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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Berta Jean Kemp</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>
      <TotalReportableCompFromOrgAmt>1520606</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>151111</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>eClinicalWorks LLC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 Technology Dr</AddressLine1Txt>
            <CityNm>Westborough</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01581</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>software</ServicesDesc>
        <CompensationAmt>368127</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>8700405</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1920846</AllOtherContributionsAmt>
      <TotalContributionsAmt>10621251</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Patient fees</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>8074844</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>8074844</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>8074844</TotalProgramServiceRevenueAmt>
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      </InvestmentIncomeGrp>
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      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <PersonalAmt>66587</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>66587</RelatedOrExemptFuncIncomeAmt>
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      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-57285</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-57285</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-57285</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>18753953</TotalRevenueColumnAmt>
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        <ExclusionAmt>0</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>740622</TotalAmt>
        <ProgramServicesAmt>311922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>428700</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9100607</TotalAmt>
        <ProgramServicesAmt>7232499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1868108</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>327083</TotalAmt>
        <ProgramServicesAmt>255273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71810</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>931528</TotalAmt>
        <ProgramServicesAmt>718420</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213108</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>625004</TotalAmt>
        <ProgramServicesAmt>491118</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133886</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>9016</TotalAmt>
        <ManagementAndGeneralAmt>9016</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>66716</TotalAmt>
        <ManagementAndGeneralAmt>66716</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>668834</TotalAmt>
        <ProgramServicesAmt>594711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74123</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>596412</TotalAmt>
        <ProgramServicesAmt>515462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80950</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>485140</TotalAmt>
        <ProgramServicesAmt>242469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242671</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>99499</TotalAmt>
        <ProgramServicesAmt>72756</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26743</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>691831</TotalAmt>
        <ProgramServicesAmt>552693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>139138</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>108994</TotalAmt>
        <ProgramServicesAmt>79618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29376</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
        <TotalAmt>1777638</TotalAmt>
        <ProgramServicesAmt>1650129</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127509</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Repairs and maintenance</Desc>
        <TotalAmt>619199</TotalAmt>
        <ProgramServicesAmt>474518</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144681</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Electronic claims processing</Desc>
        <TotalAmt>405485</TotalAmt>
        <ProgramServicesAmt>397424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8061</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Dues and licenses</Desc>
        <TotalAmt>304381</TotalAmt>
        <ProgramServicesAmt>252280</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52101</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>86662</TotalAmt>
        <ProgramServicesAmt>49817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36845</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>17644651</TotalAmt>
        <ProgramServicesAmt>13891109</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3753542</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7032414</BOYAmt>
        <EOYAmt>6658129</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>292988</BOYAmt>
        <EOYAmt>49145</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>95275</BOYAmt>
        <EOYAmt>652904</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>1310831</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>347608</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>315189</BOYAmt>
        <EOYAmt>394083</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>20735810</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7463362</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>10659120</BOYAmt>
        <EOYAmt>13272448</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>1847659</BOYAmt>
        <EOYAmt>1635081</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>194397</BOYAmt>
        <EOYAmt>219723</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
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        <EOYAmt>24539952</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1280980</BOYAmt>
        <EOYAmt>1220542</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>1233800</BOYAmt>
        <EOYAmt>2783575</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2514780</BOYAmt>
        <EOYAmt>4004117</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>19278816</BOYAmt>
        <EOYAmt>20360109</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>163848</BOYAmt>
        <EOYAmt>175726</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>19442664</BOYAmt>
        <EOYAmt>20535835</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>21957444</BOYAmt>
        <EOYAmt>24539952</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1109302</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-16131</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="990A">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>7003516</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7987253</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8537521</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12615351</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10621251</CurrentTaxYearAmt>
        <TotalAmt>46764892</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>7003516</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>7987253</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8537521</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>12615351</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10621251</CurrentTaxYearAmt>
        <TotalAmt>46764892</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>46764892</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>60134</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>69384</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>133337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>146295</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>57858</CurrentTaxYearAmt>
        <TotalAmt>467008</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>47231900</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>33663819</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99010</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98890</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="990D">
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        <OtherCostOrOtherBasisAmt>1927844</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1927844</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>4539434</DepreciationAmt>
        <BookValueAmt>8980369</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>781030</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>612604</DepreciationAmt>
        <BookValueAmt>168426</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>2250336</DepreciationAmt>
        <BookValueAmt>1219580</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1037217</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>60988</DepreciationAmt>
        <BookValueAmt>976229</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>13272448</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>Corp bonds mutual fund CD</Desc>
        <BookValueAmt>1635081</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1635081</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>Deposits</Desc>
        <BookValueAmt>25271</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Receivable - other</Desc>
        <BookValueAmt>186192</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>Accrued interest income</Desc>
        <BookValueAmt>8260</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>219723</TotalBookValueOtherAssetsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>18737822</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-16131</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-16131</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>18753953</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>18753953</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>17644651</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>17644651</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>17644651</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
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      <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>245289</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21519</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>266808</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Victori Chou</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>154190</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13756</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167946</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lane M Lunn</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>191966</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35770</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>227736</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Victoria Wiggins</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>138842</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14732</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153574</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Bogden Maliszewski</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>195009</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18473</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>213482</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christian Hernandez Nazario</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>183626</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17525</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>201151</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Russell Robinson</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>188556</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9154</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>197710</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Wasserman</PersonNm>
        <TitleTxt>Provider</TitleTxt>
        <BaseCompensationFilingOrgAmt>223128</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20182</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>243310</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>