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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDRES RAMOS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA ROBINS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COLE WILBUR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STACY CROSS</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>780501</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67545</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS MOTSIFF</PersonNm>
        <TitleTxt>CHIEF ADMIN &amp; FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>10.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>522229</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>55584</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA DALTON DO MBA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>680505</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36587</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>REBECCA SCHUETT</PersonNm>
        <TitleTxt>CHIEF DEVELOPMENT OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>174155</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4647</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAWHEEN MORIDI</PersonNm>
        <TitleTxt>GEN COUNSEL &amp; CHIEF COMPL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>263990</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35470</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGAUX LAZARIN DO MPH</PersonNm>
        <TitleTxt>SENIOR MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>444889</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33232</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW ADAMS</PersonNm>
        <TitleTxt>CHIEF OF STAFF &amp; HEAD OF STRAT COMM</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>340939</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>47383</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NAMRATA MASTEY MD</PersonNm>
        <TitleTxt>ASSOCIATE MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>304826</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17069</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MORGAN THEIS MD</PersonNm>
        <TitleTxt>SUPERVISING PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>295819</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15109</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABRAHAM CABEBE MD</PersonNm>
        <TitleTxt>SUPERVISING PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>293174</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39221</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>4101027</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>351847</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>218</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BRIDGE HEALTHCARE PARTNERS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5141</AddressLine1Txt>
            <CityNm>DENVER</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
            <ZIPCd>80217</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT AND REVENUE CYCLE SERVICES</ServicesDesc>
        <CompensationAmt>2331448</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KASTLE SYSTEMS OF LOS ANGELES PSP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1092 N TUSTIN AVE</AddressLine1Txt>
            <CityNm>ANAHEIM</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92807</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY SERVICES</ServicesDesc>
        <CompensationAmt>705909</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ONE WORKPLACE L FERRARI LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 8522</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DESIGN SERVICES</ServicesDesc>
        <CompensationAmt>469183</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MURPHY AUSTIN ADAMS SCHOENFELD LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>555 CAPITOL MALL</AddressLine1Txt>
            <CityNm>SACRAMENTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95814</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>208277</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SISU CONSULTANTS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>111 4TH AVE N</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT CONSULTANT VENDOR</ServicesDesc>
        <CompensationAmt>166692</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>10</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>2690674</FundraisingAmt>
      <GovernmentGrantsAmt>4905669</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>18023649</AllOtherContributionsAmt>
      <NoncashContributionsAmt>619687</NoncashContributionsAmt>
      <TotalContributionsAmt>25619992</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>120807827</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>120807827</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PRIVATE FEES AND CONTRACTS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>71591</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>71591</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>EDUCATION</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>60000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>60000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>120939418</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2667737</TotalRevenueColumnAmt>
