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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Martinez</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>5.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1864826</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3490732</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>478317</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>9</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Aetna Life Insurance Company</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2777 Stemmons Freeway Suite 300</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75207</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Administration</ServicesDesc>
        <CompensationAmt>36388032</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Superior Vision</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6300 Ridglea Place 312</AddressLine1Txt>
            <CityNm>FORT WORTH</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>76116</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>vision service</ServicesDesc>
        <CompensationAmt>4857636</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Navitus Health Solutions</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2601 West Beltline Hwy Suite 600</AddressLine1Txt>
            <CityNm>MADISON</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53713</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Pharmacy Services</ServicesDesc>
        <CompensationAmt>3500800</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Beacon Health Strategies</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>200 State St Suite 302</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>mental health svs.</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Envolve PeopleCare Inc</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>20 Batterson Park Rd</AddressLine1Txt>
            <CityNm>FARMINGTON</CityNm>
            <StateAbbreviationCd>CT</StateAbbreviationCd>
            <ZIPCd>06032</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>case management</ServicesDesc>
        <CompensationAmt>1586159</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <TotalContributionsAmt>0</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>FEES AND CONTRACTS FROM GOVT.</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>572625680</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>572625680</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>572625680</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2716741</TotalRevenueColumnAmt>
        <ExclusionAmt>2716741</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>32071684</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>32104266</SecuritiesAmt>
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      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-32582</TotalRevenueColumnAmt>
        <ExclusionAmt>-32582</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
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      </NetIncomeOrLossGrp>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>575309839</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>572625680</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2684159</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
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      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>49983266</TotalAmt>
        <ManagementAndGeneralAmt>49983266</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
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      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
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      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
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      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
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      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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      </InformationTechnologyGrp>
      <RoyaltiesGrp>
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      </RoyaltiesGrp>
      <OccupancyGrp>
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      </OccupancyGrp>
      <TravelGrp>
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      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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      </ConferencesMeetingsGrp>
      <InterestGrp>
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      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
      <DepreciationDepletionGrp>
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      </DepreciationDepletionGrp>
      <InsuranceGrp>
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      <OtherExpensesGrp>
        <Desc>MEDICAL EXPENSES</Desc>
        <TotalAmt>508403776</TotalAmt>
        <ProgramServicesAmt>508403776</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NETWORK ACCESS IMPROV PROGRAM</Desc>
        <TotalAmt>29189019</TotalAmt>
        <ProgramServicesAmt>29189019</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLAIMS ADJUSTMENT EXPENSE</Desc>
        <TotalAmt>3046498</TotalAmt>
        <ProgramServicesAmt>3046498</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PREMIUM DEFICIENCY RESERVE</Desc>
        <TotalAmt>2918612</TotalAmt>
        <ProgramServicesAmt>2918612</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>10179931</TotalAmt>
        <ManagementAndGeneralAmt>10179931</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>603721102</TotalAmt>
        <ProgramServicesAmt>543557905</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60163197</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>138315077</BOYAmt>
        <EOYAmt>119657003</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>0</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>11163863</BOYAmt>
        <EOYAmt>7798501</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
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        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipBasisNetGrp>
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      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
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      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>528019</BOYAmt>
        <EOYAmt>389204</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>66499311</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
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        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <LoansFromOfficersDirectorsGrp>
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        <EOYAmt>0</EOYAmt>
      </LoansFromOfficersDirectorsGrp>
      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>0</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>60072643</BOYAmt>
        <EOYAmt>66499311</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowFASB117Ind>X</OrgDoesNotFollowFASB117Ind>
      <CapStkTrPrinCurrentFundsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>1576000</BOYAmt>
        <EOYAmt>1576000</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>127844708</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-28411263</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp />
      <LeaseholdImprovementsGrp />
      <EquipmentGrp />
      <OtherLandBuildingsGrp />
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>575309839</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>575309839</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>575309839</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>603721102</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>603721102</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>603721102</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>fin 48</FormAndLineReferenceDesc>
        <ExplanationTxt>schedule d, part x, line 2: the plan is a not-for-profit corporation exempt from federal income taxes under internal revenue code sections 115 and 501(c)(4). from its inception in 1995, the plan has filed form 990 return for organization exempt from income tax with the internal revenue service (IRS).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <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>david s lopez</PersonNm>
