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        <ExclusionAmount>983505</ExclusionAmount>
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        <ManagementAndGeneral>206912</ManagementAndGeneral>
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        <ManagementAndGeneral>1329488</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>168463</Total>
        <ProgramServices>105683</ProgramServices>
        <ManagementAndGeneral>62780</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>344470</Total>
        <ProgramServices>225124</ProgramServices>
        <ManagementAndGeneral>119346</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>155183</Total>
        <ProgramServices>100023</ProgramServices>
        <ManagementAndGeneral>55160</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>54935</Total>
        <ManagementAndGeneral>54935</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesInvstMgmntFees>
        <Total>171779</Total>
        <ManagementAndGeneral>171779</ManagementAndGeneral>
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      <FeesForServicesOther>
        <Total>116975</Total>
        <ManagementAndGeneral>116975</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>8262</Total>
        <ProgramServices>85</ProgramServices>
        <ManagementAndGeneral>8177</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>639063</Total>
        <ProgramServices>469270</ProgramServices>
        <ManagementAndGeneral>169793</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>164629</Total>
        <ProgramServices>25922</ProgramServices>
        <ManagementAndGeneral>138707</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>737164</Total>
        <ProgramServices>535252</ProgramServices>
        <ManagementAndGeneral>201912</ManagementAndGeneral>
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      <Travel>
        <Total>14077</Total>
        <ProgramServices>1097</ProgramServices>
        <ManagementAndGeneral>12980</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>21564</Total>
        <ProgramServices>10499</ProgramServices>
        <ManagementAndGeneral>11065</ManagementAndGeneral>
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        <Total>104242</Total>
        <ProgramServices>65489</ProgramServices>
        <ManagementAndGeneral>38753</ManagementAndGeneral>
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        <ProgramServices>4781</ProgramServices>
        <ManagementAndGeneral>87401</ManagementAndGeneral>
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        <Description>MEDICAL CENTER CONTRACT</Description>
        <Total>1255128</Total>
        <ProgramServices>1255128</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CAPITATION FEES</Description>
        <Total>1107669</Total>
        <ProgramServices>1107669</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>HMC</Description>
        <Total>386744</Total>
        <ProgramServices>386744</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OUTSIDE LABS</Description>
        <Total>334131</Total>
        <ProgramServices>334131</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>502822</Total>
        <ProgramServices>402024</ProgramServices>
        <ManagementAndGeneral>100798</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
        <Total>32155813</Total>
        <ProgramServices>29268852</ProgramServices>
        <ManagementAndGeneral>2886961</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>630146</BOY>
        <EOY>523298</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1667012</BOY>
        <EOY>1287937</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>2316514</BOY>
        <EOY>2993100</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>176083</BOY>
        <EOY>221500</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>158371</BOY>
        <EOY>138278</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>3275636</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>2957110</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>356006</BOY>
        <EOY>318526</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>37092457</BOY>
        <EOY>37108784</EOY>
      </InvestmentsPubTradedSecurities>
      <TotalAssets>
        <BOY>42396589</BOY>
        <EOY>42591423</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>608659</BOY>
        <EOY>713110</EOY>
      </AccountsPayableAccruedExpenses>
      <TotalLiabilities>
        <BOY>608659</BOY>
        <EOY>713110</EOY>
      </TotalLiabilities>
      <DoNotFollowSFAS117>X</DoNotFollowSFAS117>
      <CapStckTrstPrinCurrentFunds>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </CapStckTrstPrinCurrentFunds>
      <PaidInCapSrplsLandBldgEqpFund>
        <BOY>0</BOY>
        <EOY>0</EOY>
      </PaidInCapSrplsLandBldgEqpFund>
      <RetainedEarningsEndowmentEtc>
        <BOY>41787930</BOY>
        <EOY>41878313</EOY>
      </RetainedEarningsEndowmentEtc>
      <TotalNetAssetsFundBalances>
        <BOY>41787930</BOY>
        <EOY>41878313</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>42396589</BOY>
        <EOY>42591423</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>1198483</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-1108100</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>82840</OtherCostOrOtherBasis>
        <BookValue>82840</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>49585</OtherCostOrOtherBasis>
        <Depreciation>47106</Depreciation>
        <BookValue>2479</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>447986</OtherCostOrOtherBasis>
        <Depreciation>410072</Depreciation>
        <BookValue>37914</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>2695225</OtherCostOrOtherBasis>
        <Depreciation>2499932</Depreciation>
        <BookValue>195293</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>318526</TotalOfBookValueLandBuildings>
      <TotalRevenue>33354296</TotalRevenue>
      <TotalExpenses>32155813</TotalExpenses>
      <ExcessOrDeficitForYear>1198483</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>-1108100</NetUnrealizedGLOnInvestments>
      <TotalAdjustments>-1108100</TotalAdjustments>
      <ExcessOrDeficitPerFS>90383</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>36227248</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>-1108100</NetUnrealizedGainsInvestments>
      <RevenueNotRptdF990>-1108100</RevenueNotRptdF990>
      <RevenueSubtotal>37335348</RevenueSubtotal>
      <InvestmentExpensesNotIncluded>171779</InvestmentExpensesNotIncluded>
      <OtherRevenuesNotIncluded>-4152831</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>-3981052</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>33354296</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>36136865</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>4152831</OtherExpensesIncluded>
      <ExpensesNotRptdF990>4152831</ExpensesNotRptdF990>
      <ExpensesSubtotal>31984034</ExpensesSubtotal>
      <InvestmentExpensesNotIncluded2>171779</InvestmentExpensesNotIncluded2>
      <ExpensesNotRptdOnFinStmt>171779</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>32155813</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE MANAGEMENT OF AN ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE FUND'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. THE FUND'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2008.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>COST OF GOODS SOLD -4,152,831.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>COST OF GOODS SOLD 4,152,831.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>MIKE LOVELY</NamePerson>
        <BaseCompensationFilingOrg>166642</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30510</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>197152</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>THE FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE TO REVIEW AND APPROVE. THE FORM 990 IS THEN PRESENTED TO THE BOARD OF TRUSTEES AT THEIR SUBSEQUENT MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. THE APPROVAL IS DOCUMENTED IN THE BOARD OF TRUSTEES MEETING MINUTES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST AND ARE AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST AND ARE AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S OFFICE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -1,108,100.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FUND'S FINANCIAL STATEMENTS AND FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>