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      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ANTOINE EL KHOURY</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>294770</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>MARIO FLORES</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>236338</BaseCompensationFilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>CRAIG MARTIN</NamePerson>
        <Title>PHYSICIAN</Title>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>MICHAEL KAPLAN</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>197907</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JOSE NAJERA FLORES</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>159486</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
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        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoanTable>
        <NamePerson>MICHAEL KAPLAN</NamePerson>
        <RelationshipWithOrganization>HIGHEST PAID EMPLOYEE</RelationshipWithOrganization>
        <PurposeOfLoan>MORTGAGE NOTE AGREEMENT</PurposeOfLoan>
        <LoanToOrganization>X</LoanToOrganization>
        <OriginalPrincipalAmount>115000</OriginalPrincipalAmount>
        <BalanceDue>106676</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>1</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>106676</TotalBalanceDue>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>MANAGEMENT WORKS WITH THE CHP'S EXTERNAL AUDITORS TO PREPARE THE FINANCIAL INFORMATION AND COMPILE THE DISCLOSURES REQUIRED FOR THE FORM 990. UPON ITS COMPLETION, THE BOARD OF DIRECTORS REVIEW THE FORM 990 PRIOR TO SUBMISSION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>BOARD MEMBERS AND KEY EMPLOYEES REVIEW AND SIGN-OFF ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15A</ReturnReference>
        <Explanation>COMPENSATION FOR THE CEO IS DISCUSSED AND VOTED UPON BY THE BOARD. A SALARY SURVEY IS USED IN DETERMINING COMPENSATION AND MINUTES ARE MAINTAINED.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>CHP'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. CHP'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND CAN BE FOUND AT THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>