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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalOtherCompensationAmt>132662</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON MEDICAL SURGICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>SUPPLIER</ServicesDesc>
        <CompensationAmt>1858284</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CB 110 LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>FACILITIES RENT</ServicesDesc>
        <CompensationAmt>1612786</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FIRST AMERICAN EQUIPMENT FINANCIAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>EQUIPMENT ELASE</ServicesDesc>
        <CompensationAmt>777843</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SANOFI PASTEUR INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>VACCINES</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LABCORP OF AMERICA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ServicesDesc>SUPPLIER</ServicesDesc>
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      </ContractorCompensationGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
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        <FundraisingAmt>38257</FundraisingAmt>
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        <ProgramServicesAmt>3379029</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>16336</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>78052</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100741</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>48039</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>277814</TotalAmt>
        <ProgramServicesAmt>41672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>236142</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>2181422</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242380</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>126584</TotalAmt>
        <ProgramServicesAmt>94938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31646</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>170873</TotalAmt>
        <ManagementAndGeneralAmt>170873</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>1367581</TotalAmt>
        <ProgramServicesAmt>820549</ProgramServicesAmt>
        <ManagementAndGeneralAmt>547032</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>172065</TotalAmt>
        <ProgramServicesAmt>111842</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60223</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>4569416</TotalAmt>
        <ProgramServicesAmt>4162142</ProgramServicesAmt>
        <ManagementAndGeneralAmt>407274</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONTRACTUAL SERVICES</Desc>
        <TotalAmt>1773738</TotalAmt>
        <ProgramServicesAmt>1241617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>532121</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSE &amp; FEES</Desc>
        <TotalAmt>700972</TotalAmt>
        <ProgramServicesAmt>350486</ProgramServicesAmt>
        <ManagementAndGeneralAmt>350486</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TELEPHONE</Desc>
        <TotalAmt>553822</TotalAmt>
        <ProgramServicesAmt>470749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>83073</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>849377</TotalAmt>
        <ProgramServicesAmt>711381</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137996</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>39774841</TotalAmt>
        <ProgramServicesAmt>31549393</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8187191</ManagementAndGeneralAmt>
        <FundraisingAmt>38257</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <DonorRestrictionNetAssetsGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>5851294</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-336988</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc8">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>7025313</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8385243</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9992226</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13672039</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearAmt>13672039</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>46158737</PublicSupportTotal170Amt>
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      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <DepreciationAmt>812697</DepreciationAmt>
        <BookValueAmt>870952</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>10999454</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASES</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER NON CURRENT LIABILITIES</Desc>
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      <TotalRevEtcAuditedFinclStmtAmt>45626135</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>45626135</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>45626135</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>39774841</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>39774841</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>39774841</TotalExpensesPerForm990Amt>
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PETER RICE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>346741</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>750</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>11963</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>359454</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JUAN PEREZ-GOMEZ</PersonNm>
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        <TotalCompensationFilingOrgAmt>350854</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN MELK MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsFilingOrgAmt>6885</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID MERREL</PersonNm>
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        <BonusFilingOrganizationAmount>800</BonusFilingOrganizationAmount>
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        <NontaxableBenefitsFilingOrgAmt>11960</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>205247</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAC MCPHERRAN</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>25368</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>181633</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleM documentId="RetDoc6">
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>1175471</NoncashContributionsRptF990Amt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO REVIEWS THE 990 AND THEN PRESENTS TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW. THE FINANCE COMMITTEE PRESENTS TO THE BOARD OF DIRECTORS FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED, APPROVED AND SIGNED ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR KEY EMPLOYEES AND TOP OFFICIALS IS REVIEWED AND APPROVED BY BOTH HUMAN RESOURCES AND FINANCE. RATES OF COMPARABLE HEALTH CENTERS ARE REVIEWED AND RANGES ARE APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR KEY EMPLOYEES IS REVIEWED AND APPROVED BY BOTH HUMAN RESOURCES AND FINANCE. RATES OF COMPARABLE HEALTH CENTERS ARE REVIEWED AND RANGES ARE APPROVED BY THE BOARD OF DIRECTORS. OFFICERS AND BOARD OF DIRECTOR'S MEMBERS ARE NOT COMPENSATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC AT EACH MONTHLY BOARD OF DIRECTORS MEETING AND UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
