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      <ExpensesNotReportedAmt>4276294</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>62975317</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>62975317</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 4,276,294</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 4,276,294</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc5">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNE NEWLAND</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>359897</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12200</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16538</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>388635</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>APRIL ALVAREZ- CORONA</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>276806</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11036</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24789</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312631</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE WILCOX</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>201000</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8019</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14383</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>223402</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARTI NEFF</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>150622</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6028</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11663</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JON SMITH</PersonNm>
        <TitleTxt>CIO</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>14439</NontaxableBenefitsFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN GOODMAN</PersonNm>
        <TitleTxt>DCMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>391097</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>391097</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDY ANN VANLANDINGHAM</PersonNm>
        <TitleTxt>CLINICIAN LEAD</TitleTxt>
        <BaseCompensationFilingOrgAmt>349010</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>349010</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHAN M BROOKS</PersonNm>
        <TitleTxt>CLINICIAN LEAD</TitleTxt>
        <BaseCompensationFilingOrgAmt>328023</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>328023</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRETT ZIMMERMAN</PersonNm>
        <TitleTxt>DCMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>292911</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>292911</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RANDAL COOPER</PersonNm>
        <TitleTxt>STAFF PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>262026</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>262026</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc6">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>NARBHA INSTITUTE INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionDesc>SEE BELOW</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>MARY JO GREGORY IS THE PRESIDENT AND CEO OF THE NARBHA INSTITUTE, INC. IN AUGUST, 2018, NARBHA INSTITUTE BECAME THE SOLE CORPORATE MEMBER OF ANOTHER 501(C)(3) PUBLIC CHARITY, THE GUIDANCE CENTER INC. ("TGC") WHERE THE CORPORATION HAS AN INTEGRATION CLINIC IN FLAGSTAFF. IN DECEMBER 2017, NARBHA INSTITUTE AGREED, IN PRINCIPAL, TO FUND UP TO 3 MILLION OVER A FIVE YEAR PERIOD, FOR A GRADUATE MEDICAL RESIDENCY PROGRAM FOR THE CORPORATION. IN FY 2023, 600,000 OF THE FUNDS WERE REQUESTED OR RECEIVED RELATED TO THIS COMMMITMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE PROVIDED AND REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ISSUES THAT ARE FLAGGED AS POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE ATTENTION OF THE SENIOR MANAGEMENT TEAM MEMBERS (CEO, CFO, CMO) AND THE HR DIRECTOR. A DECISION IS THEN REACHED REGARDING HOW THESE CONFLICTS SHOULD BE HANDLED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION SURVEY'S ARE REVIEWED ALONG WITH LOCAL MARKET CONDITIONS IN ORDER TO DETERMINE WHAT COMPENSATION AMOUNTS ARE CONSIDERED REASONABLE. ALSO FACTORED INTO CONSIDERATION IS THE EXPERIENCE, JOB PERFORMANCE AND QUALIFICATIONS OF THESE STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION SURVEYS ARE REVIEWED ALONG WITH LOCAL MARKET CONDITIONS IN ORDER TO DETERMINE WHAT COMPENSATION AMOUNTS ARE CONSIDERED REASONABLE. ALSO FACTORED INTO CONSIDERATION IS THE EXPERIENCE, JOB PERFORMANCE AND QUALIFICATIONS OF THESE STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>COST OF GOODS SOLD 4,276,294 COST OF GOODS SOLD -4,276,294</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
