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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GINA MEYERS-MANDA</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARICELA MESILLAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARIA MORALES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID TINDALL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHAS HEALTH</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>WA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>143879</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 2561</AddressLine1Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601322561</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>SOFTWARE SERVICES</ServicesDesc>
        <CompensationAmt>118066</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3350302</GovernmentGrantsAmt>
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      <TotalContributionsAmt>3426760</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT FEES</Desc>
        <BusinessCd>621300</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>6709053</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>340B REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>1911977</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1911977</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>8621030</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>332012</TotalRevenueColumnAmt>
        <ExclusionAmt>332012</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>21922</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>21922</RealAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>21922</ExclusionAmt>
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        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>151</ExclusionAmt>
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      <OtherRevenueTotalAmt>151</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>12401875</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>4131650</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>123357</TotalAmt>
        <ProgramServicesAmt>121145</ProgramServicesAmt>
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        <TotalAmt>372828</TotalAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>8070</TotalAmt>
        <ManagementAndGeneralAmt>8070</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>166590</TotalAmt>
        <ManagementAndGeneralAmt>166590</ManagementAndGeneralAmt>
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        <TotalAmt>159785</TotalAmt>
        <ManagementAndGeneralAmt>159785</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>791111</TotalAmt>
        <ProgramServicesAmt>503781</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>61094</TotalAmt>
        <ProgramServicesAmt>26272</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34822</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>258065</TotalAmt>
        <ProgramServicesAmt>126693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131372</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>325806</TotalAmt>
        <ProgramServicesAmt>213782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112024</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>101821</TotalAmt>
        <ProgramServicesAmt>92279</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9542</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>10714</TotalAmt>
        <ProgramServicesAmt>7939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2775</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>144726</TotalAmt>
        <ProgramServicesAmt>27036</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117690</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>1602</TotalAmt>
        <ManagementAndGeneralAmt>1602</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1521273</TotalAmt>
        <ProgramServicesAmt>1521273</ProgramServicesAmt>
        <ManagementAndGeneralAmt>0</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
        <TotalAmt>531154</TotalAmt>
        <ProgramServicesAmt>0</ProgramServicesAmt>
        <ManagementAndGeneralAmt>531154</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
        <TotalAmt>92437</TotalAmt>
        <ProgramServicesAmt>57953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34484</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIR</Desc>
        <TotalAmt>70895</TotalAmt>
        <ProgramServicesAmt>25875</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45020</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>18601</TotalAmt>
        <ProgramServicesAmt>15397</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3204</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>10742929</TotalAmt>
        <ProgramServicesAmt>8163405</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2579524</ManagementAndGeneralAmt>
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        <EOYAmt>2300654</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>15484</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>892472</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>15735000</EOYAmt>
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        <EOYAmt>92326</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>239876</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1205609</BOYAmt>
        <EOYAmt>1060883</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>3458553</EOYAmt>
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        <BOYAmt>1159296</BOYAmt>
        <EOYAmt>961006</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>24756254</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>1201108</EOYAmt>
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        <EOYAmt>22513</EOYAmt>
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        <EOYAmt>1890402</EOYAmt>
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        <EOYAmt>4197714</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>26600</BOYAmt>
        <EOYAmt>24096</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>20558540</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>24756254</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>34772</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>4987195</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5080971</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3535814</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3426760</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>4987195</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5080971</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3535814</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3426760</CurrentTaxYearAmt>
        <TotalAmt>22564269</TotalAmt>
