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      <Form990PartVIISectionAGrp>
        <PersonNm>Berta Jean Kemp</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Benjamin Harris</PersonNm>
        <TitleTxt>Board member</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anne Tucker</PersonNm>
        <TitleTxt>Board Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1406835</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>176235</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>6157289</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2589337</AllOtherContributionsAmt>
      <TotalContributionsAmt>8746626</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient fees</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>9608199</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9608199</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>9608199</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <RelatedOrExemptFuncIncomeAmt>117102</RelatedOrExemptFuncIncomeAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
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      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>66591</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>66591</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66591</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18538518</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9791892</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>729404</TotalAmt>
        <ProgramServicesAmt>287642</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>9562733</TotalAmt>
        <ProgramServicesAmt>7537144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2025589</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>278877</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>732022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>254833</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>734028</TotalAmt>
        <ProgramServicesAmt>570643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>163385</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>69663</TotalAmt>
        <ManagementAndGeneralAmt>69663</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1120798</TotalAmt>
        <ProgramServicesAmt>982565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>138233</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OccupancyGrp>
        <TotalAmt>577755</TotalAmt>
        <ProgramServicesAmt>480579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>97176</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>411005</TotalAmt>
        <ProgramServicesAmt>211078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199927</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>118268</TotalAmt>
        <ProgramServicesAmt>97447</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20821</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
        <TotalAmt>4248000</TotalAmt>
        <ProgramServicesAmt>4248000</ProgramServicesAmt>
      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>918281</TotalAmt>
        <ProgramServicesAmt>778473</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139808</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>180850</TotalAmt>
        <ProgramServicesAmt>153869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26981</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>1931449</TotalAmt>
        <ProgramServicesAmt>1821618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109831</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and maintenance</Desc>
        <TotalAmt>691981</TotalAmt>
        <ProgramServicesAmt>539520</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152461</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Electronic claims processing</Desc>
        <TotalAmt>454010</TotalAmt>
        <ProgramServicesAmt>450252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3758</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and licenses</Desc>
        <TotalAmt>229900</TotalAmt>
        <ProgramServicesAmt>181002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48898</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>70127</TotalAmt>
        <ProgramServicesAmt>36139</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33988</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>23394931</TotalAmt>
        <ProgramServicesAmt>19386870</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4008061</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>7149908</BOYAmt>
        <EOYAmt>6422479</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>237953</BOYAmt>
        <EOYAmt>5475</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>531987</BOYAmt>
        <EOYAmt>408916</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1084132</BOYAmt>
        <EOYAmt>1787769</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
        <BOYAmt>420210</BOYAmt>
        <EOYAmt>384734</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>353660</BOYAmt>
        <EOYAmt>274239</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>23847699</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8530838</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>13910147</BOYAmt>
        <EOYAmt>15316861</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1831365</BOYAmt>
        <EOYAmt>2184209</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>100519</BOYAmt>
        <EOYAmt>47324</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>25619881</BOYAmt>
        <EOYAmt>26832006</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1059394</BOYAmt>
        <EOYAmt>1547043</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>2501458</BOYAmt>
        <EOYAmt>8058430</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>333151</BOYAmt>
        <EOYAmt>222157</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>3894003</BOYAmt>
        <EOYAmt>9827630</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>21574134</BOYAmt>
        <EOYAmt>16883397</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>151744</BOYAmt>
        <EOYAmt>120979</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>21725878</BOYAmt>
        <EOYAmt>17004376</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>25619881</BOYAmt>
        <EOYAmt>26832006</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-4856413</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>134911</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>8537521</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>12615351</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10621251</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10939501</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8746626</CurrentTaxYearAmt>
        <TotalAmt>51460250</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>12615351</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10621251</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10939501</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8746626</CurrentTaxYearAmt>
        <TotalAmt>51460250</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>51460250</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>133337</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>146295</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>57858</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>85153</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>117102</CurrentTaxYearAmt>
        <TotalAmt>539745</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>51999995</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>39598161</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98960</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99040</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
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        <BookValueAmt>1927844</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>5432816</DepreciationAmt>
        <BookValueAmt>8460279</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>658762</DepreciationAmt>
        <BookValueAmt>205125</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2073331</DepreciationAmt>
        <BookValueAmt>1319164</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>3770378</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>365929</DepreciationAmt>
        <BookValueAmt>3404449</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>15316861</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Corp bonds mutual fund</Desc>
        <BookValueAmt>2184209</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>2184209</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>25271</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Receivable - other</Desc>
        <BookValueAmt>22053</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>47324</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Right-of-use operating lease</Desc>
        <Amt>222157</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>222157</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18673429</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>134911</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>134911</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18538518</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>18538518</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19146931</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>19146931</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>4248000</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>4248000</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>23394931</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other expenses included on Form 990 (Part XII, line 4b)</FormAndLineReferenceDesc>
        <ExplanationTxt>Payment to affiliate $4,248,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <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>Patrick Brown</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>209221</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22938</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>232159</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lane M Lunn</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>189399</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>43964</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>233363</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Victoria Wiggins</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>136578</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17447</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>154025</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bogden Maliszewski</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>173839</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21415</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>195254</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christian Hernandez Nazario</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>176760</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19432</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196192</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Russell Robinson</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>155270</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9251</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>164521</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Wasserman</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>214400</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23855</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238255</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Whitfield</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>151368</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17933</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169301</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Committee meeting documentation Part VI line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>Each committee reviews and submits its recommendation on whatever the subject matter is to the Board for discussion/approval as necessary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>Senior accountant reviews Form 990 for accuracy and comparison to the detailed trial balance. The CFO then reviews and submits the Form 990 to the board of directors for its review and approval prior to the annual filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each board member and all officers are required to read and sign a Conflict of Interest form.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEOs compensation is reviewed each year by a compensation committee composed of selected board members using various compensation surveys for comparison purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>For other officers or key employees, the CEO uses a variety of surveys for comparability.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>No documents are made available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>