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          <USAddress>
            <AddressLine1Txt>PO Box 731428</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753731428</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Provider</ServicesDesc>
        <CompensationAmt>338899</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Medestar</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1603 LBJ Freeway</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75234</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Physican Provider</ServicesDesc>
        <CompensationAmt>183724</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Quatris</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 207025</AddressLine1Txt>
            <CityNm>Dallas</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753207025</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Provider</ServicesDesc>
        <CompensationAmt>154484</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Laboratory Corp of America</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 12140</AddressLine1Txt>
            <CityNm>Burlington</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>272162140</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Med/dental lab svs</ServicesDesc>
        <CompensationAmt>151870</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Mutual of America</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3040 Post Oak Blvd</AddressLine1Txt>
            <CityNm>Houston</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77056</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Retirement Plan</ServicesDesc>
        <CompensationAmt>120047</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>9</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4089027</GovernmentGrantsAmt>
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      <TotalContributionsAmt>4099027</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>1345693</TotalRevenueColumnAmt>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>532712</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>532712</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1878405</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>1714</ExclusionAmt>
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      <RoyaltiesRevenueGrp>
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      <GrossRentsGrp>
        <RealAmt>17950</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncomeFromGamingGrp>
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      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>1896355</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1714</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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      <FeesForServicesLegalGrp>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>11875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20241</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
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        <ManagementAndGeneralAmt>7978</ManagementAndGeneralAmt>
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        <TotalAmt>718398</TotalAmt>
        <ProgramServicesAmt>641400</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Consumable Supplies</Desc>
        <TotalAmt>261602</TotalAmt>
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      <OtherExpensesGrp>
        <Desc>Maintenance</Desc>
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        <ProgramServicesAmt>141066</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>86034</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>4588972</ProgramServicesAmt>
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      <ReconcilationRevenueExpnssAmt>75974</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the CEO and compared to the audited financial statements. In the rare instance of any differences, the CEO reviews with the board.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>annual assurances in grant application and conflict of interest statements signed annually.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE CEO, ANNUAL REVIEW DOCUMENTS ARE COMPLETED BY THE EXECUTIVE COMMITTEE MEMBERS. EACH MEMBER PREPARES A RATING AND REVIEWS WITH THE ENTIRE BOARD IN EXECUTIVE SESSION. A RECOMMENDATION IS PREPARED BY THE EXECUTIVE COMMITTEE ANDPRESENTED TO THE ENTIRE BOARD FOR APPROVAL. FOR OTHER KEY EMPLOYEES COMPENSATION, COMPARABILITY DATA IS REVIEWED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
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</Return>