        <ExclusionAmt>2667737</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>200985</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>61286</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>139699</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>139699</TotalRevenueColumnAmt>
        <ExclusionAmt>139699</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>3979313</SecuritiesAmt>
        <OtherAmt>217871</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>3264099</SecuritiesAmt>
        <OtherAmt>271777</OtherAmt>
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      <GainOrLossGrp>
        <SecuritiesAmt>715214</SecuritiesAmt>
        <OtherAmt>-53906</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>661308</TotalRevenueColumnAmt>
        <ExclusionAmt>661308</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>164745</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>2690674</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>521256</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-356511</TotalRevenueColumnAmt>
        <ExclusionAmt>-356511</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>725732</TotalRevenueColumnAmt>
        <ExclusionAmt>725732</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TRADE DISCOUNT</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>72685</TotalRevenueColumnAmt>
        <ExclusionAmt>72685</ExclusionAmt>
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      <OtherRevenueTotalAmt>798417</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>150470060</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>120939418</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>822500</TotalAmt>
        <ProgramServicesAmt>822500</ProgramServicesAmt>
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        <TotalAmt>2834447</TotalAmt>
        <ProgramServicesAmt>1304833</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1008194</ManagementAndGeneralAmt>
        <FundraisingAmt>521420</FundraisingAmt>
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        <ProgramServicesAmt>61377667</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9636691</ManagementAndGeneralAmt>
        <FundraisingAmt>2165025</FundraisingAmt>
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        <TotalAmt>3270913</TotalAmt>
        <ProgramServicesAmt>2803344</ProgramServicesAmt>
        <ManagementAndGeneralAmt>394429</ManagementAndGeneralAmt>
        <FundraisingAmt>73140</FundraisingAmt>
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        <ProgramServicesAmt>7264913</ProgramServicesAmt>
        <ManagementAndGeneralAmt>988203</ManagementAndGeneralAmt>
        <FundraisingAmt>177405</FundraisingAmt>
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        <ProgramServicesAmt>5737652</ProgramServicesAmt>
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        <FundraisingAmt>231846</FundraisingAmt>
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        <ManagementAndGeneralAmt>589490</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160988</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>194804</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>9469005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>612879</ManagementAndGeneralAmt>
        <FundraisingAmt>855854</FundraisingAmt>
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        <TotalAmt>196690</TotalAmt>
        <ProgramServicesAmt>42539</ProgramServicesAmt>
        <ManagementAndGeneralAmt>146511</ManagementAndGeneralAmt>
        <FundraisingAmt>7640</FundraisingAmt>
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        <ProgramServicesAmt>1159991</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196325</ManagementAndGeneralAmt>
        <FundraisingAmt>213876</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>3867565</TotalAmt>
        <ProgramServicesAmt>2301183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1481234</ManagementAndGeneralAmt>
        <FundraisingAmt>85148</FundraisingAmt>
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        <ProgramServicesAmt>11246754</ProgramServicesAmt>
        <ManagementAndGeneralAmt>284606</ManagementAndGeneralAmt>
        <FundraisingAmt>65487</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>1254644</TotalAmt>
        <ProgramServicesAmt>936144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>267206</ManagementAndGeneralAmt>
        <FundraisingAmt>51294</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>228238</TotalAmt>
        <ProgramServicesAmt>195722</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27888</ManagementAndGeneralAmt>
        <FundraisingAmt>4628</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>513630</TotalAmt>
        <ProgramServicesAmt>108579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>405051</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>1819570</TotalAmt>
        <ManagementAndGeneralAmt>1819570</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6944410</ProgramServicesAmt>
        <ManagementAndGeneralAmt>464890</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>2268505</TotalAmt>
