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        <PersonNm>Naomi Sellberg From 092021</PersonNm>
        <TitleTxt>Board Member (Alternate)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Carmen Armitage From 022021</PersonNm>
        <TitleTxt>Board Member (Alternate)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Cheryl Andreas Until 112020</PersonNm>
        <TitleTxt>Board Member (Alternate)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Dora Jones Until 112020</PersonNm>
        <TitleTxt>Board Member (Alternate)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Allen Summers Until 102020</PersonNm>
        <TitleTxt>Board Member (Alternate)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Charlotte David Until 092021</PersonNm>
        <TitleTxt>Board Member (Alternate)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kori Novack Until 112020</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>189408</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14429</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Joseph Herman From 022021</PersonNm>
        <TitleTxt>Chief Executive Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jernon Kelly</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>113061</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24302</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ethan Dexter</PersonNm>
        <TitleTxt>Chief Operations Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>108172</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22785</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Parisa Payman</PersonNm>
        <TitleTxt>Chief Dentist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>265247</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>45912</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Summer M Frazier</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>259366</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11859</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Taema Weiss</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>220030</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27336</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas Wuesthoff</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163096</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43839</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Lee</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>228209</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44612</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alan Anderson</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <AverageHoursPerWeekRt>27.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>211299</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44201</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Stuart Hiroyasu</PersonNm>
        <TitleTxt>Optometrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>140729</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Earhart</PersonNm>
        <TitleTxt>Optometrist</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>134514</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16368</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2107802</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>320643</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>23</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Juniper Ridge Construction</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>700 W 19th St</AddressLine1Txt>
            <CityNm>Alturas</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>96101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction</ServicesDesc>
        <CompensationAmt>355200</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Pivot Technology Services Corp</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6025 The Corners Parkway</AddressLine1Txt>
            <CityNm>Norcross</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30092</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Computer/IT Solutions</ServicesDesc>
        <CompensationAmt>225832</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Advanced Healh Care Services</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2842 Vista Verde Dr</AddressLine1Txt>
            <CityNm>Cameron Park</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95682</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Pharmacist</ServicesDesc>
        <CompensationAmt>174939</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Greenbough Design</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 1358</AddressLine1Txt>
            <CityNm>Shingle Springs</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95682</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Construction Design</ServicesDesc>
        <CompensationAmt>123895</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Murat Akalin</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>895 Aerovista Pl STE 106</AddressLine1Txt>
            <CityNm>San Luis Obispo</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Behavorial Health Provider</ServicesDesc>
        <CompensationAmt>104915</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>23415978</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>216605</AllOtherContributionsAmt>
      <TotalContributionsAmt>23632583</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Service Revenue</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>10866756</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10866756</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>10866756</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>56971</TotalRevenueColumnAmt>
        <ExclusionAmt>56971</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>Reimbursement Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>468895</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>468895</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>468895</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>35025205</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11335651</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>56971</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1335588</TotalAmt>
        <ProgramServicesAmt>677726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>657862</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>7873044</TotalAmt>
        <ProgramServicesAmt>6354250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1518794</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>198233</TotalAmt>
        <ProgramServicesAmt>164144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34089</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1740491</TotalAmt>
        <ProgramServicesAmt>1269972</ProgramServicesAmt>
        <ManagementAndGeneralAmt>470519</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>714485</TotalAmt>
        <ProgramServicesAmt>544019</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170466</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>40898</TotalAmt>
        <ManagementAndGeneralAmt>40898</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>127949</TotalAmt>
        <ManagementAndGeneralAmt>127949</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2810421</TotalAmt>
        <ProgramServicesAmt>2499329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>311092</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>69312</TotalAmt>
        <ProgramServicesAmt>36993</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32319</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2235050</TotalAmt>
        <ProgramServicesAmt>2067155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>167895</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>282346</TotalAmt>
