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        <PersonNm>LOIS WAGH</PersonNm>
        <TitleTxt>DIRECTOR THRU JUN 2025</TitleTxt>
        <AverageHoursPerWeekRt>0.23</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>5100</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THEODORE O WILL</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>42.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>831483</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>126365</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLARE BRADLEY POLLET MD</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>559445</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57253</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDISON A MACHADO JR MD</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CSO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>440109</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>92222</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN WOGHIN</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>430796</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>95161</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HERMAN A JENICH</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CD &amp; AO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>531090</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>58811</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA J GAGLIANO MD</PersonNm>
        <TitleTxt>VICE PRESIDENT, HEALTHCARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>347979</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>46673</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD A ALFIERI</PersonNm>
        <TitleTxt>VICE PRESIDENT &amp; CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>320269</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>84944</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN E CAPONI</PersonNm>
        <TitleTxt>VICE PRESIDENT, ESRD</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>284958</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39838</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIERRE A JEANNE-PORTER</PersonNm>
        <TitleTxt>VICE PRESIDENT, COMPLIANCE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>279670</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>71583</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATTHEW W ROBERTS</PersonNm>
        <TitleTxt>VICE PRESIDENT &amp; CIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.10</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>277852</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>57199</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER N EDWARDS</PersonNm>
        <TitleTxt>VICE PRESIDENT, MANAGED CARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>275138</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66640</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VIRGINIA A HILL</PersonNm>
        <TitleTxt>VICE PRESIDENT, MANAGED CARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>274221</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>69803</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY P FERGUSON</PersonNm>
        <TitleTxt>VICE PRESIDENT, HEALTHCARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>259247</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANA G BENNETT</PersonNm>
        <TitleTxt>VICE PRESIDENT, MANAGED CARE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>223286</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>70182</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HARRY M FEDER FORMER SR VP</PersonNm>
        <TitleTxt>TECHNICAL ADVISOR AS OF JAN 2024</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>611682</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK N MATTHES</PersonNm>
        <TitleTxt>ASSISTANT VICE PRESIDENT, DATA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MONTY M BODENHEIMER MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>252988</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>69002</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARA A BUTTERFIELD</PersonNm>
        <TitleTxt>ASSISTANT VICE PRESIDENT, HEALTHCARE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>231951</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45444</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BETH CONROY</PersonNm>
        <TitleTxt>SR. DIRECTOR, DATA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>222117</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12907</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>6966715</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>500</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1137137</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>117</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GREENLIFE HEALTHCARE STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>400 N ASHLEY DRIVE SUITE 1900</AddressLine1Txt>
            <CityNm>TAMPA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33602</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>6303349</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDIX STAFFING SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 WALL STREET SUITE 320</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>5475418</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRECISION EMERGENCY PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2915 WEST BITTERS SUITE 201</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75035</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY SERVICES</ServicesDesc>
