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            <AddressLine1Txt>7760 OFFICE PLAZA DR S</AddressLine1Txt>
            <CityNm>WEST DES MOINES</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50266</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGED FIREWALL</ServicesDesc>
        <CompensationAmt>295000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WAYSTAR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>111 N CANAL ST</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60606</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING SERVICES</ServicesDesc>
        <CompensationAmt>167780</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2756840</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>19243</AllOtherContributionsAmt>
      <TotalContributionsAmt>2776083</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>13466966</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13466966</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>BILLING SERVICES</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>379130</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>379130</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>13846096</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>89877</TotalRevenueColumnAmt>
        <ExclusionAmt>89877</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>772905</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>959669</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-186764</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-186764</TotalRevenueColumnAmt>
        <ExclusionAmt>-186764</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>17822</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17822</RelatedOrExemptFuncIncomeAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>17822</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>16543114</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13863918</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-96887</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>264489</TotalAmt>
        <ProgramServicesAmt>15879</ProgramServicesAmt>
        <ManagementAndGeneralAmt>248610</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>7508561</TotalAmt>
        <ProgramServicesAmt>6744568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>763993</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>93216</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53455</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>739615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91065</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>573466</TotalAmt>
        <ProgramServicesAmt>506637</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66829</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>17255</TotalAmt>
        <ManagementAndGeneralAmt>17255</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>48149</TotalAmt>
        <ManagementAndGeneralAmt>48149</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>1669652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>91577</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>142182</TotalAmt>
        <ProgramServicesAmt>92953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49229</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>196578</TotalAmt>
        <ProgramServicesAmt>145499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>51079</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>320627</TotalAmt>
        <ProgramServicesAmt>123854</ProgramServicesAmt>
        <ManagementAndGeneralAmt>196773</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>360705</TotalAmt>
        <ProgramServicesAmt>255507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>105198</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>137371</TotalAmt>
        <ProgramServicesAmt>94077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43294</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>23097</TotalAmt>
        <ProgramServicesAmt>14932</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8165</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>62279</TotalAmt>
        <ProgramServicesAmt>40105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22174</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>211687</TotalAmt>
        <ProgramServicesAmt>136318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75369</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>45821</TotalAmt>
        <ProgramServicesAmt>32817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13004</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PHARMACY SUPPLIES</Desc>
        <TotalAmt>2822296</TotalAmt>
        <ProgramServicesAmt>2822296</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>285535</TotalAmt>
        <ProgramServicesAmt>121162</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>15758678</TotalAmt>
        <ProgramServicesAmt>13649087</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2109591</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>45317</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>5150586</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>808471</BOYAmt>
        <EOYAmt>936686</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2255174</EOYAmt>
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        <EOYAmt>155668</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>167895</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5567889</BOYAmt>
        <EOYAmt>4632285</EOYAmt>
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        <EOYAmt>120000</EOYAmt>
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        <EOYAmt>1092451</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>1330466</EOYAmt>
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        <EOYAmt>1391755</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>162589</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2884810</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>10975905</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>11671252</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>13692066</BOYAmt>
        <EOYAmt>14556062</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>784436</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>54124</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1563029</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1038980</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2735985</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1419302</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2776083</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>12418167</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11792262</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13045558</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13846096</CurrentTaxYearAmt>
