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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4467</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERNON KELLY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>157383</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27155</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID SCHWEER</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>125505</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15361</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PARISA PAYMAN</PersonNm>
        <TitleTxt>CHIEF DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>300189</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37474</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUMMER FRAZIER</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>335125</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29199</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAEMA WEISS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>297823</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42365</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WHITE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>263877</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18860</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS WUESTHOFF</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>268945</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38377</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAGDY MAKSY</PersonNm>
        <TitleTxt>NEPHROLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>316951</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38046</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID CARROLL</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>239292</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>66158</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STUART HIROYASU</PersonNm>
        <TitleTxt>OPTOMETRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>170879</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19060</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2665269</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>336522</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</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>3600398</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHERN INYO HOSPITAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>150 PIONEER LN</AddressLine1Txt>
            <CityNm>BISHOP</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>93514</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>544658</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUIK TRAVEL STAFFING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>175 EAST OLIVE AVENUE SUITE 405</AddressLine1Txt>
            <CityNm>BURBANK</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>91502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>274110</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KEITH GERSHMAN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>100 AVENUE OF CHAMPIONS</AddressLine1Txt>
            <CityNm>PALM BEACH GARDENS</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>334183653</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>256114</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEXTGEN HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18111 VON KARMAN AVENUE SUITE 600</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92612</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT AND ANALYTICS SOLUTIONS</ServicesDesc>
        <CompensationAmt>248301</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>15</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>14642730</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1774189</AllOtherContributionsAmt>
      <TotalContributionsAmt>16416919</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>14649761</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14649761</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>14649761</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>647095</TotalRevenueColumnAmt>
        <ExclusionAmt>647095</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1449503</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1449503</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1449503</TotalRevenueColumnAmt>
        <ExclusionAmt>1449503</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>194635</TotalRevenueColumnAmt>
        <ExclusionAmt>194635</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>194635</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>33357913</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14649761</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>2291233</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1689368</TotalAmt>
        <ProgramServicesAmt>596514</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1092854</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>2877844</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5555891</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>253692</TotalAmt>
        <ProgramServicesAmt>78263</ProgramServicesAmt>
        <ManagementAndGeneralAmt>175429</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1701134</TotalAmt>
        <ProgramServicesAmt>569254</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1131880</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>729939</TotalAmt>
        <ProgramServicesAmt>250626</ProgramServicesAmt>
        <ManagementAndGeneralAmt>479313</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>133884</TotalAmt>
        <ProgramServicesAmt>1958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131926</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>144167</TotalAmt>
        <ManagementAndGeneralAmt>144167</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>2548944</TotalAmt>
        <ProgramServicesAmt>1322247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1226697</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>92198</TotalAmt>
        <ProgramServicesAmt>23075</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69123</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>925011</TotalAmt>
        <ManagementAndGeneralAmt>925011</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>65244</TotalAmt>
        <ManagementAndGeneralAmt>65244</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>709283</TotalAmt>
        <ProgramServicesAmt>150942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>558341</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>328821</TotalAmt>
        <ProgramServicesAmt>206071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122750</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>92748</TotalAmt>
        <ProgramServicesAmt>11522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>81226</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>375290</TotalAmt>
        <ManagementAndGeneralAmt>375290</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>989646</TotalAmt>
        <ManagementAndGeneralAmt>989646</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>220893</TotalAmt>
        <ProgramServicesAmt>160</ProgramServicesAmt>
        <ManagementAndGeneralAmt>220733</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>HEALTH SERVICES</Desc>
        <TotalAmt>3584142</TotalAmt>
        <ProgramServicesAmt>2252430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1331712</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER OPERATING EXPENSE</Desc>
        <TotalAmt>2949031</TotalAmt>
        <ProgramServicesAmt>2057568</ProgramServicesAmt>
        <ManagementAndGeneralAmt>891463</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>HRA CLAIMS</Desc>
        <TotalAmt>168412</TotalAmt>
        <ProgramServicesAmt>41100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>127312</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>113905</TotalAmt>
        <ProgramServicesAmt>34064</ProgramServicesAmt>
        <ManagementAndGeneralAmt>79841</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>369009</TotalAmt>
        <ProgramServicesAmt>64111</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304898</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>26618496</TotalAmt>
        <ProgramServicesAmt>10537749</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16080747</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <EOYAmt>6379122</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4773834</BOYAmt>
        <EOYAmt>549069</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>774607</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2207701</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>214893</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>268254</BOYAmt>
        <EOYAmt>251317</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>30062643</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8074366</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>18505291</BOYAmt>
        <EOYAmt>21988277</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>7699970</EOYAmt>
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        <BOYAmt>32214088</BOYAmt>
        <EOYAmt>40064956</EOYAmt>
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        <EOYAmt>2325512</EOYAmt>
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        <EOYAmt>15106855</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>0</FSAuditedInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>0</FederalGrantAuditPerformedInd>
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      <HospitalInd>X</HospitalInd>
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        <CurrentTaxYearMinus3YearsAmt>14306969</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23632583</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11182996</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16416919</CurrentTaxYearAmt>
        <TotalAmt>73827479</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>14306969</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23632583</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11182996</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16416919</CurrentTaxYearAmt>
        <TotalAmt>73827479</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>73827479</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>54637</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>41627</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>56971</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>512590</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2096598</CurrentTaxYearAmt>
        <TotalAmt>2762423</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>63813</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>468895</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>75015</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>194635</CurrentTaxYearAmt>
        <TotalAmt>858081</TotalAmt>
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      <TotalSupportAmt>77447983</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>56006277</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95330</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97820</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <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>
      </Form990ScheduleAPartVIGrp>
    </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">
      <BuildingsGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAEMA WEISS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PARISA PAYMAN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS WUESTHOFF</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID CARROLL</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL WHITE</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <TotalCompensationFilingOrgAmt>282737</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STUART HIROYASU</PersonNm>
        <TitleTxt>OPTOMETRIST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>189939</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JERNON KELLY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>184538</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</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 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHAIR OF THE BOARD HAS A FAMILIAL RELATIONSHIP WITH THE HR DIRECTOR. IN GENERAL, FOR TRIBES IN GEOGRAPHICALLY ISOLATED AREAS, IT IS COMMON TO HAVE FAMILY RELATIONSHIPS IN THE WORKPLACE.</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>
      </SupplementalInformationDetail>
      <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>
      </SupplementalInformationDetail>
      <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>
      </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 UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS CURRENTLY UNDERGOING THE REQUIRED SINGLE AUDIT.</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>