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      <AllOtherContributions>1319091</AllOtherContributions>
      <NoncashContributions>17954</NoncashContributions>
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      <ProgramServiceRevenue>
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        <RelatedOrExemptFunctionIncome>12434175</RelatedOrExemptFunctionIncome>
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      <ProgramServiceRevenue>
        <Description>AHCCCS - PPS REVENUE</Description>
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        <RelatedOrExemptFunctionIncome>4109600</RelatedOrExemptFunctionIncome>
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        <ExclusionAmount>16817</ExclusionAmount>
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      <RentalIncomeOrLoss>
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        <TotalRevenueColumn>25294</TotalRevenueColumn>
        <ExclusionAmount>25294</ExclusionAmount>
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        <RelatedOrExemptFunctionIncome>16692683</RelatedOrExemptFunctionIncome>
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      <OtherSalariesAndWages>
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        <ProgramServices>9571070</ProgramServices>
        <ManagementAndGeneral>1940158</ManagementAndGeneral>
        <Fundraising>44382</Fundraising>
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      <OtherEmployeeBenefits>
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        <ProgramServices>1036314</ProgramServices>
        <ManagementAndGeneral>209102</ManagementAndGeneral>
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      <PayrollTaxes>
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        <ProgramServices>726139</ProgramServices>
        <ManagementAndGeneral>146517</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ProgramServices>5000</ProgramServices>
        <ManagementAndGeneral>27099</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ProgramServices>1550</ProgramServices>
        <ManagementAndGeneral>25244</ManagementAndGeneral>
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      <FeesForServicesOther>
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        <ProgramServices>572158</ProgramServices>
        <ManagementAndGeneral>159707</ManagementAndGeneral>
        <Fundraising>1550</Fundraising>
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        <ProgramServices>46284</ProgramServices>
        <ManagementAndGeneral>77339</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>1660590</ProgramServices>
        <ManagementAndGeneral>78063</ManagementAndGeneral>
        <Fundraising>4947</Fundraising>
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      <InformationTechnology>
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        <ProgramServices>630699</ProgramServices>
        <ManagementAndGeneral>76253</ManagementAndGeneral>
        <Fundraising>4773</Fundraising>
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      <Occupancy>
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        <ProgramServices>948903</ProgramServices>
        <ManagementAndGeneral>50926</ManagementAndGeneral>
        <Fundraising>25743</Fundraising>
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      <Travel>
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        <ProgramServices>57151</ProgramServices>
        <ManagementAndGeneral>27517</ManagementAndGeneral>
        <Fundraising>533</Fundraising>
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      <ConferencesMeetings>
        <Total>55782</Total>
        <ProgramServices>37766</ProgramServices>
        <ManagementAndGeneral>18016</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>182469</Total>
        <ProgramServices>22474</ProgramServices>
        <ManagementAndGeneral>159995</ManagementAndGeneral>
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      <DepreciationDepletion>
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        <ProgramServices>443831</ProgramServices>
        <ManagementAndGeneral>103125</ManagementAndGeneral>
        <Fundraising>5820</Fundraising>
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      <Insurance>
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        <ProgramServices>40196</ProgramServices>
        <ManagementAndGeneral>15198</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>143645</Total>
        <ProgramServices>143645</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>94982</ProgramServices>
        <ManagementAndGeneral>27500</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
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        <ProgramServices>31714</ProgramServices>
        <ManagementAndGeneral>46323</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>LICENSES AND FEES</Description>
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        <ProgramServices>38711</ProgramServices>
        <ManagementAndGeneral>11440</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>COURIER SERVICE</Description>
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        <ProgramServices>29843</ProgramServices>
        <ManagementAndGeneral>4004</ManagementAndGeneral>
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      <AllOtherExpenses>
        <Total>106053</Total>
        <ProgramServices>19840</ProgramServices>
        <ManagementAndGeneral>67760</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>3271286</ManagementAndGeneral>
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      <CashNonInterestBearing>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE CENTER'S CHIEF MANAGEMENT, BOARD OF DIRECTORS, AND FINANCE COMMITTEE ALL REVIEW THE FORM 990 PRIOR TO ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE AND PUBLICATION ON WWW.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>THE CENTER'S CONFLICT OF INTEREST POLICY REQUIRES THE BOARD OF DIRECTORS TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS. THE CENTER'S MANAGEMENT REVIEWS THE CONFLICT OF INTEREST POLICY AND FORMS ANNUALLY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>THE BOARD OF DIRECTORS APPROVES THE CENTER'S CHIEF EXECUTIVE OFFICER'S SALARY THROUGH A WRITTEN EMPLOYMENT CONTRACT BASED ON COMPENSATION SURVEY INFORMATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>THE CENTER PUBLISHES ITS FORM 990 ON WWW.GUIDESTAR.ORG, AND MAKES ALL FORMS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PULIC UPON REQUEST FROM ANY INTERESTED PARTY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>THE BOARD OF DIRECTORS HAS ESTABLISHED A FINANCE/AUDIT COMMITTEE WHICH IS CHARGED WITH SELECTION OF THE AUDITORS, AND OVERSEEING THE ENTIRE AUDIT PROCESS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARANA HEALTH CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 188</AddressLine1>
          <City>MARANA</City>
          <State>AZ</State>
          <ZIPCode>85653</ZIPCode>
        </AddressUS>
        <EIN>202990000</EIN>
        <PrimaryActivities>FUNDRAISING FOUNDATION FOR THE CENTER.</PrimaryActivities>
        <LegalDomicileState>AZ</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>SUPPORTING ORG</PublicCharityStatus>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>1</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MARANA HEALTH CENTER FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>13385</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>