        <TotalAmt>58653563</TotalAmt>
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      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>9114509</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13457147</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14528247</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14464860</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16622179</CurrentTaxYearAmt>
        <TotalAmt>68186942</TotalAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
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      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>68186942</PublicSupportTotal509Amt>
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        <CurrentTaxYearMinus3YearsAmt>4872</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9871</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4102</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>89877</CurrentTaxYearAmt>
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      <InvestmentIncomeAndUBTIGrp>
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        <CurrentTaxYearMinus2YearsAmt>9871</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4102</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>82307</CurrentTaxYearMinus3YearsAmt>
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      <OtherIncome509Grp>
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        <CurrentTaxYearMinus1YearAmt>15889</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17822</CurrentTaxYearAmt>
        <TotalAmt>69498</TotalAmt>
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      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>13544326</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14567177</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14484851</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16729878</CurrentTaxYearAmt>
        <TotalAmt>68481656</TotalAmt>
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      <PublicSupportCY509Pct>0.99570</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99650</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00160</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00040</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2018 AMOUNT: $ 6,728. 2020 AMOUNT: $ 29,059. 2021 AMOUNT: $ 15,889. 2022 AMOUNT: $ 17,822.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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="RetDoc1040000001">
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        <InvestmentEarningsOrLossesAmt>54124</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>945380</EndYearBalanceAmt>
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      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
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        <BookValueAmt>760000</BookValueAmt>
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      <EquipmentGrp>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>16543114</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>15758678</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>15758678</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUND REPRESENTS AMOUNTS HELD BY A COMMUNITY FOUNDATION FOR THE ORGANIZATION. THE FUND CAN BE USED FOR OPERATING PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF BENEFICIAL INTEREST 54,124.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <DeferredCompensationFlngOrgAmt>5824</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>157254</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA TESSIER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>240448</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15507</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27257</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>283212</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANK FILIPPELLI</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR - MAT</TitleTxt>
        <BaseCompensationFilingOrgAmt>166153</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>541</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2929</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15716</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>185339</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RACHEL MACK</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>160381</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>541</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6463</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8853</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>176238</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPOINTS A HIRING COMMITTEE WHO COMPARES SALARIES OF SIMILAR CHIEF EXECUTIVE OFFICER POSITIONS IN THE AREA. COMPARABLE DATA IS ALSO GARNERED FROM PUBLICLY AVAILABLE FORM 990'S FOR COMPARABLE ORGANIZATIONS AND THROUGH THE PUBLISHED SALARIES OF STATE EMPLOYEES. THE HIRING COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS WHO DETERMINE THE SALARY OF THE CHIEF EXECUTIVE OFFICER. ADMINISTRATIVE SALARIES ARE DETERMINED BY THE GOVERNING BODY WITH A DELIBERATE APPRAISAL OF THE PREVIOUSLY STATED INFORMATION, ALONG WITH JOB PERFORMANCE EVALUATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE CEO AND CFO. A COPY OF THE FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR THEIR REVIEW PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE COMPLIANCE DOCUMENT IS REVIEWED AND DISCUSSED BY THE GOVERNING BODY AT LEAST ANNUALLY AS PART OF THE POLICIES AND PROCEDURES REVIEW. THE POLICY IS MONITORED BY REVIEWING THE BOARD MEETING MATERIAL AND, IF APPROPRIATE, THE BOARD MEMBER WILL REFRAIN FROM DISCUSSION AND ABSTAIN FROM VOTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPOINTS A HIRING COMMITTEE WHO COMPARES SALARIES OF SIMILAR CHIEF EXECUTIVE OFFICER POSITIONS IN THE AREA. COMPARABLE DATA IS ALSO GARNERED FROM PUBLICLY AVAILABLE FORM 990'S FOR COMPARABLE ORGANIZATIONS AND THROUGH THE PUBLISHED SALARIES OF STATE EMPLOYEES. THE HIRING COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS WHO DETERMINE THE SALARY OF THE CHIEF EXECUTIVE OFFICER. ADMINISTRATIVE SALARIES ARE DETERMINED BY THE GOVERNING BODY WITH A DELIBERATE APPRAISAL OF THE PREVIOUSLY STATED INFORMATION, ALONG WITH JOB PERFORMANCE EVALUATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>IBHN FEES: PROGRAM SERVICE EXPENSES 12,868. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,868. CERTIFICATION: PROGRAM SERVICE EXPENSES 18,838. MANAGEMENT AND GENERAL EXPENSES 5,544. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,382. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,637,946. MANAGEMENT AND GENERAL EXPENSES 86,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,723,979.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN VALUE OF BENEFICIAL INTEREST 54,124.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
