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        <CurrentYearMinus3Amt>5211</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>3199</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>7820</CurrentYearMinus1Amt>
        <CurrentYearAmt>2946</CurrentYearAmt>
        <TotalAmt>19176</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="990D">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1134999</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1049687</DepreciationAmt>
        <BookValueAmt>85312</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2676845</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2332179</DepreciationAmt>
        <BookValueAmt>344666</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>429978</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>187457</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Right to Use Lease</Desc>
        <BookValueAmt>6208255</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6395712</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Incentive Liability</Desc>
        <Amt>6759684</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>6759684</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>74766955</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>74766955</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>74766955</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>71600439</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>71600439</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>71600439</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Marc H Bennett</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>525123</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>68761</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>103058</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14271</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>711213</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Juliana L Farnsworth</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>239502</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>29100</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12935</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17848</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>299385</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Akbar A Sultan</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>237300</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>31303</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7763</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12477</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>288843</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Douglas A Boenning</PersonNm>
        <TitleTxt>Regional Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>272080</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>49042</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9281</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5723</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>336126</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John W Sparks</PersonNm>
        <TitleTxt>Sr Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>349930</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>44932</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12407</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17078</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>424347</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Evan C Stults</PersonNm>
        <TitleTxt>COS</TitleTxt>
        <BaseCompensationFilingOrgAmt>196538</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>36505</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7163</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15459</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>255665</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Foster Beall</PersonNm>
        <TitleTxt>Vice President Care Management</TitleTxt>
        <BaseCompensationFilingOrgAmt>239056</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13332</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>23656</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8429</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21353</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305826</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Regina M McGovern</PersonNm>
        <TitleTxt>AMD - Orthopedist</TitleTxt>
        <BaseCompensationFilingOrgAmt>290232</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>29114</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9208</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21353</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>349907</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Sara Hallvik</PersonNm>
        <TitleTxt>Key Employee</TitleTxt>
        <BaseCompensationFilingOrgAmt>202785</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>100</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24849</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6758</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>234492</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Neidra A Evans</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>226269</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>33678</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7820</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11542</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>279309</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dana A Hawes</PersonNm>
        <TitleTxt>CGO</TitleTxt>
        <BaseCompensationFilingOrgAmt>169919</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>26598</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5915</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>202432</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Emily Transue</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <BaseCompensationFilingOrgAmt>165777</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>9391</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3576</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>186244</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Unrelated business income explanation Part V line 3b</FormAndLineReferenceDesc>
        <ExplanationTxt>Comagine has no unrelated business income.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is reviewed by the Controller, CFO, and the CEO. It is then submitted to the finance committee who reviews it and recommends board approval. Once approved, the Form 990 may be filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>All members of the board of directors, the CEO, and key employees are required to sign a confict of interest policy. All board members must complete annually a conflict of interest disclosure statement as one of the requirements of the QIO contracts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors determines the salary of the CEO based on a variety of empirical data. Human resources annually evaluates independently published aggregate market data on wage and salary trends in the industry, as well as reviewing published wage and salary survey benchmark data for its positions. All wage and salary compensation ranges are evaluated annually and adjusted accordingly. The CEO is charged with the responsibility to annually review the performance of other officers of the organization and set compensation levels using the data gathered by the Human Resources Department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors determines the salary of the CEO based on a variety of empirical data. Human resources annually evaluates independently published aggregate market data on wage and salary trends in the industry, as well as reviewing published wage and salary survey benchmark data for its positions. All wage and salary compensation ranges are evaluated annually and adjusted accordingly. The CEO is charged with the responsibility to annually review the performance of other officers of the organization and set compensation levels using the data gathered by the Human Resources Department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 availability to public Part VI line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflicts of interest policy, financial statements and Form 990 are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, conflicts on interest policy, financial statements and Form 990 are available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IX response or note to any line in Part IX</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990, Part IX, Colunm (D)Although the organization has substantial contribution revenue, it does not incur fundraising expenses. Costs related to obtaining government contracts reported as contribution revenue on Form 990, Part VIII, Line 1(E) are reported as program expenses on Form 990, Part IX.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>