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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLAS JACKSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSIE MARTIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD GREYBEAR</PersonNm>
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      <Form990PartVIISectionAGrp>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>26299251</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>26299251</TotalRevenuePerForm990Amt>
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      <TotalExpensesPerForm990Amt>27827333</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>There were no uncertain tax positions.</ExplanationTxt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
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        <PersonNm>Peggy Denton</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing board approves the 990 before it is filed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>CRNA regularly and consistently monitors and enforces compliance with its conflict of interest policy.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of CEO and other top management officals is approved by the board of directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION PER REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part XI line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>During fiscal year 2024, management determined that beginning balances related to grant account receivables and unearned revenues were misstated by $884,104. This resulted in a prior period adjustment to increase beginning net position in the governmental activities and beginning fund balance in the General Fund.</ExplanationTxt>
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</Return>