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        <DepreciationAmt>596481</DepreciationAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>8583841</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>694452</DepreciationAmt>
        <BookValueAmt>7889389</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>14860347</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE PAYABLE</Desc>
        <Amt>7766314</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Rounding</Desc>
        <Amt>1</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>7766315</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>35618357</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>35618357</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>35618357</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>24339906</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>24339906</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>24339906</TotalExpensesPerForm990Amt>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="24020490" softwareVersionNum="2024v5.2">
      <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>
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        <PersonNm>ADILENE MENDOZA</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>5948</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEX DUONG</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>180946</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7314</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>194055</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIANNA HERNANDEZ</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>144505</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5857</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>IDA S TAN</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>186901</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7823</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8114</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIANA BARTOLO SALLES NEVES</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>180385</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3217</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARIAM A MOTT</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>157561</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6379</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5815</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDOLPH P VELASCO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SABRINA COOLEY</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAMIR AHMAD</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>283348</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>289143</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SARAH J LOPEZ</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>189133</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7565</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>256</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>196954</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERINE BOTROS</PersonNm>
        <TitleTxt>CDO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>5999</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VINH T NGO</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>7549</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6095</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>199536</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM WANG</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>177070</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7519</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7950</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>192539</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YURIY MALINSKY</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>195386</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1956</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>285</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>197627</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020490" softwareVersionNum="2024v5.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURN IS EMAILED TO BOARDMEMBERS FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS MUST ADHERE TO THE CONFLICT OF INTEREST POLICY ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS THE SALARY OF THE CEO BASED ON SERVICE ORGANIZATION THAT ARE SIMILAR IN SIZE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REVIEWS SALARY OF KEY EMPLOYEES BASED ON SERVICE ORGANIZATION THAT ARE SIMILAR IN SIZE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>