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          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>16120 College Oak Suite 105</AddressLine1>
            <City>San Antonio</City>
            <State>TX</State>
            <ZIPCode>78249</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Office Supplies/Equipment/Furniture</DescriptionOfServices>
        <Compensation>200917</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>4</NumberOfContractorsGT100K>
      <GovernmentGrants>7766540</GovernmentGrants>
      <AllOtherContributions>209475</AllOtherContributions>
      <NoncashContributions>902307</NoncashContributions>
      <TotalContributions>7976015</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Patient Service Fees</Description>
        <BusinessCode>621990</BusinessCode>
        <TotalRevenueColumn>18111102</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18111102</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>18111102</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>99989</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>99989</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>14</ExclusionAmount>
      </InvestmentIncome>
      <TotalRevenue>
        <TotalRevenueColumn>26187106</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>18211091</RelatedOrExemptFunctionIncome>
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      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>902307</Total>
        <ProgramServices>902307</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
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      <CompCurrentOfficersDirectors>
        <Total>1510870</Total>
        <ProgramServices>177377</ProgramServices>
        <ManagementAndGeneral>1333493</ManagementAndGeneral>
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      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>11540210</Total>
        <ProgramServices>10020786</ProgramServices>
        <ManagementAndGeneral>1519424</ManagementAndGeneral>
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      <PensionPlanContributions>
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        <ProgramServices>235285</ProgramServices>
        <ManagementAndGeneral>91186</ManagementAndGeneral>
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      <OtherEmployeeBenefits>
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        <ProgramServices>1156032</ProgramServices>
        <ManagementAndGeneral>475241</ManagementAndGeneral>
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      <PayrollTaxes>
        <Total>886966</Total>
        <ProgramServices>660976</ProgramServices>
        <ManagementAndGeneral>225990</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>8619</Total>
        <ManagementAndGeneral>8619</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>32332</Total>
        <ManagementAndGeneral>32332</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising></FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1271534</Total>
        <ProgramServices>1215804</ProgramServices>
        <ManagementAndGeneral>55730</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>90091</Total>
        <ProgramServices>42205</ProgramServices>
        <ManagementAndGeneral>47886</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2593009</Total>
        <ProgramServices>2034123</ProgramServices>
        <ManagementAndGeneral>558886</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>216593</Total>
        <ProgramServices>104798</ProgramServices>
        <ManagementAndGeneral>111795</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>641726</Total>
        <ProgramServices>399757</ProgramServices>
        <ManagementAndGeneral>241969</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>202421</Total>
        <ProgramServices>108545</ProgramServices>
        <ManagementAndGeneral>93876</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>36393</Total>
        <ProgramServices>9856</ProgramServices>
        <ManagementAndGeneral>26537</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>237</Total>
        <ProgramServices>111</ProgramServices>
        <ManagementAndGeneral>126</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>603574</Total>
        <ProgramServices>429456</ProgramServices>
        <ManagementAndGeneral>174118</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>0</Total>
      </Insurance>
      <OtherExpenses>
        <Description>Dues and Subscriptions</Description>
        <Total>45199</Total>
        <ProgramServices>8792</ProgramServices>
        <ManagementAndGeneral>36407</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>225547</Total>
        <ProgramServices>84898</ProgramServices>
        <ManagementAndGeneral>140649</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>1188012</Total>
        <ProgramServices>1188012</ProgramServices>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>0</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>23953384</Total>
        <ProgramServices>18779120</ProgramServices>
        <ManagementAndGeneral>5174264</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1665276</BOY>
        <EOY>1667587</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>4414000</BOY>
        <EOY>4510551</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>219348</BOY>
        <EOY>189283</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>3939649</BOY>
        <EOY>4341822</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>35312</BOY>
        <EOY>44037</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>30937</BOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>13214888</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>-5684788</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>5967443</BOY>
        <EOY>7530100</EOY>
      </LandBuildingsEquipmentBasisNet>
      <TotalAssets>
        <BOY>16271965</BOY>
        <EOY>18283380</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>674240</BOY>
        <EOY>389680</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>1123618</BOY>
        <EOY>1185871</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>1797858</BOY>
        <EOY>1575551</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>14474107</BOY>
        <EOY>16707829</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>14474107</BOY>
        <EOY>16707829</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>16271965</BOY>
        <EOY>18283380</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="990A" softwareId="09000123" softwareVersion="2009.0.12">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
