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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT FOLBERG MD</PersonNm>
        <TitleTxt>COMMUNITY ME</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GABRIEL SOSNE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT THORNTON</PersonNm>
        <TitleTxt>COMMUNITY ME</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4794148</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>122893</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RAPID BIOSENSE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>46701 COMMERCE CENTER DR</AddressLine1Txt>
            <CityNm>PLYMOUTH</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48170</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LABORATORY SERV</ServicesDesc>
        <CompensationAmt>455038</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERT T MORRIS MD PLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1025 DEVONSHIRE</AddressLine1Txt>
            <CityNm>GROSSE POINTE PARK</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48230</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT PHYSIC</ServicesDesc>
        <CompensationAmt>365342</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEIDOS HEALTH LLC DBA ETTAIN GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 60070</AddressLine1Txt>
            <CityNm>CHARLOTTE</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>282600070</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SERV</ServicesDesc>
        <CompensationAmt>201380</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCANSTAT TECHNOLOGIES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 791522</AddressLine1Txt>
            <CityNm>BALTIMORE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>212791522</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL RECORDS</ServicesDesc>
        <CompensationAmt>144793</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>5746445</AllOtherContributionsAmt>
      <TotalContributionsAmt>5746445</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLINICAL SERVICES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>56608967</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56608967</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICES REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>40812665</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40812665</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INSTITUTIONAL SUPPORT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>8740306</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8740306</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>NON CLINICAL CONTRACTS REVENU</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>7588594</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7588594</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL ADMIN</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5830341</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5830341</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>5673460</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5673460</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>125254333</TotalProgramServiceRevenueAmt>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>65000</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>65000</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>65000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>65000</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER NON OPERATING INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2653796</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2653796</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>NON OPERATING INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2577905</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2577905</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>EXPENSE REIMBURSEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>312655</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>312655</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>5544356</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>136610134</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>130863689</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>96577845</TotalAmt>
        <ProgramServicesAmt>81125390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15452455</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2462638</TotalAmt>
        <ProgramServicesAmt>2068616</ProgramServicesAmt>
        <ManagementAndGeneralAmt>394022</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>31227403</TotalAmt>
        <ProgramServicesAmt>24981923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6245480</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1545608</TotalAmt>
        <ProgramServicesAmt>1236486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>309122</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>5384652</TotalAmt>
        <ProgramServicesAmt>4307722</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1076930</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <InterestGrp>
        <TotalAmt>298931</TotalAmt>
        <ManagementAndGeneralAmt>298931</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>941872</TotalAmt>
        <ProgramServicesAmt>753498</ProgramServicesAmt>
        <ManagementAndGeneralAmt>188374</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>3476623</ProgramServicesAmt>
        <ManagementAndGeneralAmt>869155</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>NON OPERATING EXPENSE</Desc>
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        <ProgramServicesAmt>93656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23414</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>118043914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24857883</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>22940540</BOYAmt>
        <EOYAmt>17201904</EOYAmt>
      </CashNonInterestBearingGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>32839260</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>798737</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>29301575</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>22370205</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5813791</BOYAmt>
        <EOYAmt>6931370</EOYAmt>
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      <OtherAssetsTotalGrp>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>-6455</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>12245868</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
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        <EOYAmt>16292345</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>54285548</BOYAmt>
        <EOYAmt>48723838</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>25750474</BOYAmt>
        <EOYAmt>15602724</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>25750474</BOYAmt>
        <EOYAmt>15602724</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>64326562</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-6291663</ReconcilationRevenueExpnssAmt>
      <PriorPeriodAdjustmentsAmt>-3856087</PriorPeriodAdjustmentsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