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      <PublicSupportTotal170Amt>22564269</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus3YearsAmt>127624</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>178460</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>236403</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>353934</CurrentTaxYearAmt>
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      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>657</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>-946</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>8175</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3114</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>151</CurrentTaxYearAmt>
        <TotalAmt>11151</TotalAmt>
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      <TotalSupportAmt>23590499</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>37381307</GrossReceiptsRltdActivitiesAmt>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME</ExplanationTxt>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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">
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        <OtherCostOrOtherBasisAmt>1272660</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>720601</DepreciationAmt>
        <BookValueAmt>552059</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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        <DepreciationAmt>10223</DepreciationAmt>
        <BookValueAmt>35212</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1259511</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>785899</DepreciationAmt>
        <BookValueAmt>473612</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>1060883</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT-OF-USE LEASE LIABILITIES</Desc>
        <Amt>1067195</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED ORGANIZATION</Desc>
        <Amt>16496</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1083691</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>12051286</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>12051286</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>350589</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>350589</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>12401875</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10567002</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10567002</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>175927</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>175927</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10742929</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESERT SAGE IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED MEDICAL SUPPLIES 175,927. INVESTMENT INCOME 174,662.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>DONATED MEDICAL SUPPLIES 175,927.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <PersonNm>KATHERINE GRAY MD</PersonNm>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SAAD HIJAZI MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRENT GOLDTHORPE DMD</PersonNm>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>226818</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMBER JORDAN</PersonNm>
        <TitleTxt>COO &amp; INTERIM CEO</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY FERGUSON</PersonNm>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK MERRELL PA</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAWN BEST DNP</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DARIN GERE LCSW</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIANN WILLARDSON DMD</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>360</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1500</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>155157</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>SAAD HIJAZI RECEIVED A HOUSING ALLOWANCE OF $8,640 IN CALENDAR YEAR 2024. THIS AMOUNT WAS INCLUDED IN HIS TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>45</ContributionCnt>
        <NoncashContributionsRptF990Amt>175927</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>INVOICE PRICE</MethodOfDeterminingRevenuesTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBERS REPORTED IN PART I, COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE COMPRISED OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE IS THE ONLY COMMITTEE AUTHORIZED TO ACT FOR THE FULL BOARD AND HAS THE POWER TO TRANSACT BUSINESS OF THE ORGANIZATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD ONLY IN THE EVENT OF AN EMERGENCY, CONSISTENT WITH ESTABLISHED BOARD POLICIES, UNDER THE DIRECTION OF AND SUBJECT TO ANY PRIOR LIMITATIONS IMPOSED BY THE BOARD. ALL SUCH ACTIONS ARE PRESENTED TO THE FULL BOARD FOR A SUBSEQUENT VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE THE FORM 990 WAS FILED, IT WAS REVIEWED AND APPROVED BY THE CEO AND BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER'S CONFLICT OF INTEREST POLICY COVERS THE BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. ALL INDIVIDUALS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT UPON JOINING THE ORGANIZATION AND ANNUALLY THEREAFTER. IF A BOARD MEMBER HAS A POTENTIAL CONFLICT, THAT INDIVIDUAL LEAVES THE ROOM WHILE THE REMAINING BOARD MEMBERS DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IF A TRANSACTION INVOLVES A CONFLICT OF INTEREST, THE BOARD MAY INVESTIGATE ALTERNATIVES THAT WOULD NOT CAUSE A CONFLICT OF INTEREST. IF A REASONABLE ALTERNATIVE IS NOT IDENTIFIED, THE INDIVIDUAL WITH A CONFLICT WILL LEAVE THE ROOM WHILE THE REMAINING BOARD MEMBERS VOTE ON WHETHER TO ENTER THE TRANSACTION. IF THE BOARD BELIEVES A BOARD MEMBER HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO EXPLAIN, AFTER WHICH THEY LEAVE THE ROOM WHILE THE REMAINING BOARD MEMBERS DETERMINE AN APPROPRIATE RESPONSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PARTICIPATES IN AND USES THE NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION SALARY AND BENEFITS SURVEY AND REVIEWS THE FORMS 990 OF OTHER ORGANIZATIONS. THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE AND BY THE BOARD OF DIRECTORS. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2025.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RESPONSIBILITY FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS DID NOT CHANGE DURING THE FISCAL YEAR.</ExplanationTxt>
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          <AddressLine1Txt>120 DESERT SAGE WAY</AddressLine1Txt>
          <CityNm>MOUNTAIN HOME</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83647</ZIPCd>
        </USAddress>
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        <PrimaryActivitiesTxt>TITLE HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
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      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
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      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
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