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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>50059893</RelatedOrExemptFuncIncomeAmt>
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        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1136118</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>51299649</RelatedOrExemptFuncIncomeAmt>
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        <ProgramServicesAmt>10792281</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2551915</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3300230</ProgramServicesAmt>
        <ManagementAndGeneralAmt>916139</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1699970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1540762</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>38901</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78223</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>2164793</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8607</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>578708</ProgramServicesAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>217123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>232656</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1372191</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>285965</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLAIM PAID AND IBRN</Desc>
        <TotalAmt>23460269</TotalAmt>
        <ProgramServicesAmt>23460269</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DRUG AND MEDICINE</Desc>
        <TotalAmt>2083441</TotalAmt>
        <ProgramServicesAmt>2083441</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIR AND MAINTENANCE</Desc>
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        <ProgramServicesAmt>2030315</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>UTILITIES</Desc>
        <TotalAmt>1280725</TotalAmt>
        <ProgramServicesAmt>1280725</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>677237</TotalAmt>
        <ProgramServicesAmt>90507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>586730</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>55310540</TotalAmt>
        <ProgramServicesAmt>49395419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5915121</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>33922402</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1723326</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>972419</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2817030</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>439832</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>251788</BOYAmt>
        <EOYAmt>441698</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>33682314</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8760765</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>22518165</BOYAmt>
        <EOYAmt>24921549</EOYAmt>
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      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>1872521</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>404314</BOYAmt>
        <EOYAmt>59233</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>61372162</BOYAmt>
        <EOYAmt>67170010</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2336010</BOYAmt>
        <EOYAmt>3212192</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2336010</BOYAmt>
        <EOYAmt>3212192</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>58905098</BOYAmt>
        <EOYAmt>63905386</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>131054</BOYAmt>
        <EOYAmt>52432</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>59036152</BOYAmt>
        <EOYAmt>63957818</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>61372162</BOYAmt>
        <EOYAmt>67170010</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>4921666</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="1" softwareId="16000207">
      <HospitalInd>X</HospitalInd>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="2" softwareId="16000207">
      <InclEscrowCustodialAcctLiabInd>false</InclEscrowCustodialAcctLiabInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>2621298</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2621298</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>21345766</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3887854</DepreciationAmt>
        <BookValueAmt>17457912</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3497491</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1269279</DepreciationAmt>
        <BookValueAmt>2228212</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>5758667</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3286009</DepreciationAmt>
        <BookValueAmt>2472658</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>459092</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>317623</DepreciationAmt>
        <BookValueAmt>141469</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>24921549</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>60232206</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>60232206</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>60232206</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>55310540</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>55310540</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>55310540</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="3" softwareId="16000207">
      <WrittenPolicyRefTAndEExpnssInd>false</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GLORIA DEL C AMAD</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTO</TitleTxt>
        <BaseCompensationFilingOrgAmt>198071</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>198071</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="5" softwareId="16000207">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>I LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE EXCELLENT AMBULATORY AND HOME HEALTH CARE SERVICE IN A SAFE ENVIRONMENT TO PROCURE THE PHYSICAL, MENTAL AND SOCIAL WELL BEING OF THE RESIDENTS OF OUR COMMUNITY. PROVIDE PREVENTIVE, PRIMARY AND HOME HEALTH MEDICAL SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>III LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE EXCELLENT AMBULATORY AND HOME HEALTH CARE SERVICE IN A SAFE ENVIORMENT TO PROCURE THE PHYSICAL, MENTAL AND SOCIAL WELL BEING OF THE RESIDENTS OF OUR COMMUNITY. PROVIDE PREVENTIVE, PRIMARY AND HOME HEALTH MEDICAL SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VI LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>ONCE FORM 990 IS COMPLETED, THE DRAFT IS REVIEWED BY MANAGEMENT AND COPY IS HANDED TO THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VI LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN A BOARD OF DIRECTORS MEETING, THE DIRECTORS DISCUSS THE COMPENSATION FOR THE KEY EMPLOYEE. EVALUATES COMPENSATION CRITERIA, COMPARE TO SIMILAR ORGANIZATIONS PERFORMANCE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VI LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS AS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>VII LINE I</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING BODY DO NOT RECEIVE COMPENSATION. THE SALUD INTEGRAL DE LA MONTANA, INC. ORGANIZATION HAVE TWO VACANCY PLACE IN THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE O</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IX LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAINING TOTAL EXPENSES-$98431.00 PROGRAM SERVICE EXPENSES- $14383.00 MGMT AND GENERAL EXPENSES-$84048.00 FUNDRAISING EXPENSES-$0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IX LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>BANK CHARGES TOTAL EXPENSES- $37776.00 PROGRAM SERVICES EXPENSES- $0.00 MGMT AND GENERAL EXPENSES- $37776.00 FUNDRAISING EXPENSES-$0.00</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IX LINE 24E</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER TOTAL EXPENSES-$541030.00 PROGRAM SERVICES EXPENSES- $76124.00 MGMT AND GENERAL EXPENSES-$464906.00 FUNDRAISING EXPENSES-$0.00</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>