        <CompensationAmt>4354538</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRESTIGE EMERGENCY ROOM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2810 N LOOP 1604W SUITE 110</AddressLine1Txt>
            <CityNm>SAN ANTONIO</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>78248</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMERGENCY SERVICES</ServicesDesc>
        <CompensationAmt>4237813</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REDIMINDS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>29777 TELEGRAPH ROAD SUITE 1670</AddressLine1Txt>
            <CityNm>SOUTHFIELD</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48034</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AI SOLUTIONS</ServicesDesc>
        <CompensationAmt>4188890</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>73</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>129064485</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>125001419</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4063066</UnrelatedBusinessRevenueAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAID QUALITY CONTROL</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>24179052</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>24179052</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE REVIEW SERVICES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>13503984</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13503984</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>166747521</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3838901</TotalRevenueColumnAmt>
        <ExclusionAmt>3838901</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMBURSED EXPENSES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>73832</TotalRevenueColumnAmt>
        <ExclusionAmt>73832</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4320</TotalRevenueColumnAmt>
        <ExclusionAmt>4320</ExclusionAmt>
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      <OtherRevenueTotalAmt>78152</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>170664574</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>162684455</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>4063066</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>3917053</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>44755</TotalAmt>
        <ProgramServicesAmt>44755</ProgramServicesAmt>
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        <TotalAmt>6557810</TotalAmt>
        <ProgramServicesAmt>4487533</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2070277</ManagementAndGeneralAmt>
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        <TotalAmt>34417283</TotalAmt>
        <ProgramServicesAmt>23873736</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10543547</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1102383</ProgramServicesAmt>
        <ManagementAndGeneralAmt>492142</ManagementAndGeneralAmt>
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        <TotalAmt>5945907</TotalAmt>
        <ProgramServicesAmt>4110733</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1835174</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>2783610</TotalAmt>
        <ProgramServicesAmt>1924463</ProgramServicesAmt>
        <ManagementAndGeneralAmt>859147</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>520616</TotalAmt>
        <ProgramServicesAmt>25286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>495330</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>154287</TotalAmt>
        <ManagementAndGeneralAmt>154287</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>91000</TotalAmt>
        <ManagementAndGeneralAmt>91000</ManagementAndGeneralAmt>
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        <TotalAmt>28037180</TotalAmt>
        <ProgramServicesAmt>27477647</ProgramServicesAmt>
        <ManagementAndGeneralAmt>559533</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>88905</TotalAmt>
        <ProgramServicesAmt>61407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27498</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>1176473</TotalAmt>
        <ProgramServicesAmt>823380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>353093</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>2061046</TotalAmt>
        <ProgramServicesAmt>1630544</ProgramServicesAmt>
        <ManagementAndGeneralAmt>430502</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2659601</TotalAmt>
        <ProgramServicesAmt>1837009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>822592</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>1736358</TotalAmt>
        <ProgramServicesAmt>1271242</ProgramServicesAmt>
        <ManagementAndGeneralAmt>465116</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>34359</TotalAmt>
        <ProgramServicesAmt>24425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9934</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>50</TotalAmt>
        <ProgramServicesAmt>35</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>418118</TotalAmt>
        <ProgramServicesAmt>288797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>129321</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>317316</TotalAmt>
