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        <ServicesDesc>vision service</ServicesDesc>
        <CompensationAmt>2346235</CompensationAmt>
      </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>1651387</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>8</CntrctRcvdGreaterThan100KCnt>
      <TotalContributionsAmt>0</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>FEES AND CONTRACTS FROM GOVT.</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>574717987</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>574717987</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>574717987</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2534773</TotalRevenueColumnAmt>
        <ExclusionAmt>2534773</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
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      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
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      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>577252760</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>574717987</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2534773</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>0</TotalAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>0</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>0</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>60428583</TotalAmt>
        <ManagementAndGeneralAmt>60428583</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>0</TotalAmt>
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      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>0</TotalAmt>
      </InformationTechnologyGrp>
      <RoyaltiesGrp>
        <TotalAmt>0</TotalAmt>
      </RoyaltiesGrp>
      <OccupancyGrp>
        <TotalAmt>0</TotalAmt>
      </OccupancyGrp>
      <TravelGrp>
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      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>0</TotalAmt>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>0</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL EXPENSES</Desc>
        <TotalAmt>490033331</TotalAmt>
        <ProgramServicesAmt>490033331</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>NETWORK ACCESS IMPROV PROGRAM</Desc>
        <TotalAmt>30497016</TotalAmt>
        <ProgramServicesAmt>30497016</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLAIMS ADJUSTMENT EXPENSE</Desc>
        <TotalAmt>2160338</TotalAmt>
        <ProgramServicesAmt>2160338</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PREMIUM DEFICIENCY RESERVE</Desc>
        <TotalAmt>3800000</TotalAmt>
        <ProgramServicesAmt>3800000</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>526490685</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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      <SavingsAndTempCashInvstGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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        <EOYAmt>11163863</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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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>0</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipBasisNetGrp>
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      <InvestmentsPubTradedSecGrp>
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      <InvestmentsOtherSecuritiesGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>528019</EOYAmt>
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        <EOYAmt>150006959</EOYAmt>
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      <GrantsPayableGrp>
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      <DeferredRevenueGrp>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>45103028</BOYAmt>
        <EOYAmt>60072643</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrgDoesNotFollowSFAS117Ind>X</OrgDoesNotFollowSFAS117Ind>
      <CapStkTrPrinCurrentFundsGrp>
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        <EOYAmt>0</EOYAmt>
      </CapStkTrPrinCurrentFundsGrp>
      <PdInCapSrplsLandBldgEqpFundGrp>
        <BOYAmt>1576000</BOYAmt>
        <EOYAmt>1576000</EOYAmt>
      </PdInCapSrplsLandBldgEqpFundGrp>
      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>98024824</BOYAmt>
        <EOYAmt>88358316</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>144703852</BOYAmt>
        <EOYAmt>150006959</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-9666508</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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      <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>577252760</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>577252760</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>577252760</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>586919268</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>586919268</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>586919268</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>610659</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>38564</DeferredCompRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>649223</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Roberto De La Cruz MD</PersonNm>
        <TitleTxt>chief medical officer</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>510692</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>32225</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>6930</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>549847</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Frederick P Cerise MD</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>838032</CompensationBasedOnRltdOrgsAmt>
        <OtherCompensationRltdOrgsAmt>16792</OtherCompensationRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>48289</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18358</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>921471</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Timothy C Bahe</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>319912</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>12226</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>13416</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>319912</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>25642</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barry S Lachman MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>303414</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>19053</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>11127</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>303414</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>30180</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Kowalski</PersonNm>
        <TitleTxt>INTERIM EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>194187</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>12528</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18358</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194187</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>30886</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ava Norris</PersonNm>
        <TitleTxt>Director Health Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>155440</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7830</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6930</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>170200</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nneka Cos-Okpalla</PersonNm>
        <TitleTxt>Manager Pharmacy Benefits Svs</TitleTxt>
        <BaseCompensationFilingOrgAmt>131300</BaseCompensationFilingOrgAmt>
        <DeferredCompRltdOrgsAmt>9102</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>10969</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>131300</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>20071</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>esmaeil porsa md</PersonNm>
        <TitleTxt>chief strategy &amp; integration</TitleTxt>
        <CompensationBasedOnRltdOrgsAmt>519616</CompensationBasedOnRltdOrgsAmt>
        <DeferredCompRltdOrgsAmt>31522</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsRltdOrgsAmt>18358</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationRltdOrgsAmt>569496</TotalCompensationRltdOrgsAmt>
      </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: NONE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DALLAS COUNTY HOSPITAL DISTRICT</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75235</ZIPCd>
        </USAddress>
        <EIN>756004221</EIN>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75247</ZIPCd>
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        <LegalDomicileStateCd>TX</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKLAND HLTH HOSPITAL SYSTEM AUXILIARY</BusinessNameLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
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        </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>
      <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>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>dallas county hospital district</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>m</TransactionTypeTxt>
        <InvolvedAmt>4912219</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>dallas county hospital district</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>30497016</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>parkland center for clinical innovation</BusinessNameLine1Txt>
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        <TransactionTypeTxt>p</TransactionTypeTxt>
        <InvolvedAmt>323054</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>accrual</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>