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            <ZIPCode>53402</ZIPCode>
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        <Description>PATIENT REVENUE</Description>
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      </RoyaltiesRevenue>
      <NetRentalIncomeOrLoss>
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      <NetIncomeFromGaming>
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      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MISC. REVENUE</Description>
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        <RelatedOrExemptFunctionIncome>156837</RelatedOrExemptFunctionIncome>
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        <RelatedOrExemptFunctionIncome>39385872</RelatedOrExemptFunctionIncome>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
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      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
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      <CompCurrentOfficersDirectors>
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      <OtherEmployeeBenefits>
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        <ManagementAndGeneral>884430</ManagementAndGeneral>
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      <FeesForServicesManagement>
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        <ProgramServices>642365</ProgramServices>
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      <FeesForServicesLegal>
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        <ManagementAndGeneral>275859</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>95427</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>-30850</ManagementAndGeneral>
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        <ManagementAndGeneral>84107</ManagementAndGeneral>
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        <ManagementAndGeneral>457131</ManagementAndGeneral>
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        <ManagementAndGeneral>130119</ManagementAndGeneral>
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      <TravelEntrtnmntPublicOfficials>
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      <ConferencesMeetings>
        <Total>0</Total>
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      <Interest>
        <Total>815303</Total>
        <ProgramServices>580315</ProgramServices>
        <ManagementAndGeneral>234988</ManagementAndGeneral>
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      <PaymentsToAffiliates>
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        <Total>1782698</Total>
        <ProgramServices>390856</ProgramServices>
        <ManagementAndGeneral>1391842</ManagementAndGeneral>
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        <ProgramServices>139636</ProgramServices>
        <ManagementAndGeneral>155989</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Supplies-Dental</Description>
        <Total>556073</Total>
        <ProgramServices>556073</ProgramServices>
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      <OtherExpenses>
        <Description>Equipment Lease and Rental</Description>
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        <ProgramServices>401756</ProgramServices>
        <ManagementAndGeneral>223847</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Supplies Medical</Description>
        <Total>779847</Total>
        <ProgramServices>778207</ProgramServices>
        <ManagementAndGeneral>1640</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Supplies Pharmacy</Description>
        <Total>972063</Total>
        <ProgramServices>972063</ProgramServices>
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      <AllOtherExpenses>
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        <ProgramServices>1667862</ProgramServices>
        <ManagementAndGeneral>1038254</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>10985505</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>9037927</EOY>
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        <EOY>7136120</EOY>
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        <EOY>3377100</EOY>
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      <ReceivablesFromDisqualPersons>
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      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
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      <InventoriesForSaleOrUse>
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      <PrepaidExpensesDeferredCharges>
        <BOY>562274</BOY>
        <EOY>458189</EOY>
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      <LandBuildingsEquipmentBasis>42890978</LandBuildingsEquipmentBasis>
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      <LandBuildingsEquipmentBasisNet>
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        <EOY>24697197</EOY>
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      <InvestmentsPubTradedSecurities>
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      <InvestmentsOtherSecurities>
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      <InvestmentsProgramRelated>
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      <IntangibleAssets>
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      <OtherAssetsTotal>
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        <EOY>68535</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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        <EOY>16388408</EOY>
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      <TemporarilyRestrictedNetAssets>
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      <TotalNetAssetsFundBalances>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>47880896</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>-1181397</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
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    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
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        <CurrentTaxYearMinus1Year>12086088</CurrentTaxYearMinus1Year>
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      <TaxRevLeviedForOrgBenefit170>
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      <ValueSrvcFcltsFurnishedByGovt>
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        <CurrentTaxYearMinus2Years>7405651</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>12086088</CurrentTaxYearMinus1Year>
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        <Total>49848350</Total>
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      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>49848350</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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        <CurrentTaxYearMinus1Year>33524</CurrentTaxYearMinus1Year>
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        <Total>259790</Total>
      </GrossInvestmentIncome170>
      <NetUBI>
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      </NetUBI>
      <OtherIncome170>
        <CurrentTaxYearMinus4Years>103650</CurrentTaxYearMinus4Years>
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      <TotalSupport>50709084</TotalSupport>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <AggregateContributions>RESTRICTED</AggregateContributions>
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    </IRS990ScheduleB>
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      <Land>
        <OtherCostOrOtherBasis>4121534</OtherCostOrOtherBasis>
        <BookValue>4121534</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>23811278</OtherCostOrOtherBasis>
        <Depreciation>10302307</Depreciation>
        <BookValue>13508971</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>6361790</OtherCostOrOtherBasis>
        <Depreciation>2352543</Depreciation>
        <BookValue>4009247</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>7744679</OtherCostOrOtherBasis>
        <Depreciation>4331692</Depreciation>
        <BookValue>3412987</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>851697</OtherCostOrOtherBasis>
        <Depreciation>1207239</Depreciation>
        <BookValue>-355542</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>24697197</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Other liabilities</Description>
        <Amount>789298</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>789298</TotalOfAmounts>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <CompensationCommittee>X</CompensationCommittee>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Thuc Ngu Dinh Ta</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>287218</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>8008</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>295226</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Roberto S Juarez</NamePerson>
        <Title>CEO</Title>
        <BaseCompensationFilingOrg>376600</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>12000</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>400850</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nabeel Afzal Saeed</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>275672</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>8231</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>283903</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MIRELA CERNAIANU</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>386533</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>9784</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>396317</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Menashe Ehrenburg</NamePerson>
        <Title>Physician</Title>
        <BaseCompensationFilingOrg>260911</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>4779</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>265690</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GUILLERMO RIOS</NamePerson>
        <Title>Physician</Title>
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        <Title>CFO</Title>
        <BaseCompensationFilingOrg>185099</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>6000</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>203349</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Chawla Anil</NamePerson>
        <Title>Medical Director</Title>
        <BaseCompensationFilingOrg>284636</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>6000</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8770</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>299406</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Antonio Alatorre</NamePerson>
        <Title>COO</Title>
        <BaseCompensationFilingOrg>177358</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>6000</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>8297</DeferredCompFilingOrg>
        <TotalCompensationFilingOrg>191655</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Form 990 is available for review at the organizations administrative office during normal business hours. Other forms such as governing documents, conflict of interest policy, and financial statements are internal corporate documents.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Comparsion surveys are performed by the CEO and Human Resources Director using state and national databases. Annual reviews are performed by the Board of Directors for all officers, key employees, and other highly compensated employees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</ReturnReference>
        <Explanation>Every year the Board of Directors Finance Committee evaluates the CEO's performance and compensation. Annually The CEO and HR Director work together using state and nationally based salary surveys to compare the corporations officers' salaries to those of similar corporations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The organization investigates potential conflicts of interest when they arise. any violations are handled in accordance with the written policies and procedures.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>The Form 990 is prepared by an independent CPA, and then is reviewed by the CFO.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>