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        <BusinessName>
          <BusinessNameLine1Txt>JOSHUA TINKLE</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>20.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>572835</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35385</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Colleen Maring</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Legal Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>416719</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11726</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Derek Feuquay</BusinessNameLine1Txt>
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        <TitleTxt>Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>20.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <OtherCompensationAmt>31875</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Jake Lansburg</BusinessNameLine1Txt>
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        <TitleTxt>VP Care Transformation &amp; Quality</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>308857</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>16100</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Jannienne Jones Verse</BusinessNameLine1Txt>
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        <TitleTxt>Chief Marketing Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Kara Marx</BusinessNameLine1Txt>
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        <TitleTxt>Chief Information Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <OtherCompensationAmt>18444</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Larry Kushner</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Philanthropy Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <OtherCompensationAmt>11915</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Leon Pontikes</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Medical Officer (Thru 8/21)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>20.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25627</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ronald Haase</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Systems Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12775</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Sarah Coverstone</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Compliance Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
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        <OtherCompensationAmt>16798</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>TYFFANY SWEENEY</BusinessNameLine1Txt>
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        <TitleTxt>CHIEF NURSING OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>28.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>11385</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Omar Wani</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Peter Gibson</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Scott Gibson</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Stephen Faulkner</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Stephen Ritland</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Richard Sharp</BusinessNameLine1Txt>
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        <TitleTxt>Former Chief Human Resources Officer</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10033</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>422129</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AYA HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2000 S THOMPSON STREET</AddressLine1Txt>
            <CityNm>FLAGSTAFF</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>86001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT LABOR</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FLAGSTAFF EMERGENCY PHYSICIANS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <AddressLine2Txt>PO BOX 123519</AddressLine2Txt>
            <CityNm>FLAGSTAFF</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>86001</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
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      <TotalContributionsAmt>1846292</TotalContributionsAmt>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>90555434</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>90555434</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>63513190</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63513190</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>611430</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>447155</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>63606</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>63606</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6496000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6496000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>751306</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>751306</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>0</ExclusionAmt>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>4972</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
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      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1060608</RealAmt>
