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        <PersonNm>MARY LOONEY</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>147469</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31130</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN GANNUTZ</PersonNm>
        <TitleTxt>PHYSICIAN AS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>111723</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24493</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YUKTING LAU</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>139126</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31625</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA SIMPSON</PersonNm>
        <TitleTxt>NURSE PRACTI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>118363</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15770</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAHYLI FEBLES</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131644</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4807</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LARRY BERGER</PersonNm>
        <TitleTxt>COUNSELOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>114162</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>838</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2467565</TotalReportableCompFromOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>15</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IRIS TELEHEALTH MEDICAL GROUP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 122600</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75312</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL</ServicesDesc>
        <CompensationAmt>184794</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JEFF BARTH DENTAL LAB</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1935 BORDEN GRANT TRAIL</AddressLine1Txt>
            <CityNm>FAIRFIELD</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>24435</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DENTAL</ServicesDesc>
        <CompensationAmt>141556</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2469516</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>665926</AllOtherContributionsAmt>
      <NoncashContributionsAmt>171010</NoncashContributionsAmt>
      <TotalContributionsAmt>3135442</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>7024617</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7024617</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1745511</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1745511</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER MEDICAL REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>154479</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>154479</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8924607</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>30179</TotalRevenueColumnAmt>
        <ExclusionAmt>30179</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>515641</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>503047</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>12594</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>12594</TotalRevenueColumnAmt>
        <ExclusionAmt>12594</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>79541</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>40520</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>39021</TotalRevenueColumnAmt>
        <ExclusionAmt>39021</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3706</TotalRevenueColumnAmt>
        <ExclusionAmt>3706</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3706</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12145549</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8924607</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>85500</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2136545</TotalAmt>
        <ProgramServicesAmt>1773332</ProgramServicesAmt>
        <ManagementAndGeneralAmt>320483</ManagementAndGeneralAmt>
        <FundraisingAmt>42730</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>5173147</TotalAmt>
        <ProgramServicesAmt>4268905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>775426</ManagementAndGeneralAmt>
        <FundraisingAmt>128816</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>200127</TotalAmt>
        <ProgramServicesAmt>14419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184999</ManagementAndGeneralAmt>
        <FundraisingAmt>709</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1073901</TotalAmt>
        <ProgramServicesAmt>641760</ProgramServicesAmt>
        <ManagementAndGeneralAmt>411919</ManagementAndGeneralAmt>
        <FundraisingAmt>20222</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>532087</TotalAmt>
        <ProgramServicesAmt>436045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83446</ManagementAndGeneralAmt>
        <FundraisingAmt>12596</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>55668</TotalAmt>
        <ManagementAndGeneralAmt>55668</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>20000</TotalAmt>
        <ManagementAndGeneralAmt>20000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>4717</TotalAmt>
        <ProgramServicesAmt>4717</ProgramServicesAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>333885</TotalAmt>
        <ProgramServicesAmt>192030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>141691</ManagementAndGeneralAmt>
        <FundraisingAmt>164</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>4648</TotalAmt>
        <ManagementAndGeneralAmt>919</ManagementAndGeneralAmt>
        <FundraisingAmt>3729</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>118984</TotalAmt>
        <ProgramServicesAmt>41119</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74888</ManagementAndGeneralAmt>
        <FundraisingAmt>2977</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>280346</TotalAmt>
        <ProgramServicesAmt>53431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226915</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>22489</TotalAmt>
        <ProgramServicesAmt>12337</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9619</ManagementAndGeneralAmt>
        <FundraisingAmt>533</FundraisingAmt>
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      <InterestGrp>
        <TotalAmt>191979</TotalAmt>
        <ProgramServicesAmt>7</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191972</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>463323</TotalAmt>
        <ProgramServicesAmt>142619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>320704</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>36416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34757</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/DENTAL SUPPLIES</Desc>
        <TotalAmt>927870</TotalAmt>
        <ProgramServicesAmt>910321</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15914</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTUAL PATIENT CARE</Desc>
        <TotalAmt>870443</TotalAmt>
        <ProgramServicesAmt>870443</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SOFTWARE</Desc>
        <TotalAmt>363873</TotalAmt>
        <ProgramServicesAmt>269234</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84380</ManagementAndGeneralAmt>
        <FundraisingAmt>10259</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>IN-KIND MATERIALS</Desc>
        <TotalAmt>171010</TotalAmt>
        <ProgramServicesAmt>168913</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105</ManagementAndGeneralAmt>
        <FundraisingAmt>1992</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>212909</TotalAmt>
        <ProgramServicesAmt>110360</ProgramServicesAmt>
        <ManagementAndGeneralAmt>99389</ManagementAndGeneralAmt>
        <FundraisingAmt>3160</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>13229124</TotalAmt>
        <ProgramServicesAmt>9946408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3053194</ManagementAndGeneralAmt>
        <FundraisingAmt>229522</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>138465</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1994</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>131542</EOYAmt>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>10777642</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>7829004</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>1118107</EOYAmt>
      </InvestmentsPubTradedSecGrp>
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        <EOYAmt>120769</EOYAmt>
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      <TotalAssetsGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>5822917</EOYAmt>
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        <EOYAmt>124556</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>7083443</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>2812837</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>516792</BOYAmt>
        <EOYAmt>571206</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>3384043</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>10467486</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-1083575</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <ZIPCode>RESTRICTED</ZIPCode>
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        <EndYearBalanceAmt>436468</EndYearBalanceAmt>
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        <ExplanationTxt>THE ORGANIZATION'S FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, AND APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION REQUIRES EACH BOARD MEMBER AND EMPLOYEE TO COMPLETE A CONFLICT OF INTEREST FORM EACH YEAR.</ExplanationTxt>
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        <ExplanationTxt>THE COMPENSATION OF THE ORGANIZATION'S CEO IS ESTABLISHED AND APPROVED BY THE BOARD OF DIRECTORS AND INCLUDES A REVIEW OF COMPARABILITY DATA FOR SIMILAR ORGANIZATIONS AND JOB DESCRIPTIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>