        <TitleTxt>chief operating officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>642552</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>39817</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>682369</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Roberto De La Cruz MD</PersonNm>
        <TitleTxt>EVP &amp; chief Clinical officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>478555</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>25528</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11127</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>515210</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Frederick P Cerise MD</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>896913</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>16211</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>50230</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18358</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>981712</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barry S Lachman MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>299187</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19053</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11127</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>329367</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Kowalski</PersonNm>
        <TitleTxt>Director of Operations</TitleTxt>
        <BaseCompensationFilingOrgAmt>232978</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11971</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12821</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257770</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ava Norris</PersonNm>
        <TitleTxt>VP, Healthcare Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>152352</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9408</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6930</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168690</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nneka Cos-Okpalla</PersonNm>
        <TitleTxt>Director of Pharmacy</TitleTxt>
        <BaseCompensationFilingOrgAmt>146245</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10191</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10969</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167405</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>esmaeil porsa md</PersonNm>
        <TitleTxt>EVP&amp;chief strategy&amp;integration</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>495336</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>32050</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13358</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>540744</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Steve Roth JD</PersonNm>
        <TitleTxt>EVP General Counsel, Secretary</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>427247</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>26044</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18358</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>471649</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard Humphrey</PersonNm>
        <TitleTxt>EVP, CFO, Treasure</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>533918</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>34555</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18358</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>586831</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Wending</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>311610</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17652</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>329262</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Paula Turicchi</PersonNm>
        <TitleTxt>VP, Chief Strategy Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>297944</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18720</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6930</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>323594</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Reigen Lox</PersonNm>
        <TitleTxt>Chief of Staff</TitleTxt>
        <BaseCompensationFilingOrgAmt>152255</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9188</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18358</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>179801</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>METHODS USED TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE J, PART I, LINE 3: Parkland utilizes third-party market data to assess the market value for Parkland's jobs to include those at PCHP. Specifically, we utilize the following for Executive compensation (Vice President and above)-external compensation consultants review every two years based on very specific market match of academic and teaching hospitals and health systems at market median base rates between P50-P75.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DESCRIBE THE PROCESS USED BY MANAGEMENT &amp;/OR GOVERNING BODY TO REVIEW 990</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 11B: The 990 is prepared by an external CPA firm, then reviewed by the Executive Director of the organization and distributed to the Board members before filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPLIANCE WITH THE WRITTEN CONFLICT OF INTEREST POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 12C: Conflict of interest statements are required as part of the annual staff performance review process. Also, Board members are required to file conflict of interest statements with the independent auditors as a requirement of the annual audit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>THE PROCESS OF DETERMINING COMPENSATION</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION B, LINE 15A AND 15B: As employees are actually employees of Dallas County Hospital District, Dallas County Hospital District approves all compensation paid to staff. A compensation committee at Dallas County Hospital District reviews market data annually in order to determine that salary ranges meet market guidelines, and benchmark salaries against similar hospital systems. Compensation is reviewed and approved by the Parkland Health Plan Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART VI, SECTION C, LINE 19: The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CHANGE IN NET ASSETS</FormAndLineReferenceDesc>
        <ExplanationTxt>form 990, part xi, line 9: change in nonadmitted assets: $-177,656</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DALLAS COUNTY HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5201 HARRY HINES BLVD</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75235</ZIPCd>
        </USAddress>
        <EIN>756004221</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKLAND FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2777 N STEMMONS FWY STE 1700</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75207</ZIPCd>
        </USAddress>
        <EIN>752089180</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DCHD</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKLAND CENTER FOR CLINICAL INNOVATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>8435 N STEMMONS FWY STE 1150</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75247</ZIPCd>
        </USAddress>
        <EIN>455363543</EIN>
        <PrimaryActivitiesTxt>SUPPORT DCHD</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DCHD</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKLAND HLTH HOSPITAL SYSTEM AUXILIARY</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5200 HARRY HINES BLVD</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75235</ZIPCd>
        </USAddress>
        <EIN>751662084</EIN>
        <PrimaryActivitiesTxt>VENDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 TYPE III</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>dallas county hospital district</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>4898908</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>dallas county hospital district</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>29189019</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>parkland center for clinical innovation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>551215</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>