        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1060608</TotalRevenueColumnAmt>
        <ExclusionAmt>1060608</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
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      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>7489</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
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        <OtherAmt>0</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>271619</TotalRevenueColumnAmt>
        <ExclusionAmt>271619</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
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      <FundraisingDirectExpensesAmt>6803</FundraisingDirectExpensesAmt>
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        <ExclusionAmt>37078</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>CREDIT CARD REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>375442</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>375442</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER REVENUE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>251408</RelatedOrExemptFuncIncomeAmt>
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      <MiscellaneousRevenueGrp>
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        <ExclusionAmt>1374277</ExclusionAmt>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
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        <ProgramServicesAmt>2731606</ProgramServicesAmt>
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        <ProgramServicesAmt>5770</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1997041</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>313770</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>84144</TotalAmt>
        <ManagementAndGeneralAmt>84144</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>16594212</ProgramServicesAmt>
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        <ProgramServicesAmt>619019</ProgramServicesAmt>
        <ManagementAndGeneralAmt>829999</ManagementAndGeneralAmt>
        <FundraisingAmt>39936</FundraisingAmt>
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        <ProgramServicesAmt>5524794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3701308</ManagementAndGeneralAmt>
        <FundraisingAmt>16218</FundraisingAmt>
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        <ProgramServicesAmt>1251597</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17176955</ManagementAndGeneralAmt>
        <FundraisingAmt>34048</FundraisingAmt>
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        <ProgramServicesAmt>1796923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6391243</ManagementAndGeneralAmt>
        <FundraisingAmt>78768</FundraisingAmt>
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        <ProgramServicesAmt>244112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>522166</ManagementAndGeneralAmt>
        <FundraisingAmt>8619</FundraisingAmt>
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        <ProgramServicesAmt>1118066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>531358</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>5430369</TotalAmt>
        <ProgramServicesAmt>1828768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3601601</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>508306</ProgramServicesAmt>
        <ManagementAndGeneralAmt>514286</ManagementAndGeneralAmt>
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        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>5821652</TotalAmt>
        <ProgramServicesAmt>5821652</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LEGAL SETTLEMENT</Desc>
        <TotalAmt>4250000</TotalAmt>
        <ManagementAndGeneralAmt>4250000</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CONSULTING</Desc>
        <TotalAmt>1642062</TotalAmt>
        <ManagementAndGeneralAmt>1642062</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING</Desc>
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        <ProgramServicesAmt>27864</ProgramServicesAmt>
        <ManagementAndGeneralAmt>578385</ManagementAndGeneralAmt>
        <FundraisingAmt>7</FundraisingAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
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      <SubtotalSpentAmt>86441000</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>86441000</TotalSpentAmt>
      <TransferToForeignCorpInd>true</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>false</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements</FormAndLineReferenceDesc>
        <ExplanationTxt>CENTRAL AMERICA AND THE CARIBBEA</ExplanationTxt>
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    </IRS990ScheduleF>
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        <GrossRevenueEvent1Amt>43881</GrossRevenueEvent1Amt>
        <NonCashPrizesEvent1Amt>1135</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>1344</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>258</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>4066</OtherDirectExpensesEvent1Amt>
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        <GrossRevenueOtherEventsAmt>0</GrossRevenueOtherEventsAmt>
        <GrossReceiptsTotalAmt>43881</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>43881</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>1135</NonCashPrizesTotalEventsAmt>
