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      <GrossReceiptsRltdActivitiesAmt>89569228</GrossReceiptsRltdActivitiesAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <ZIPCode>RESTRICTED</ZIPCode>
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        <DepreciationAmt>2698942</DepreciationAmt>
        <BookValueAmt>1071751</BookValueAmt>
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        <BookValueAmt>2149589</BookValueAmt>
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        <BookValueAmt>594346</BookValueAmt>
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      <OtherAssetsOrgGrp>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLE</Desc>
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      <OtherLiabilitiesOrgGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ROU LIABILITIES</Desc>
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      <RevenueNotReportedFinclStmtAmt>2306709</RevenueNotReportedFinclStmtAmt>
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      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
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        <GrossRevenueEvent1Amt>33986</GrossRevenueEvent1Amt>
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        <GrossReceiptsTotalAmt>172256</GrossReceiptsTotalAmt>
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        <GrossRevenueTotalEventsAmt>33986</GrossRevenueTotalEventsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>OB/GYN PROVIDER</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>DR VANDANA VARMA</PersonNm>
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        <BaseCompensationFilingOrgAmt>299339</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7500</BonusFilingOrganizationAmount>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NoncashContributionsRptF990Amt>2340973</NoncashContributionsRptF990Amt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
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        <ExplanationTxt>Drugs and medical supplies - NUMBER OF CONTRIBUTIORS Other - MEALS NUMBER OF CONTRIBUTOR</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b COMPENSATION REVIEW</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR OTHER MANAGEMENT POSITIONS, INCLUDING CFO, COO, MEDICAL DIRECTOR, IT DIRECTOR, AND DIRECTOR OF CLINICAL SERVICES AND QUALITY IMPROVEMENT ARE DETERMINED BY THE CEO. THAT PROCESS LAST OCCURRED IN DECEMBER 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS FORM IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS FIRST REVIEWED BY THE CFO AND THE CEO OF THE ORGANIZATION. IT IS THEN PRESENTED TO THE FINANCE COMMITTEE MEETING FOR REVIEW. FINALLY, IT IS PRESENTED DURING A BOARD MEETING FOR FURTHER REVIEW BY THE BOARD MEMBERS BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BOARD, BY RESOLUTION, SHALL ESTABLISH, ADOPT, AND PERIODICALLY UPDATE A WRITTEN STANDARDS OF CONDUCT APPLICABLE TO MEMBERS OF THE BOARD THAT ESTABLISHES PROCEDURES FOR, AMONG OTHER THINGS: (I) DISCLOSING AND ADDRESSING CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST, (II) MAINTAINING THE CONFIDENTIALITY OF INFORMATION (WHETHER WRITTEN, ORAL, OR CONTAINED IN VIDEO TAPES, AUDIO TAPES OR COMPUTER DISKETTES) OBTAINED BY A BOARD MEMBER BY VIRTUE OF HIS OR HER POSITION, DIRECTLY OR INDIRECTLY RELATED TO THE CORPORATION'S ADMINISTRATIVE, MANAGERIAL AND CLINICAL OPERATIONS, (III) PROHIBITING THE ACCEPTANCE OR SOLICITATION OF GIFTS, GRATUITIES OR FAVORS OF SUBSTANTIAL MONETARY VALUE, AND (IV) DISCIPLINARY ACTIONS FOR VIOLATIONS OF THE STANDARDS OF CONDUCT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW OF THE ORGANIZATION'S CEO AND THE BOARD OF DIRECTORS APPROVE THE FINAL COMPENSATION THAT THE COMMITTEE PROPOSES. THE PROCESS TO DETERMINE CEO COMPENSATION IS RECORDED IN THE BOARD MINUTES. THE COMPENSATION REVIEW PROCESS FOR THE CEO OCCURRED IN DECEMBER 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALL BOARD MEETINGS ARE OPEN TO THE PUBLIC, UNLESS EXECUTIVE MEETING IS CALLED. MINUTES ARE PUBLISHED MONTHLY AND DISTRIBUTED TO BOARD MEMBERS AND OPEN TO PUBLIC FOR APPROPRIATE REASON, UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON UNCOLLECTIBLE CONTRIBUTIONS - -224960;</ExplanationTxt>
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