt>296259</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>78824</TotalAmt>
        <ProgramServicesAmt>49173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29651</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>141191</TotalAmt>
        <ProgramServicesAmt>88079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53112</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>543200</TotalAmt>
        <ProgramServicesAmt>338863</ProgramServicesAmt>
        <ManagementAndGeneralAmt>204337</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1634193</TotalAmt>
        <ProgramServicesAmt>1019455</ProgramServicesAmt>
        <ManagementAndGeneralAmt>614738</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>36346</TotalAmt>
        <ProgramServicesAmt>22674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13672</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
        <TotalAmt>75556</TotalAmt>
        <ProgramServicesAmt>47134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28422</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>203706</TotalAmt>
        <ProgramServicesAmt>203706</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES, DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>658130</TotalAmt>
        <ProgramServicesAmt>410560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>247570</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER CARABIN</PersonNm>
        <TitleTxt>DDS</TitleTxt>
        <BaseCompensationFilingOrgAmt>159260</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6567</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>428</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5073</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7046</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178373</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD MOORE SWITZER JR</PersonNm>
        <TitleTxt>DDS</TitleTxt>
        <BaseCompensationFilingOrgAmt>157104</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>5911</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>479</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4866</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7572</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175932</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>SPLENDORA CULTURAL EDUCATION FACILITIES FINANCE</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>760664368</BondIssuerEIN>
        <BondIssuedDt>2011-12-19</BondIssuedDt>
        <IssuePriceAmt>7620000</IssuePriceAmt>
        <PurposeDesc>REFINANCED LOANS FOR CAPITAL ADDIT</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>480329</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>7620000</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>113573</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>0</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>7506427</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <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>
          <BusinessNameLine1>FROST BANK</BusinessNameLine1>
        </HedgeProviderName>
        <TermOfHedgePct>10.</TermOfHedgePct>
        <SuperintegratedHedgeInd>true</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1>0</BusinessNameLine1>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, ALL PARTS, ITEM A</FormAndLineReferenceDesc>
        <ExplanationTxt>CALCULATIONS ARE BASED ON A BOND YEAR END OF DECEMBER 19, 2013</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArtGrp />
      <ArtHistoricalTreasuresGrp />
      <ArtFractionalInterestGrp />
      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp />
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>1080181</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 III, QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>IN MAY 2013 WE OPENED A CLINICAL RESARCH PROGRAM LOCATED AT OUR EAST CAMPUS LEAD BY CHIEF RESEARCH OFFICER DR. ROSEMARIE RAMOS. THE PROGRAM WAS INITIATED TO TAKE A PROACTIVE APPROACH IN BRINGING HEALTHCARE AND WELLNESS TO THE MEMBERS. BY PARTICIPATING IN CLINICAL TRIALS, MEMBERS HELP TEST INVESTIGATIONAL MEDICATIONS AND TREATMENTS. BESIDES HELPING TO DEVELOP FUTURE MEDICATIONS AND TREATMENTS, MEMBERS GAIN ACCESS TO NEW INVESTIGATIONAL TREATMENTS THAT AREN'T WIDELY AVAILABLE YET. DURING THE YEAR COMMUNICARE RECRUITED FOR STUDIES INCLUDING COPD AND PREDIABETES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, QUESTION 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES INCLUDING BEHAVIORAL HEALTH, LAB, X-RAY, PODIATRY, CLINICAL TRIALS, FITNESS, HEALTH EDUCATION, ETC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, QUESTION 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MATTHEW BELL IS AN EXECUTIVE COACH TO PAUL NGUYEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, QUESTION 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, QUESTION 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, QUESTION 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, QUESTION 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 PAGE 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>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdDisregardedEntitiesGrp>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>CHC VENTURES INC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>755 E MULBERRY AVE STE 200</AddressLine1>
          <City>SAN ANTONIO</City>
          <State>TX</State>
          <ZIPCode>78212</ZIPCode>
        </USAddress>
        <EIN>462393589</EIN>
        <PrimaryActivitiesTxt>SEE PART VII</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>SEE PART VII</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>Corporation</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>-73625</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>200231</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
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          <BusinessNameLine1>CHC VENTURES INC</BusinessNameLine1>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>93000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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      <SupplementalInformationDetail>
        <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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</Return>