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        <FoodAndBeverageTotalEventsAmt>258</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>4066</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>6803</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>37078</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        </BusinessName>
        <TitleTxt>NAH PRESIDENT/CEO</TitleTxt>
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        <TotalCompensationFilingOrgAmt>1317107</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationFilingOrgAmt>608220</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>11841</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>561750</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Ronald Haase</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Systems Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>425233</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>128302</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>47546</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11902</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>873</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>613856</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
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        </BusinessName>
        <TitleTxt>Chief Marketing Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>256157</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>126552</OtherCompensationFilingOrgAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13701</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
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        </BusinessName>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
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        </BusinessName>
        <TitleTxt>VP Care Transformation &amp; Quality</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>7206</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>11600</DeferredCompensationFlngOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <NontaxableBenefitsFilingOrgAmt>15484</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>792506</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Scott Gibson</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>856287</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>67480</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20466</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>958333</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Peter Gibson</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>607348</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>178149</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>50662</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>24463</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>872222</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Stephen Ritland</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>803516</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>196328</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9906</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11826</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1033176</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Omar Wani</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>699210</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>256994</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>9034</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11600</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13856</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>990694</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a Tax indemnification and gross-up payments</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL COMPENSATION, BENEFITS AND REIMBURSEMENTS ARE PAID BY NORTHERN ARIZONA HEALTHCARE,THE PARENT ORGANIZATION. GROSS-UP OF TAXES IS DONE ON ALL EMPLOYEE GIFT CERTIFICATES OF $25 OR MORE. IN PRACTICE, BOARD MEMBER AND OFFICER TRAVEL EXPENSES ARE APPROVED BY THE NEXT HIGHEST LEVEL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED A ONE-TIME RELOCATION PAYMENT. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): JOSHUA TINKLE $500</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b SUPPLEMENTAL NON QUALIFIED RETIREMENT PLAN</FormAndLineReferenceDesc>
        <ExplanationTxt>CERTAIN EMPLOYEES PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. DISTRIBUTIONS FROM THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN DURING THE YEARS ARE AS FOLLOWS. THESE AMOUNTS WERE INCLUDED IN TAXABLE WAGES (SCHEDULE J, PART II, COLUMN (B)(III)) AND ALSO IN COLUMN (F) SINCE THESE AMOUNTS HAVE PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION ON A PRIOR FORM 990: FLORENCE SPYROW $315,250 RICHARD SHARP $38,350</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 NON-FIXED PAYMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS RECEIVED A ONE-TIME RELOCATION PAYMENT. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III): LARRY KUSHNER $44,738 THE FOLLOWING INDIVIDUALS RECEIVED A ONE-TIME SIGN-ON BONUS. