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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>218094</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13011</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1927158</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>195029</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>35</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROVIDER HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2455 EAST PARLEYS WAY SUITE 310</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84109</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PLACEMENT SERVICES</ServicesDesc>
        <CompensationAmt>393894</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PH ELECTRIC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 642</AddressLine1Txt>
            <CityNm>SOULSBYVILLE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95372</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GENERATOR SERVICES</ServicesDesc>
        <CompensationAmt>184744</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GRANITE PEAK ALARM</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 277</AddressLine1Txt>
            <CityNm>STANDARD</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95373</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ALARM SERVICES</ServicesDesc>
        <CompensationAmt>173539</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARCHIS ARCHITECTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 13673</AddressLine1Txt>
            <CityNm>OAKLAHOMA CITY</CityNm>
            <StateAbbreviationCd>OK</StateAbbreviationCd>
            <ZIPCd>73113</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTURAL SERVICES</ServicesDesc>
        <CompensationAmt>133268</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DENTECH REMOVABLE PROSTHETICS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2434 M STREET</AddressLine1Txt>
            <CityNm>MERCED</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95340</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROSTHETICS</ServicesDesc>
        <CompensationAmt>128520</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3501547</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>169536</AllOtherContributionsAmt>
      <TotalContributionsAmt>3671083</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>DENTAL SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>7761353</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7761353</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>7354544</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7354544</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER MISC PROGRAM REV</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>5296013</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5296013</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH &amp; COUNSELING SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>3008671</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3008671</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL EXPENSE REIMBURSEMENT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>448069</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>448069</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>23868650</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>290262</TotalRevenueColumnAmt>
        <ExclusionAmt>290262</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>20206</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>165157</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>-144951</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>-144951</TotalRevenueColumnAmt>
        <ExclusionAmt>-144951</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>6750806</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>14980</TotalRevenueColumnAmt>
        <ExclusionAmt>14980</ExclusionAmt>
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        <ExclusionAmt>26070</ExclusionAmt>
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        <ManagementAndGeneralAmt>49066</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ManagementAndGeneralAmt>210911</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2023774</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <InvestmentIncomePYPct>0.00050</InvestmentIncomePYPct>
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      <TotalRevenuePerForm990Amt>27726094</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>25057412</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>165157</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>165157</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>24892255</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>24892255</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE 165,157.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE 165,157.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>372837</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>321145</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HOANG NGUYEN</PersonNm>
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        <TotalCompensationFilingOrgAmt>291246</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETE COPY OF THE 990 WAS PROVIDED TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>SALARIES OF OFFICERS AND KEY EMPLOYEES ARE DETERMINED BY CONDUCTING SALARY SURVEYS, OBTAINING STATISTICAL SALARY INFORMATION ABOUT EACH POSITION, DUTIES PERFORMED, AND GEOGRAPHICAL REGION OF ORGANIZATION. ALL SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS USING ALL AVAILABLE INFORMATION. THE PROCESS IS DOCUMENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE AT ITS OFFICES.</ExplanationTxt>
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</Return>