        <ProgramServicesAmt>219173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>98143</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>4513956</TotalAmt>
        <ProgramServicesAmt>3737456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>776500</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TEMPORARY HELP</Desc>
        <TotalAmt>1120436</TotalAmt>
        <ProgramServicesAmt>1082943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37493</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>859502</TotalAmt>
        <ProgramServicesAmt>736512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122990</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>374089</TotalAmt>
        <ProgramServicesAmt>258386</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115703</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>530681</TotalAmt>
        <ProgramServicesAmt>466936</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63745</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>75484781</ProgramServicesAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <AddressLine1Txt>601 NEW JERSEY AVE</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDISON A MACHADO JR MD</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CSO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALAN WOGHIN</PersonNm>
        <TitleTxt>SR. VICE PRESIDENT &amp; CFO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD A ALFIERI</PersonNm>
        <TitleTxt>VICE PRESIDENT &amp; CIO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA J GAGLIANO MD</PersonNm>
        <TitleTxt>VICE PRESIDENT, HEALTHCARE</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIERRE A JEANNE-PORTER</PersonNm>
        <TitleTxt>VICE PRESIDENT, COMPLIANCE</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIRGINIA A HILL</PersonNm>
        <TitleTxt>VICE PRESIDENT, MANAGED CARE</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER N EDWARDS</PersonNm>
        <TitleTxt>VICE PRESIDENT, MANAGED CARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>222482</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW W ROBERTS</PersonNm>
        <TitleTxt>VICE PRESIDENT &amp; CIO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>768</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>43231</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335051</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN E CAPONI</PersonNm>
        <TitleTxt>VICE PRESIDENT, ESRD</TitleTxt>
        <BaseCompensationFilingOrgAmt>230295</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>19931</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>324796</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MONTY M BODENHEIMER MD</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>223897</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>3758</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18098</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>50904</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>321990</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANA G BENNETT</PersonNm>
        <TitleTxt>VICE PRESIDENT, MANAGED CARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>174449</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>54594</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>293468</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WENDY P FERGUSON</PersonNm>
        <TitleTxt>VICE PRESIDENT, HEALTHCARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>222823</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>3115</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>4812</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286612</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARA A BUTTERFIELD</PersonNm>
        <TitleTxt>ASSISTANT VICE PRESIDENT, HEALTHCARE</TitleTxt>
        <BaseCompensationFilingOrgAmt>186652</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>40187</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>5112</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20549</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24895</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>277395</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANK N MATTHES</PersonNm>
        <TitleTxt>ASSISTANT VICE PRESIDENT, DATA</TitleTxt>
        <BaseCompensationFilingOrgAmt>231461</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24698</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>270776</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY BETH CONROY</PersonNm>
        <TitleTxt>SR. DIRECTOR, DATA</TitleTxt>
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        <BonusFilingOrganizationAmount>39017</BonusFilingOrganizationAmount>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>IPRO MAINTAINS A NONQUALIFIED DEFERRED COMPENSATION PLAN UNDER IRC SECTION 457(F) FOR SELECT AND HIGHLY COMPENSATED INDIVIDUALS. THE AMOUNTS CONTRIBUTED BY IPRO ON THEIR BEHALF IN CALENDAR YEAR 2024 ARE: THEODORE O. WILL: $23,400; CLARE BRADLEY POLLET: $29,320; EDISON A. MACHADO, JR., MD: $17,536; ALAN WOGHIN: $26,000, HERMAN A. JENICH: $13,730. THESE AMOUNTS ARE INCLUDED IN THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (C). THE AMOUNTS OF DISTRIBUTION RECEIVED FROM THE NONQUALIFIED RETIREMENT PLAN IN CALENDAR YEAR 2024 ARE: THEODORE O. WILL: $46,181; CLARE BRADLEY POLLET: $35,702, EDISON A. MACHADO, JR., MD: $36,484, ALAN WOGHIN: $55,316, HERMAN A. JENICH: $28,170. THESE AMOUNTS ARE INCLUDED IN THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED IN PART II, COLUMN B(II) REFLECT NON-FIXED PAYMENTS RECEIVED IN THE FORM OF AN ANNUAL INCENTIVE DURING THE 2024 CALENDAR YEAR. INCENTIVES ARE BASED ON VARIOUS PERFORMANCE MEASURES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>DBA: IPRO IPRO CHRONIC KIDNEY DISEASE NETWORK FOR NEW YORK. DBA: IPRO END STAGE RENAL DISEASE NETWORK OF NEW YORK IHIG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DATA FOR PREPARING THE FORM 990 ANNUAL INFORMATION RETURN IS ASSEMBLED AND PREPARED BY THE ACCOUNTING DEPARTMENT. THIS INFORMATION IS THEN REVIEWED BY SENIOR MANAGEMENT. THE RETURN IS PREPARED BY IPRO'S INDEPENDENT PUBLIC ACCOUNTING FIRM. THE FINAL FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THEN DISTRIBUTED TO THE ENTIRE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>IPRO REQUIRES ITS BOARD OF DIRECTORS, CORPORATE OFFICERS, EMPLOYEES AND SUBCONTRACTORS TO AVOID ENGAGING IN ANY ACTIVITY THAT MIGHT INTERFERE WITH, OR APPEAR TO INTERFERE WITH, THE INDEPENDENT EXERCISE OF JUDGMENT IN SITUATIONS WHERE PERSONAL INTERESTS MIGHT DETRACT FROM OR CONFLICT WITH IPRO'S BEST INTERESTS OR THE INTEREST OF ITS CUSTOMERS OR SUPPLIERS. UNDER IPRO'S CONFLICT OF INTEREST MONITORING PROGRAM, KEY PERSONS (E.G., MEMBERS OF THE IPRO BOARD OF DIRECTORS, CORPORATE OFFICERS/EXECUTIVES AT THE VICE PRESIDENT LEVEL, MEDICAL DIRECTORS, HIGHLY COMPENSATED EMPLOYEES, AND PERSONS IDENTIFIED AS KEY PERSONS) ARE REQUIRED TO FILE ANNUAL CONFLICT OF INTEREST STATEMENTS TO DISCLOSE ARRANGEMENTS THAT MAY BE VIEWED AS AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST. IN THE EVENT THAT ANY INDIVIDUAL CONFLICTS OF INTEREST ARISE ON THE PART OF BOARD MEMBERS, CORPORATE OFFICERS/EXECUTIVES, EMPLOYEES OR ANY OF ITS SUBCONTRACTORS, IPRO WILL UTILIZE MITIGATION TECHNIQUES OR PROCEDURES THAT WILL ALLOW FOR MAXIMUM FLEXIBILITY TO RESOLVE OR TO AVOID ACTUAL, APPARENT OR POTENTIAL CONFLICTS OF INTEREST. AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF SUCH INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OR COMPLIANCE COMMITTEE. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMPLIANCE COMMITTEE MEETING TO ANSWER ANY QUESTIONS, BUT AFTER THE PRESENTATION, HE/SHE MUST LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE REMAINING BOARD OR COMPLIANCE COMMITTEE MEMBERS MUST DECIDE IF A CONFLICT OF INTEREST EXISTS. IN INSTANCES WHERE IT IS DETERMINED THAT AN ACTUAL, APPARENT OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE COMPLIANCE OFFICER WILL CONSULT WITH OUTSIDE LEGAL COUNSEL TO DETERMINE WHAT CONDITION OR RESTRICTIONS SHOULD BE IMPOSED TO MANAGE, REDUCE AND/OR ELIMINATE THE CONFLICT. THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS MUST CONTAIN: (I)THE TERMS APPROVED, (II) THE NAMES OF THOSE INDIVIDUALS WHO PARTICIPATED IN THE DISCUSSION AND VOTE ON THE TRANSACTION, (III) THE NAMES OF ANY INDIVIDUALS WHO WERE RECUSED FROM THE DISCUSSION AND VOTE, (IV) THE COMPARABILITY DATA OBTAINED AND RELIED UPON, (V) IF THE APPROVED TERMS DIFFER MATERIALLY FROM THOSE OF THE OBTAINED COMPARABILITY DATA, AN EXPLANATION OF THE BOARD OR AUTHORIZED BOARD COMMITTEE'S DETERMINATION THAT THE TRANSACTION WAS NEVERTHELESS APPROPRIATE, AND (VI) CONSIDERATION OF ANY ALTERNATIVE TRANSACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>IPRO'S EXECUTIVE COMPENSATION COMMITTEE IS THE GOVERNING BODY THAT REVIEWS AND APPROVES COMPENSATION OF ITS TOP MANAGEMENT OFFICIAL, IPRO'S CHIEF EXECUTIVE OFFICER (CEO). THE DELIBERATION PROCESS USED BY THE EXECUTIVE COMPENSATION COMMITTEE INCLUDES THE USE OF COMPARABLE DATA AT SIMILARLY SITUATED ORGANIZATIONS. IPRO HIRED AN INDEPENDENT CONSULTING FIRM TO CONDUCT A COMPENSATION SURVEY IN 2024. COMMITTEE MEMBERS ARE SELECTED ANNUALLY BY THE BOARD PRESIDENT, WITH THE AFFIRMATIVE VOTE OF THE BOARD OF DIRECTORS. OTHER OFFICERS AND KEY EMPLOYEES (SENIOR VICE PRESIDENTS AND VICE PRESIDENTS) ARE SUBJECT TO SALARY SURVEY COMPARABILITY UPON HIRING AND ANNUALLY PARTICIPATE IN A BOARD-APPROVED MERIT REVIEW EVALUATION BY THEIR RESPECTIVE SUPERIORS. CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATIONS AND DECISIONS IS MAINTAINED. THIS PROCESS WAS LAST UNDERTAKEN IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND CAN ALSO BE VIEWED AT IPRO'S CORPORATE HEADQUARTERS. ADDITIONALLY, THE FORM 990 IS AVAILABLE ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYROLL SERVICE FEES: PROGRAM SERVICE EXPENSES 70,122. MANAGEMENT AND GENERAL EXPENSES 31,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 101,522. PHYSICIAN ADVISORS: PROGRAM SERVICE EXPENSES 1,324,348. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,324,348. CONSULTANTS: PROGRAM SERVICE EXPENSES 270,868. MANAGEMENT AND GENERAL EXPENSES 121,292. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 392,160. SUB-CONTRACTORS: PROGRAM SERVICE EXPENSES 17,320,815. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,320,815. BOARD EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,949. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,949. NON-PHYSICIAN CONSULTANTS: PROGRAM SERVICE EXPENSES 8,491,494. MANAGEMENT AND GENERAL EXPENSES 387,892. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,879,386.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON THE DISPOSAL OF EQUIPMENT -71,430. GAIN ON TERMINATION OF LEASE 197,876.</ExplanationTxt>
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