      <PublicSupportPertcentage170>0.00000</PublicSupportPertcentage170>
      <PublicSupportPercentage509>0.00000</PublicSupportPercentage509>
      <InvestmentIncomePercentage>0.00000</InvestmentIncomePercentage>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B" softwareId="09000123" softwareVersion="2009.0.12">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="990D" softwareId="09000123" softwareVersion="2009.0.12">
      <IncludedOnFS>false</IncludedOnFS>
      <Land>
        <OtherCostOrOtherBasis>901842</OtherCostOrOtherBasis>
        <BookValue>901842</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>6111024</OtherCostOrOtherBasis>
        <Depreciation>-2774782</Depreciation>
        <BookValue>3336242</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>336824</OtherCostOrOtherBasis>
        <Depreciation>-244822</Depreciation>
        <BookValue>92002</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>448929</OtherCostOrOtherBasis>
        <Depreciation>-448929</Depreciation>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>5416269</OtherCostOrOtherBasis>
        <Depreciation>-2216255</Depreciation>
        <BookValue>3200014</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>7530100</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>Accrued payroll</Description>
        <Amount>350075</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Compensated advances</Description>
        <Amount>528824</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Physicians incentive plan</Description>
        <Amount>306972</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Lease payable</Description>
      </OtherLiabilities>
      <TotalOfAmounts>1185871</TotalOfAmounts>
      <TotalRevenue>26187106</TotalRevenue>
      <TotalExpenses>23953384</TotalExpenses>
      <ExcessOrDeficitForYear>2233722</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>2233722</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>25284799</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>25284799</RevenueSubtotal>
      <OtherRevenuesNotIncluded>902307</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>902307</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>26187106</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>23051077</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>23051077</ExpensesSubtotal>
      <OtherExpensesNotIncluded>902307</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>902307</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>23953384</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>XII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Other consists of WIC Vouchers.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>XIII</Identifier>
        <ReturnReference>4b</ReturnReference>
        <Explanation>Other consists of WIC Vouchers.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="990I" softwareId="09000123" softwareVersion="2009.0.12">
      <RecordsMaintained>true</RecordsMaintained>
      <Form990ScheduleIPartIII>
        <TypeOfGrant>WIC Vouchers</TypeOfGrant>
        <NumberOfRecipients>55822</NumberOfRecipients>
        <AmountOfNonCashAssistance>902306</AmountOfNonCashAssistance>
        <MethodOfValuation>Book</MethodOfValuation>
        <DescriptionOfNonCashAssistance>WIC Vouchers</DescriptionOfNonCashAssistance>
      </Form990ScheduleIPartIII>
      <Form990ScheduleIPartIV>
        <Identifier>III</Identifier>
        <ReturnReference>1</ReturnReference>
        <Explanation>Eligibility for funds is monitored on an annual basis</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="09000123" softwareVersion="2009.0.12">
      <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>Dr Romanus Nwanna</NamePerson>
        <BaseCompensationFilingOrg>562223</BaseCompensationFilingOrg>
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        <TotalCompensationFilingOrg>590064</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>589960</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Juan Saucedo</NamePerson>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr David Land</NamePerson>
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        <TotalCompensationFilingOrg>405222</TotalCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>Dr Robert Marquinez</NamePerson>
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        <TotalCompensationFilingOrg>253530</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Dr Jose A Maeda</NamePerson>
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        <CompReportPrior990FilingOrg>349740</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>George Kypuros</NamePerson>
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      <Form990ScheduleJPartII>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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        <TotalCompensationFilingOrg>199680</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="990M" softwareId="09000123" softwareVersion="2009.0.12">
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        <MethodOfDeterminingRevenues>FMV</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>false</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
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    <IRS990ScheduleO documentId="990O" softwareId="09000123" softwareVersion="2009.0.12">
      <GeneralExplanation>
        <Identifier>Form 990 VI</Identifier>
        <ReturnReference>11a</ReturnReference>
        <Explanation>A copy of the Form 990 was provided and reviewed by the financial staff, CFO and CEO.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 VI</Identifier>
        <ReturnReference>12c</ReturnReference>
        <Explanation>Organization reviews compliance on an annual basis. Procedures are currently under review to strengthen the internal process for monitoring and enforcing compliance.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 VI</Identifier>
        <ReturnReference>15a</ReturnReference>
        <Explanation>Human Resources conducts a study every 2 years board approves all adjustments.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 VI</Identifier>
        <ReturnReference>15b</ReturnReference>
        <Explanation>Human Resources conducts a study every 2 years board approves all adjustments.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990 VI</Identifier>
        <ReturnReference>19</ReturnReference>
        <Explanation>Board meetings are open to the public and all documents are available to the public at the meetings. All documents are available upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>