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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAWERENCE REYNOLDS</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY RICH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRACHELLE YOUNG</PersonNm>
        <TitleTxt>CORPORATE CO</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2310705</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>152467</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GOYETTE MECHANICAL COMPANY INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 33</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48501</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONST MAINT</ServicesDesc>
        <CompensationAmt>405019</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CATALYST HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2052 SOUTH DYE RD</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48532</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP EMPLOYEES</ServicesDesc>
        <CompensationAmt>325793</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE REGENTS OF THE UOFM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2223131</AddressLine1Txt>
            <CityNm>PITTSBURGH</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>15251</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TEMP EMPLOYEES</ServicesDesc>
        <CompensationAmt>307396</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRINITY CLEANING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5086 CALKINS RD</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48532</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL</ServicesDesc>
        <CompensationAmt>196742</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SIWEK CONSTRUCTION COMPANY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5020 PILGRIM RD</AddressLine1Txt>
            <CityNm>FLINT</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48507</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>164051</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8769365</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>60000</AllOtherContributionsAmt>
      <TotalContributionsAmt>8829365</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>16113286</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16113286</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>4767333</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4767333</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVE REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>873824</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>873824</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PATIENT SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>38366</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38366</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION AND INCENTIVES PAY</Desc>
        <TotalRevenueColumnAmt>7207</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7207</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>21800016</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>261006</TotalRevenueColumnAmt>
        <ExclusionAmt>261006</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>133947</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>133947</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>133947</TotalRevenueColumnAmt>
        <ExclusionAmt>133947</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>31024334</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21800016</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>394953</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1362463</TotalAmt>
        <ProgramServicesAmt>134063</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1228400</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>15175403</TotalAmt>
        <ProgramServicesAmt>10687418</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4487985</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>179104</TotalAmt>
        <ProgramServicesAmt>20908</ProgramServicesAmt>
        <ManagementAndGeneralAmt>158196</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>58567</TotalAmt>
        <ProgramServicesAmt>347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58220</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1048882</TotalAmt>
        <ProgramServicesAmt>826252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222630</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>292312</TotalAmt>
        <ProgramServicesAmt>761</ProgramServicesAmt>
        <ManagementAndGeneralAmt>291551</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1228259</TotalAmt>
        <ProgramServicesAmt>398634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>829625</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1857920</TotalAmt>
        <ProgramServicesAmt>1553112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304808</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>169537</TotalAmt>
        <ProgramServicesAmt>56348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>113189</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>616559</TotalAmt>
        <ProgramServicesAmt>449348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167211</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>26158</TotalAmt>
        <ManagementAndGeneralAmt>26158</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>RETAIL PHARMACY COGS</Desc>
        <TotalAmt>1539938</TotalAmt>
        <ProgramServicesAmt>1539938</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>1446666</TotalAmt>
        <ProgramServicesAmt>1446666</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY COGS</Desc>
        <TotalAmt>1374456</TotalAmt>
        <ProgramServicesAmt>1374456</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>997310</TotalAmt>
        <ProgramServicesAmt>945764</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51546</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>675075</TotalAmt>
        <ProgramServicesAmt>217518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>457557</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>28048609</TotalAmt>
        <ProgramServicesAmt>19651533</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8397076</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2032435</BOYAmt>
        <EOYAmt>531926</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6358116</BOYAmt>
        <EOYAmt>7822344</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>523293</BOYAmt>
        <EOYAmt>658870</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>5939077</BOYAmt>
        <EOYAmt>3921518</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>176114</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>354211</BOYAmt>
        <EOYAmt>428407</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>19861205</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>11521760</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8154036</BOYAmt>
        <EOYAmt>8339445</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>6192716</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>169276</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>28240616</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2868952</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>1214941</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2750672</BOYAmt>
        <EOYAmt>4083893</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>24149227</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>7496</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>21180998</BOYAmt>
        <EOYAmt>24156723</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>23931670</BOYAmt>
        <EOYAmt>28240616</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2975725</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>280919</OtherCostOrOtherBasisAmt>
        <BookValueAmt>280919</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>5873507</DepreciationAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>5648253</DepreciationAmt>
        <BookValueAmt>1159639</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>8339445</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CDS LONG-TERM</Desc>
        <BookValueAmt>6192716</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>6192716</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCE</Desc>
        <Amt>945606</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CURRENT PORTION OF ROU ASSETS</Desc>
        <Amt>150858</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LONT TERM PORTION OF ROU ASSET</Desc>
        <Amt>118477</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1214941</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>31024334</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>31024334</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>31024334</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>28048609</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>28048609</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="RetDoc4">
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLARENCE PIERCE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>713780</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>37205</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>750985</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAHEEN SHEIKH</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>207097</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>32116</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>239213</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>OSMANB MUKHTAR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>200288</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17848</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>218136</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY ROOME</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>187824</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>23647</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>211471</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HUDA ELHWAIRIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>27573</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>204961</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DONALD ROBINSON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>175645</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14078</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>189723</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIRK SMITH</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>186598</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>186598</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA MANNS</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>167733</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167733</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS VOLUNTEERS</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>990 IS REVIEWED BY FINANCE COMMITTEE AND AUDITOR PRIOR TO SUBMISSION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD IS DELEGATED TO DEAL WITH CONFLICTS OF INTEREST ISSUES AT THE BOARD OF DIRECTORS LEVEL AND THE CEO AT THE STAFF LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS AND APPROVES COMPENSATION FOR THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DEPARTMENT HEAD REVIEWS AND EVALUATES SUBORDINATES ANNUALLY. THE CEO THEN APPROVES THE COMPENSATION FOR THE STAFF BY USING THE HAMILITON HEALTH CARE NETWORK SALARY SCALE, MPCA SALARY SCALE AND NACHC SALARY SCALE TO DETERMINE SALARIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>