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B) (III): LARRY KUSHNER $70,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II OTHER INFORMATIONAL DISCLOSURES - PTO CASH OUT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING INDIVIDUALS CASHED OUT ACCUMULATED PTO DURING THE YEAR. THESE AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III): DEREK FEUQUAY $21,154</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II OTHER INFORMATIONAL DISCLOSURES - MANAGEMENT BONUSES</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY MANAGEMENT INCENTIVE PAYMENTS BASED ON METINGS VARIOUS ORGANIZATION GOALS. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II): FLORENCE SPYROW $215,319 CLIFFORD LOADER $130,047 JOSHUA TINKLE $121,877 DEREK FEUQUAY $85,753 TYFFANY SWEENEY $54,614 COLLEEN MARING $71,477 KARA MARX $61,133 LEON PONTIKES $100,625 RICHARD SHARP $35,405</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II OTHER INFORMATION DISCLOSURES - PHYSICIAN BONUSES</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHERN ARIZONA HEALTHCARE CORPORATION MAKES DISCRETIONARY PAYMENTS TO PHYSICIANS BASED ON QUALITY AND PRODUCTIVITY GOALS. THESE PAYMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(II): STEPHEN RITLAND $196,328 OMAR WANI $256,994 PETER GIBSON $175,649 STEPHEN FAULKNER $265,204</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK1" softwareId="21014044" softwareVersionNum="2021v4.2">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INDUSTRIAL DEVELOPMENT AUTHORITY OF YAVAPAI COUNTY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>860376099</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-06-30</BondIssuedDt>
        <IssuePriceAmt>33906586</IssuePriceAmt>
        <PurposeDesc>SEE PART VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>5227593</RetiredAmt>
        <BondDefeasedAmt>0</BondDefeasedAmt>
        <TotalProceedsAmt>33906586</TotalProceedsAmt>
        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>294907</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>33611679</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <SubstantialCompletionYr>2015</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0.0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part VI LINE 2C - COLUMN A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NAME OF THE ISSUE IS HOSPITAL REVENUE REFUNDING BONDS (NORTHERN ARIZONA HEALTHCARE SYSTEM) SERIES 2015A. THIS ISSUE REFUNDS THE 2008A. TOTAL ISSUANCE PRICE OF SERIES 2015A WAS $80,395,000 WHICH WAS ALLOCATED $37,213,975 TO FLAGSTAFF MEDICAL CENTER (FMC), $9,274,438 TO VERDE VALLEY MEDICAL CENTER, AND $33,906,585 TO NORTHERN ARIZONA HEALTHCARE OUTPATIENT SURGERY CENTER. THE 2015A BONDS WERE ALSO USED, IN PART, TO FINANCE "NEW MONEY" PROJECTS. $33,611,679 WAS USED FOR ACQUISITION OF SUMMIT SURGERY CENTER.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="21014044" softwareVersionNum="2021v4.2">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>NORTHERN ARIZONA HEALTHCARE (NAH) IS THE PARENT CORPORATION OF FLAGSTAFF MEDICAL CENTER AND VERDE VALLEY MEDICAL CENTER. NAH IS DEDICATED TO IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE IN NORTHERN AND CENTRAL ARIZONA. NAH IS THE LARGEST HEALTHCARE ORGANIZATION IN NORTHERN ARIZONA SERVING ALMOST ONE HALF OF THE STATE. THE HEALTHCARE PROVIDER EMPLOYS MORE THAN 3,450 HEALTHCARE PROFESSIONALS AND, THROUGH ITS AFFILIATES, SERVICES A POPULATION OF MORE THAN 300,000 PEOPLE IN THE SERVICE AREA. NAH IS DEDICATED TO PROVIDING THE HIGHEST QUALITY, MOST COST EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE VISITORS AND RESIDENTS OF NORTHERN AND CENTRAL ARIZONA. NAH ENCOURAGES PATIENTS TO BE PART OF THEIR OWN TREATMENT THROUGH EDUCATION AND WELLNESS PROGRAMS. PHYSICIANS, EMPLOYEES AND VOLUNTEERS ALL WORK FOR A COMMON GOAL, AND THE COMMUNITY BENEFITS FROM ORGANIZATIONAL OUTREACH THAT CONTRIBUTES TO RICHER AND HEALTHIER LIVING. NORTHERN ARIZONA HEALTHCARE'S MISSION, VISION, AND CORE GOALS VISION - ALWAYS BETTER CARE. EVERY PERSON, EVERY TIME...TOGETHER. CORE GOALS: - CARE TRANSFORMATION - DEVELOP NEW COORDINATED CARE MODELS THROUGH TECHNOLOGY, PROCESSES, AND PATIENT FRIENDLY ENVIRONMENTS. - ALIGNMENT - CLINICIANS AND NAH WILL WORK IN COLLABORATION TO IMPROVE CARE FOR PATIENTS AND PROVIDE ROBUST MEDICAL PRACTICES FOR FUTURE CLINICIANS. - RELATIONSHIPS - NAH WILL PROACTIVELY BUILD THE CONTINUUM OF CARE WITH ORGANIZATIONS THAT CAN BEST PROVIDE SERVICES TO MEET PATIENT AND COMMUNITY NEEDS. - ENGAGEMENT - EMPLOYEES, PHYSICIANS AND PATIENTS WILL ACTIVELY BE INVOLVED TO IMPROVE HEALTH, PATIENT CARE QUALITY AND CUSTOMER SERVICE WHILE LOWERING COSTS TO CONSUMERS. NORTHERN ARIZONA HEALTHCARE PARTNERSHIPS LITTLE COLORADO MEDICAL CENTER (WINSLOW MEMORIAL HOSPITAL) - NORTHERN ARIZONA HEALTHCARE HAS AN AS NEEDED TASK ORDERS PURSUANT TO AN ONGOING AFFILIATION AGREEMENT IN PLACE WITH LITTLE COLORADO MEDICAL CENTER (LCMC), A 25-BED CRITICAL ACCESS TAX-EXEMPT HOSPITAL IN WINSLOW, ARIZONA. THE LCMC BOARD OF DIRECTORS RETAINS ULTIMATE RESPONSIBILITY FOR THE OPERATIONS AND ACTIVITIES OF THE HOSPITAL. NAH AND LCMC MAINTAIN A RELATIONSHIP TO ENHANCE LCMC'S SERVICE TO THE COMMUNITY. THE PEAKS - THE PEAKS IS A SENIOR LIVING, LEARNING AND WELLNESS COMMUNITY THAT IS PART OF AN INTER-GENERATIONAL CAMPUS IN FLAGSTAFF, ARIZONA. NORTHERN ARIZONA HOMECARE - NORTHERN ARIZONA HOMECARE, A DIVISION OF NAH, PROVIDES QUALITY, PROFESSIONAL HEALTHCARE IN THE COMFORT OF THE PATIENT'S HOME. NORTHERN ARIZONA HOSPICE - HOSPICE, A DIVISION OF NAH, IS FOR PATIENTS WHO HAVE A TERMINAL ILLNESS AND HAVE DECIDED TO SHIFT THE FOCUS OF CARE FROM CURE TO COMFORT. HOSPICE CARE EMPHASIZES THE QUALITY OF REMAINING LIFE AND ALLOWS THE PATIENT TO REMAIN AT HOME IN FAMILIAR SURROUNDINGS WHILE RECEIVING EXPERT HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a NUMBER OF EMPLOYEES REPORTED ON FORM W-3</FormAndLineReferenceDesc>