        <ProgramServicesAmt>2094119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>145744</ManagementAndGeneralAmt>
        <FundraisingAmt>28642</FundraisingAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>21241973</TotalAmt>
        <ProgramServicesAmt>21236027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2307</ManagementAndGeneralAmt>
        <FundraisingAmt>3639</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT AND RENTAL</Desc>
        <TotalAmt>1294040</TotalAmt>
        <ProgramServicesAmt>1260095</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31699</ManagementAndGeneralAmt>
        <FundraisingAmt>2246</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SALES TAX</Desc>
        <TotalAmt>96485</TotalAmt>
        <ProgramServicesAmt>96485</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUBSCRIPTIONS</Desc>
        <TotalAmt>36955</TotalAmt>
        <ProgramServicesAmt>10742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22764</ManagementAndGeneralAmt>
        <FundraisingAmt>3449</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>1011556</TotalAmt>
        <ProgramServicesAmt>492893</ProgramServicesAmt>
        <ManagementAndGeneralAmt>444611</ManagementAndGeneralAmt>
        <FundraisingAmt>74052</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>161652531</TotalAmt>
        <ProgramServicesAmt>136905860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20181880</ManagementAndGeneralAmt>
        <FundraisingAmt>4564791</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>21971554</BOYAmt>
        <EOYAmt>10970100</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>857966</BOYAmt>
        <EOYAmt>3656945</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1559190</BOYAmt>
        <EOYAmt>3084675</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>22640857</BOYAmt>
        <EOYAmt>15722253</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>388322</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. A DRAFT FORM 990 IS THEN REVIEWED BY THE PRESIDENT/CEO, CHIEF ADMINISTRATIVE AND FINANCIAL OFFICER, AND CONTROLLER; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN REVIEWED WITH THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH COVERS ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ("INTERESTED PERSONS"). UNDER THE CONFLICT OF INTEREST POLICY, EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT THAT: (A) THE PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTOOD IT, AND HAS AGREED TO COMPLY WITH IT; AND (B) IF REQUIRED, DISCLOSES THE PERSON'S FINANCIAL INTERESTS AND FAMILY RELATIONSHIPS THAT COULD GIVE RISE TO ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, AN INTERESTED PERSON HAS AN ONGOING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST GIVING RISE TO THE POTENTIAL CONFLICT OF INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE COMPLIANCE, QUALITY, AND RISK MANAGEMENT OVERSIGHT COMMITTEE ("CQRM OVERSIGHT COMMITTEE") OR, IN THE CASE OF A DIRECTOR, TO THE BOARD OF DIRECTORS, WHO WILL ASSESS THE POTENTIAL FOR CONFLICTS OF INTEREST ON BEHALF OF PPMM. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE DISINTERESTED MEMBERS OF THE BOARD OR CQRM OVERSIGHT COMMITTEE SHALL DECIDE: (I) WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO, (II) WHETHER TO ENTER INTO THE TRANSACTION. THE INTERESTED PERSONS SHALL NOT BE PRESENT DURING THE BOARD OR CQRM OVERSIGHT COMMITTEE'S FINAL DELIBERATIONS AND SHALL NOT VOTE ON ANY DECISIONS REGARDING THE MATTER. THE PROCEEDINGS ARE RECORDED WITHIN THE BOARD OR CQRM OVERSIGHT COMMITTEE MEETING MINUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF THE BOARD ANNUALLY REVIEWS AND ADJUSTS AS APPROPRIATE THE SALARIES OF THE CEO AND MANAGEMENT TEAM BASED ON EXTERNAL DATA, SURVEYS, AND BENCHMARKS.</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 THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <TransactionsRelatedOrgGrp>
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        <MethodOfAmountDeterminationTxt>"DUE TO..." RECORDED BOOK VALUE</MethodOfAmountDeterminationTxt>
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        <MethodOfAmountDeterminationTxt>RECORDED BOOK VALUE</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
    <AffiliatedGroupAttachment documentId="RetDoc2170000001">
      <MeduimExplanationTxt>THE ORGANIZATION IS A PART OF AN AFFILIATED GROUP, WHICH INCLUDES THE FOLLOWING ORGANIZATIONS:PLANNED PARENTHOOD MAR MONTE INC.1691 THE ALAMEDASAN JOSE, CA 95126FEIN: 94-1583439501(H) ELECTION: YESTOTAL LOBBYING EXPENDITURES TO INFLUENCE PUBLIC OPINION (GRASSROOTS LOBBYING): $142,101TOTAL LOBBYING EXPENDITURES TO INFLUENCE A LEGISLATIVE BODY (DIRECT LOBBYING): $42,456OTHER EXEMPT PURPOSE EXPENDITURES: $161,273,170TOTAL EXEMPT PURPOSE EXPENDITURES: $161,457,727EAST VALLEY COMMUNITY CLINIC INC. (DBA MAR MONTE COMMUNITY CLINIC)1691 THE ALAMEDASAN JOSE, CA 95126FEIN: 94-2191935501(H) ELECTION: NOTOTAL LOBBYING EXPENDITURES TO INFLUENCE PUBLIC OPINION (GRASSROOTS LOBBYING): $0TOTAL LOBBYING EXPENDITURES TO INFLUENCE A LEGISLATIVE BODY (DIRECT LOBBYING): $0OTHER EXEMPT PURPOSE EXPENDITURES: $500,355TOTAL EXEMPT PURPOSE EXPENDITURES: $500,355</MeduimExplanationTxt>
    </AffiliatedGroupAttachment>
  </ReturnData>
</Return>