        <ProgramServicesAmt>161713</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120633</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>175905</TotalAmt>
        <ProgramServicesAmt>53683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122222</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>420946</TotalAmt>
        <ProgramServicesAmt>-379763</ProgramServicesAmt>
        <ManagementAndGeneralAmt>800709</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>1060408</TotalAmt>
        <ProgramServicesAmt>133408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>927000</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>290107</TotalAmt>
        <ManagementAndGeneralAmt>290107</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Minor Equipment</Desc>
        <TotalAmt>595498</TotalAmt>
        <ProgramServicesAmt>375860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>219638</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Bad Debt</Desc>
        <TotalAmt>414898</TotalAmt>
        <ProgramServicesAmt>414898</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Repairs and Maintenance</Desc>
        <TotalAmt>228625</TotalAmt>
        <ProgramServicesAmt>34336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>194289</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Food</Desc>
        <TotalAmt>109083</TotalAmt>
        <ProgramServicesAmt>108235</ProgramServicesAmt>
        <ManagementAndGeneralAmt>848</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>224972</TotalAmt>
        <ProgramServicesAmt>80419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144553</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>20948259</TotalAmt>
        <ProgramServicesAmt>14596377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6351882</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2326060</BOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>11601400</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>536883</BOYAmt>
        <EOYAmt>737869</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>746515</EOYAmt>
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        <BOYAmt>274381</BOYAmt>
        <EOYAmt>265212</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>22488152</LandBldgEquipCostOrOtherBssAmt>
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        <BOYAmt>16778337</BOYAmt>
        <EOYAmt>16446349</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3342951</EOYAmt>
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        <BOYAmt>25142005</BOYAmt>
        <EOYAmt>33140296</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1728895</EOYAmt>
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        <EOYAmt>175515</EOYAmt>
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        <EOYAmt>13433382</EOYAmt>
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        <EOYAmt>15337792</EOYAmt>
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        <EOYAmt>7927204</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>9875300</EOYAmt>
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        <EOYAmt>17802504</EOYAmt>
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        <EOYAmt>33140296</EOYAmt>
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      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>9063178</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>8741476</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8288012</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14306969</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23632583</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>8741476</CurrentTaxYearMinus3YearsAmt>
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        <FormAndLineReferenceDesc>Schedule A, Part II, Line 10, Explanation of Other Income:</FormAndLineReferenceDesc>
        <ExplanationTxt>Reimbursement Revenue - 2016 Amount: $ 244,998. 2017 Amount: $ 86,146. 2018 Amount: $ 55,723. 2019 Amount: $ 63,813. 2020 Amount: $ 468,895.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Schedule A, Part I, Line 3, and Part II:</FormAndLineReferenceDesc>
        <ExplanationTxt>Toiyabe Indian Health Project has been determined by the IRS to be an organization described in IRC Section 170(b)(1)(A)(iii) but is also completing the public support test on Schedule A, Part II, for purposes of qualifying for the first Special Rule in Schedule B, Schedule of Contributors.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.</ExplanationTxt>
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        <PersonNm>John Lee</PersonNm>
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        <PersonNm>Alan Anderson</PersonNm>
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        <PersonNm>Taema Weiss</PersonNm>
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        <PersonNm>Thomas Wuesthoff</PersonNm>
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        <PersonNm>Matthew Earhart</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee is comprised the Board Chair, Vice-Chairman, Secretary, Treasurer, and Executive-At-Large. The members of the Executive Committee are members of the governing body. The Executive Committee can act on behalf of the governing body without full board approval. When the full board meets following Executive Committee action, the Executive Committee informs the rest of the board of the action that has been taken. The rest of the board does not have to approve of the decision taken by the Executive Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>There shall be one class of members in the Project and they shall be the tribal governments in the Toiyabe Indian Health Project, Inc. service area. There are currently 7 Member Tribes: Big Pine Paiute Tribe of the Owens Valley, Bishop Paiute Tribe, Bridgeport Indian Reservation, Fort Independence Indian Reservation, Lone Pine Paiute-Shoshone Reservation, Utu Utu Gwaitu Tribe (Benton), Timbisha Shoshone Tribe (Death Valley).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Each Member Tribe appoints 2 delegates to the Board from each tribal government.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 will be reviewed by the CFO and CEO. Upon approval, it will be filed with the Internal Revenue Service.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Toiyabe Indian Health Project, Inc performs an annual evaluation of all situations where there could be a conflict of interest. The policy applies to the Board of Directors as well as employees of the clinics. The board members that believe an action or issue pending before the board could involve a conflict of interest shall announce the conflict and notify the chairperson of the board. The CEO will formally cite an employee if there is a conflict of interest. A board member that has cause or issue pending shall abstain from discussion, consideration, decisions, and voting on the matter. Employees will have 30 calendar days to dispose of such interest. Failure to comply will be cause for immediate discplinary action.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the CEO and CFO is determined by the board, compared to similar entities, and voted on and approved by the board. The compensation process is documented in Board Minutes. This process was last completed in August 2020.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements available upon request.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors consists of 14 regular voting members plus alternate voting members. Alternate board members may vote in the event a regular voting member is unable to attend a board meeting.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Purchased and Contract Services: Program service expenses 2,499,329. Management and general expenses 311,092. Fundraising expenses 0. Total expenses 2,810,421.</ExplanationTxt>
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</Return>
