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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11660</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robin Moore</PersonNm>
        <TitleTxt>executive director</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>99874</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11449</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>838847</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>71568</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>3</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Blue Cross Blue Shield</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO Box 731428</AddressLine1>
            <City>Dallas</City>
            <State>TX</State>
            <ZIPCode>753731428</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Provider</ServicesDesc>
        <CompensationAmt>267906</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Laboratory Corp of America</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO Box 12140</AddressLine1>
            <City>Burlington</City>
            <State>NC</State>
            <ZIPCode>272162140</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Med/dental lab svs</ServicesDesc>
        <CompensationAmt>103720</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2715462</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>10000</AllOtherContributionsAmt>
      <TotalContributionsAmt>2725462</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Medicare/Medicaid</Desc>
        <TotalRevenueColumnAmt>1265106</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1265106</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>774303</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>2039409</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1227</TotalRevenueColumnAmt>
        <ExclusionAmt>1227</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>13800</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>13800</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>13800</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13800</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <NetIncomeOrLossGrp>
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      </NetIncomeOrLossGrp>
      <OtherRevenueTotalAmt>0</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>2053209</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1227</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>341448</TotalAmt>
        <ManagementAndGeneralAmt>341448</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>1805266</ProgramServicesAmt>
        <ManagementAndGeneralAmt>340371</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>109090</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9729</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>201010</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57760</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ManagementAndGeneralAmt>53113</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
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      <OfficeExpensesGrp>
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      <InformationTechnologyGrp>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>55731</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ManagementAndGeneralAmt>16377</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
        <TotalAmt>0</TotalAmt>
      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>46268</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      <DepreciationDepletionGrp>
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        <ManagementAndGeneralAmt>9616</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>11092</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22027</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <TotalAmt>394435</TotalAmt>
        <ProgramServicesAmt>337185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>57250</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Consumable Supplies</Desc>
        <TotalAmt>271713</TotalAmt>
        <ProgramServicesAmt>264694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7019</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Recruiting and Training</Desc>
        <TotalAmt>143989</TotalAmt>
        <ProgramServicesAmt>124800</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19189</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Maintenance</Desc>
        <TotalAmt>97682</TotalAmt>
        <ProgramServicesAmt>80162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17520</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>135879</TotalAmt>
        <ProgramServicesAmt>47018</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88861</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>4527945</TotalAmt>
        <ProgramServicesAmt>3385666</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1142279</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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      <SavingsAndTempCashInvstGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <ReceivablesFromOfficersEtcGrp>
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      <OthNotesLoansReceivableNetGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>18777</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>3563851</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1734857</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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      <InvestmentsPubTradedSecGrp>
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      <InvestmentsOtherSecuritiesGrp>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>1080969</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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        <EOYAmt>1950579</EOYAmt>
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        <EOYAmt>3031548</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>251953</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="13000170" softwareVersion="2013v4.0">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus1YearAmt>1972518</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2725463</CurrentTaxYearAmt>
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      <TaxRevLeviedOrgnztnlBnft170Grp>
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      <GovtFurnSrvcFcltsVl170Grp>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2646147</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2744364</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1972518</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>12397466</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>12397466</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>7933</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4843</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9025</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9054</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15027</CurrentTaxYearAmt>
        <TotalAmt>45882</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
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      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <TotalAmt>0</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>12443348</TotalSupportAmt>
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      <PublicSupportPY170Pct>0.99630</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="13000170" softwareVersion="2013v4.0">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="13000170" softwareVersion="2013v4.0">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>129059</InvestmentCostOrOtherBasisAmt>
        <BookValueAmt>129059</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>2451992</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>916299</DepreciationAmt>
        <BookValueAmt>1535693</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>7500</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>1500</DepreciationAmt>
        <BookValueAmt>6000</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>975300</InvestmentCostOrOtherBasisAmt>
        <DepreciationAmt>817058</DepreciationAmt>
        <BookValueAmt>158242</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1828994</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Accrued Liabilities</Desc>
        <Amt>254972</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>254972</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4779898</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>4779898</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4779898</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4527945</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4527945</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4527945</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="13000170" softwareVersion="2013v4.0">
      <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>Emmeken Otte MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>169776</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4532</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6080</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>180388</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James Koerner MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>292918</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6080</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>309748</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000170" softwareVersion="2013v4.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a: Explanation of Delegated Broad Authority to Committee</FormAndLineReferenceDesc>
        <ExplanationTxt>Per the operating by-laws of the organization, the Executive Committee shall consist of all Board Officers, with the Board Chairperson serving as Committee Chair. The Executive Committee shall act on behalf of the full Board between regular meetings and in emergency situations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 990 is reviewed by the executive director and compared to the audited financial statements. In the rare instance of any differences, the executive director reviews with the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE EXECUTIVE DIRECTOR, 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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>