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      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>37825</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1694535</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6822969</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5746445</CurrentTaxYearAmt>
        <TotalAmt>14301774</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>135204261</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearAmt>130798689</CurrentTaxYearAmt>
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      <Total509Grp>
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        <CurrentTaxYearMinus2YearsAmt>124132275</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>144771378</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>136545134</CurrentTaxYearAmt>
        <TotalAmt>700835896</TotalAmt>
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      <PublicSupportTotal509Amt>700835896</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>17168</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>17168</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>17168</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>17168</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>160200016</CurrentTaxYearMinus4YearsAmt>
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      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
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    <IRS990ScheduleD documentId="RetDoc2">
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        <DepreciationAmt>1546948</DepreciationAmt>
        <BookValueAmt>6931370</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>20375257</DepreciationAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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        <DepreciationAmt>448000</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6931370</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERIES</Desc>
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      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6555291</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION</Desc>
        <Amt>9659592</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>WSU RESTRUCTURING DEBT</Desc>
        <Amt>6632753</Amt>
      </OtherLiabilitiesOrgGrp>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc3">
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>true</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>true</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HO-SHENG LIN</PersonNm>
        <TitleTxt>DEPARTMENT CHAIR</TitleTxt>
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        <TotalCompensationFilingOrgAmt>839098</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES SHANLEY MD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>17400</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7845</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>706391</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK JUZYCH MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>628714</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANA GOODE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAYF FATHY ESQ</PersonNm>
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        <BonusFilingOrganizationAmount>64980</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>15692</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19500</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>413908</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WAEL SAKR MD</PersonNm>
        <TitleTxt>BOARD TREASURER</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>13151</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>365515</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID ROSENBERG MD</PersonNm>
        <TitleTxt>DEPARTMENT CHAIR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>10240</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10240</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>349670</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAFWAN BADR MD</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>8614</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8614</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>298835</TotalCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>12525</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15000</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>263377</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAYSAA BASHA MD</PersonNm>
        <TitleTxt>DEPARTMENT CHAIR</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM B</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ARE AMENDING FORM 990 TO CORRECT TRIAL BALANCE DISCREPANCIES DISCOVERED POST-FILING. THIS ENSURES ACCURATE FINANCIAL REPORTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO FURNISH MEDICAL CARE AND RELATED SERVICES IN AN ACADEMIC HEALTH CARE SETTING THROUGH EMPLOYED LICENSED PHYSICIANS HOLDING FACULTY APPOINTMENTS IN CLINICAL DEPARTMENTS AT THE WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE AND THROUGH OTHER APPROPRIATELY LICENSED PHYSICIANS AND HEALTH PROFESSIONALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION A, LINE 2 OFFICERS HAVE BUSINESS RELATIONSHIPS WITHIN THIER RESPECTED MEDICAL FIELDS BUSINESS TRANSACTIONS INVOLVING INTEREST PERSONS. ALMOST ALL OF THE DIRECTORS AND OFFICERS OF THE ORGANIZATION ALSO SERVE AS OFFICERS, DIRECTORS, AND/OR KEY EMPLOYEES OF THE UNIVERSITY PHYSICIAN GROUP AND/OR WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CHIEF FINANCIAL OFFICER REVIEWS A DRAFT OF THE 990 AND THEN REVIEWS THE FINAL COPY OG THE RETURN BEFORE FILLING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>VERBAL COMMUNICATION TOOK PLACE IN WHICH OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES WERE MADE AWARE OF THE POLICY AND GIVEN THE OPPORTUNITY TO EXPLAIN INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTEREST. UPG DID NOT HAVE A FORMALLY ASSIGNED CHIEF COMPLIANCE OFFICER IN FISCAL 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE POSITIONS ARE HIRED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTER/CONTRACTS APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED AS PART OF A COLLABORATIVE PROCESS WITH WAYNE STATE UNIVERSITY AND THE HIRING PROCESS INCLUDES FORMAL OFFER LETTER APPROVED BY THE WSU BOARD OF GOVERNORS AS WELL AS THE UPG BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF TIME AS SET FORTH IN PUBLIC DISCLOSURE 6104(D).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CLINICAL SERVICES 11,993,629 2,998,407 0 PURCHASED SERVICES OTHER 10,662,305 2,665,576 0 EQUIPMENT EXPENSE 335,764 83,941 0 BAD DEBT EXPENSE 1,990,225 497,556 0 TOTAL 24,981,923 6,245,480 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR PERIOD AUDIT ADJUSTMENT RELATES TO RECLASSIFICATION OF NET ASSETS WITH RESTRICTIONS.</ExplanationTxt>
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          <AddressLine1Txt>400 MACK AVE</AddressLine1Txt>
          <CityNm>DETROIT</CityNm>
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      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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