        <ExplanationTxt>FLAGSTAFF MEDICAL CENTER (FMC) AND VERDE VALLEY MEDICAL CENTER (VVMC) ARE RELATED ORGANIZATIONS OF NORTHERN ARIZONA HEALTHCARE CORPORATION (NAH). NEITHER FMC NOR VVMC HAVE EMPLOYEES; RATHER, EACH SHARES THE COST OF PERSONNEL, SERVICES, AND EXPENSES WITH NAH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1a NUMBER OF VOTING MEMBERS OF THE GOVERNING BODY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DELEGATES AUTHORITY TO AN EXECUTIVE COMMITTEE. THE MEMBERS OF THE EXECUTIVE COMMITTEE INCLUDE THE BOARD OFFICERS, THE PRESIDENT, AND ANY OTHER PARTY THE BOARD OF DIRECTOR APPOINTS. THE EXECUTIVE COMMITTEE POSSESSES AND MAY EXERCISE THE POWERS OF THE BOARD OF DIRECTORS IN BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE AND COMPENSATION OF THE CEO EACH YEAR. THE BOARD DOES NOT POSSESS THE AUTHORITY TO REMOVE ANY DIRECTOR, FIX DIRECTOR COMPENSATION, EXERCISE ANY RESERVED POWER WHICH REQUIRES SUBSIDIARY BOARD APPROVAL, OR ANY EXERCISE ANY AUTHORITY PROHIBITED BY LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON DATA GATHERED BY THE CONTROLLER AND THE ORGANIZATION'S FINANCIAL OPERATIONS GROUP. THE CEO AND/OR CFO REVIEWS THE DRAFT FORM 990 AND PROVIDES ADDITIONAL COMMENTS. THE FINAL DRAFT VERSION OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING DATE. ANY ADDITIONAL COMMENTS SUGGESTED BY THE GOVERNING BODY ARE THEN INCORPORATED INTO THE FINAL VERSION OF THE FORM 990 TO BE FILED WITH THE IRS BY THE FINAL DUE DATE. IF ANY SUGGESTED CHANGES ARE MATERIAL OR SIGNIFICANT, AN ADDITIONAL DRAFT IS DISTRIBUTED TO THE GOVERNING BODY PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY (BOARD POLICY 6.1). THIS IS ACCOMPLISHED BY A NUMBER OF MECHANISMS. FIRST THE CONFLICT OF INTEREST QUESTIONNAIRE IS REVIEWED BY THE BOARD DEVELOPMENT COMMITTEE. AS PART OF THE QUESTIONNAIRE, SELF-DISCLOSURE IS REQUIRED BY BOARD MEMBERS. IN ADDITION, INDIVIDUAL DISCLOSURE BY BOARD MEMBERS OCCURS AT BOARD MEETINGS WHEN NECESSARY. (I.E. A BOARD MEMBER MUST EXCLUDE HIMSELF OR HERSELF FROM VOTING ON AN ISSUE IN WHICH HE OR SHE MAY HAVE A CONFLICT OF INTEREST). THE CONTROLLER REVIEWS POTENTIAL CONFLICTS AND FOLLOWS UP WITH ANY ADDITIONAL QUESTIONS, IF NECESSARY. THEN THE SUMMARY OF THE RESPONSES AND CONFLICTS ARE BROUGHT BEFORE THE BOARD DEVELOPMENT COMMITTEE, WHICH MAKES A DETERMINATION AS TO WHETHER A CONFLICT EXISTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED IN MARCH 2021, AND MOST OFFICER ROLES HAVE BEEN REVIEWED ON AN INDIVIDUAL BASIS SINCE THEN WITHIN THE LAST THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO AND OTHER OFFICERS INCLUDES THE PREPARATION OF COMPARABLE DATA BY WILLIS TOWERS WATSON, AN INDEPENDENT CONSULTING FIRM. IN ADDITION, THIS INFORMATION IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN BOARD MINUTES. THE MOST RECENT COMPREHENSIVE REVIEW WAS PERFORMED IN OCTOBER 2021, AND MOST OFFICER ROLES HAVE BEEN REVIEWED ON AN INDIVIDUAL BASIS SINCE THEN WITHIN THE LAST THREE YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE ARIZONA DEPARTMENT OF HEALTH SERVICES. IN ADDITION, THEY ARE AVAILABLE THROUGH THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) AS PART OF THE ORGANIZATION'S CONTINUING DISCLOSURE DOCUMENTS THAT ARE REQUIRED BY ITS PUBLIC DEBT REQUIREMENTS. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR ITS CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, AS THIS IS NOT REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OTHER PROGRAM SERVICE - Total Revenue: 751306, Related or Exempt Function Revenue: 751306, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>LOCUM COVERAGE - Total Expense: 9520379, Program Service Expense: 8775604, Management and General Expenses: 744775, Fundraising Expenses: ; CONTRACTED MANAGEMENT/OTHER - Total Expense: 8943270, Program Service Expense: 1425975, Management and General Expenses: 7406841, Fundraising Expenses: 110454; PATIENT CARE/PHYSICIANS - Total Expense: 5538774, Program Service Expense: 4515642, Management and General Expenses: 1023132, Fundraising Expenses: ; CONTRACTED MAINTENANCE - Total Expense: 2641861, Program Service Expense: 757330, Management and General Expenses: 1884531, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 1958709, Program Service Expense: 1119661, Management and General Expenses: 839048, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSET TRANSFERS FROM AFFILIATE - 67713486; ADJUSTMENT TO PENSION LIABILITY - 642519;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Amended Form 990 Reason for Amended Return</FormAndLineReferenceDesc>
        <ExplanationTxt>The 2021 Northern Arizona Healthcare Corporation Form 990 has been amended to correct one key employee's compensation in Part VII and to more accurately allocate expenses in Part IX Statement of Functional Expenses to reflect the fundraising activities that took place during the fiscal year.</ExplanationTxt>
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