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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Smith</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Bobbi Blain</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1030036</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>227579</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>8</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Netsmart</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 823519</AddressLine1Txt>
            <CityNm>Philadelphia</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19182</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Services</ServicesDesc>
        <CompensationAmt>197938</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AD Creative Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>105 N Broadway</AddressLine1Txt>
            <CityNm>Billings</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Marketing</ServicesDesc>
        <CompensationAmt>186598</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Avitus Technology</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
        <Desc>Net Patient Revenue</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>11842034</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
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        <RelatedOrExemptFuncIncomeAmt>98464</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>5139</TotalRevenueColumnAmt>
        <ExclusionAmt>5139</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <OtherAmt>560</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>560</TotalRevenueColumnAmt>
        <ExclusionAmt>560</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12908912</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11940498</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>5699</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>316286</TotalAmt>
        <ManagementAndGeneralAmt>316286</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>7189017</TotalAmt>
        <ProgramServicesAmt>6295467</ProgramServicesAmt>
        <ManagementAndGeneralAmt>893550</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>587964</TotalAmt>
        <ProgramServicesAmt>493186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94778</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>655216</TotalAmt>
        <ProgramServicesAmt>542402</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112814</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>57048</TotalAmt>
        <ManagementAndGeneralAmt>57048</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>578305</TotalAmt>
        <ProgramServicesAmt>510250</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68055</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>218495</TotalAmt>
        <ManagementAndGeneralAmt>218495</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>243603</TotalAmt>
        <ProgramServicesAmt>159585</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84018</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>227784</TotalAmt>
        <ProgramServicesAmt>194888</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32896</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>92972</TotalAmt>
        <ProgramServicesAmt>85419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7553</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>25507</TotalAmt>
        <ProgramServicesAmt>21395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4112</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>34875</TotalAmt>
        <ProgramServicesAmt>21425</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13450</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>514037</TotalAmt>
        <ProgramServicesAmt>512043</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1994</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>217906</TotalAmt>
        <ProgramServicesAmt>182780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35126</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>Dietary</Desc>
        <TotalAmt>491551</TotalAmt>
        <ProgramServicesAmt>482325</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9226</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Medical Supplies</Desc>
        <TotalAmt>371214</TotalAmt>
        <ProgramServicesAmt>371214</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Bad Debt</Desc>
        <TotalAmt>114017</TotalAmt>
        <ProgramServicesAmt>114017</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>Clinical Services</Desc>
        <TotalAmt>28803</TotalAmt>
        <ProgramServicesAmt>28803</ProgramServicesAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>163120</TotalAmt>
        <ProgramServicesAmt>91727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>71393</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>12127720</TotalAmt>
        <ProgramServicesAmt>10106926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2020794</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1224878</BOYAmt>
        <EOYAmt>1734068</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>80941</BOYAmt>
        <EOYAmt>101547</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>1704428</BOYAmt>
        <EOYAmt>2269555</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>81649</BOYAmt>
        <EOYAmt>98101</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12790685</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8249216</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4901282</BOYAmt>
        <EOYAmt>4541469</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>19811</BOYAmt>
        <EOYAmt>26023</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>174539</BOYAmt>
        <EOYAmt>212583</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>8187528</BOYAmt>
        <EOYAmt>8983346</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1263611</BOYAmt>
        <EOYAmt>1360155</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>32268</BOYAmt>
        <EOYAmt>179241</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>857516</BOYAmt>
        <EOYAmt>611325</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>170563</BOYAmt>
        <EOYAmt>181651</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2323958</BOYAmt>
        <EOYAmt>2332372</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>5848970</BOYAmt>
        <EOYAmt>6617345</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>14600</BOYAmt>
        <EOYAmt>33629</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5863570</BOYAmt>
        <EOYAmt>6650974</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>8187528</BOYAmt>
        <EOYAmt>8983346</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>781192</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>6212</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>0</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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="RetDoc1040000001">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>33629</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>33629</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>36475</BeginningYearBalanceAmt>
        <OtherExpendituresAmt>2846</OtherExpendituresAmt>
        <EndYearBalanceAmt>33629</EndYearBalanceAmt>
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      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17401</BeginningYearBalanceAmt>
        <ContributionsAmt>19029</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>45</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>36475</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
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        <InvestmentEarningsOrLossesAmt>22</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>17401</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17373</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>6</InvestmentEarningsOrLossesAmt>
        <EndYearBalanceAmt>17379</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <PrmnntEndowmentBalanceEOYPct>1.00000</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>654672</OtherCostOrOtherBasisAmt>
        <BookValueAmt>654672</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>8940916</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5833993</DepreciationAmt>
        <BookValueAmt>3106923</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3180250</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2415223</DepreciationAmt>
        <BookValueAmt>765027</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>14847</OtherCostOrOtherBasisAmt>
        <BookValueAmt>14847</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4541469</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Deferred Compensation Liability</Desc>
        <Amt>181651</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>181651</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>12915124</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>6212</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>6212</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12908912</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12908912</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>12127720</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>12127720</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>12127720</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>Permanently restricted net assets have been restricted by donors to be maintained by the foundation in perpetuity. The foundation has established a restricted endowment fund for this purpose. The income generated is for unrestricted purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Rimrock is organized as a Montana nonprofit corporation and has been recognized by the Internal Revenue Services (IRS) as exempt from federal income taxes under Section 501(c)(3). Rimrock is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. Rimrock 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. Rimrock 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>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr David Carlson</PersonNm>
        <TitleTxt>Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>226074</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5791</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15911</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>247776</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lenette Kosovich</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>194422</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>159714</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>210</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>354346</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>27500</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dr Erin Lewis</PersonNm>
        <TitleTxt>Doctor</TitleTxt>
        <BaseCompensationFilingOrgAmt>173453</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>173453</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Lenette Kosovich, CEO, has an agreement with the organization for a deferred compensation plan governed under IRC Section 409(A).The plan provides for a Reward Bonus to be paid out in the form of a lump sum payment based on the attainment of specified distribution dates and all other employment criteria. The organization shall annually contribute a maximum of $30,000 towards the Reward Bonus Plan. During the year ended December 31, 2019, the balance for this plan was $181,651. A distribution of $27,500 was paid out in 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>No subcommittees have the authority to act on behalf of the board without board approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO of the organization will review the Form 990 prior to being filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The board members and employees are annually required to disclose any conflicts. These are reviewed by a committee and submitted to the CEO for further review if a possible conflict is disclosed. If there is a conflict, the board member is disqualified from voting on the subject matter that gives rise to a conflict. Any employee conflicts are addressed by the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for the CEO is determined by the board president through a performance review which is documented in the HR file. The compensation is then compared to state and local compensation surveys to determine reasonableness. The board then approves the compensation of the CEO. This process was last completed in the year ended December 31, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 by request in person, via e-mail, telephone, or in writing.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>