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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CRAIG KUEHN</PersonNm>
        <TitleTxt>DIRECTOR (THRU 01/24)</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KITTY STEWART MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LORI VEERKAMP</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>0.30</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1432441</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>117199</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>26</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JEANINE M ELLINWORD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4536 CHARLESTON DRIVE</AddressLine1Txt>
            <CityNm>CARMICHAEL</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95628</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL DIRECTOR</ServicesDesc>
        <CompensationAmt>347344</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JAY DRAEGER MD</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>310 FITCHBURG SQUARE</AddressLine1Txt>
            <CityNm>FOLSOM</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95630</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ASSISTANT MEDICAL DIRECTOR</ServicesDesc>
        <CompensationAmt>160891</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NOAH PINCK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1500 BALL ROAD</AddressLine1Txt>
            <CityNm>EAGLE POINT</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97524</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CHIEF INFORMATION OFFICER (IT CONSULTANT</ServicesDesc>
        <CompensationAmt>144000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>155462</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1279850</AllOtherContributionsAmt>
      <TotalContributionsAmt>1435312</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>17007333</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17007333</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>17007333</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>274101</TotalRevenueColumnAmt>
        <ExclusionAmt>274101</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>14700459</SecuritiesAmt>
        <OtherAmt>33950</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>14616076</SecuritiesAmt>
        <OtherAmt>4920</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>84383</SecuritiesAmt>
        <OtherAmt>29030</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>113413</TotalRevenueColumnAmt>
        <ExclusionAmt>113413</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <GrossSalesOfInventoryAmt>3544766</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>3272207</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>272559</TotalRevenueColumnAmt>
        <ExclusionAmt>272559</ExclusionAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>86207</TotalRevenueColumnAmt>
        <ExclusionAmt>86207</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>86207</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>19188925</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17007333</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>746280</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>9469</TotalAmt>
        <ProgramServicesAmt>9469</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>13084</TotalAmt>
        <ProgramServicesAmt>13084</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>820693</TotalAmt>
        <ManagementAndGeneralAmt>820693</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9239355</TotalAmt>
        <ProgramServicesAmt>8127038</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1015234</ManagementAndGeneralAmt>
        <FundraisingAmt>97083</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>227573</TotalAmt>
        <ProgramServicesAmt>212573</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12392</ManagementAndGeneralAmt>
        <FundraisingAmt>2608</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1154870</TotalAmt>
        <ProgramServicesAmt>995247</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147415</ManagementAndGeneralAmt>
        <FundraisingAmt>12208</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>819559</TotalAmt>
        <ProgramServicesAmt>684603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126558</ManagementAndGeneralAmt>
        <FundraisingAmt>8398</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>6073</TotalAmt>
        <ProgramServicesAmt>5635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>438</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>76905</TotalAmt>
        <ManagementAndGeneralAmt>76905</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>28392</TotalAmt>
        <ManagementAndGeneralAmt>28392</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>927</TotalAmt>
        <ManagementAndGeneralAmt>927</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>2000</TotalAmt>
        <FundraisingAmt>2000</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>3429416</TotalAmt>
        <ProgramServicesAmt>3312819</ProgramServicesAmt>
        <ManagementAndGeneralAmt>112525</ManagementAndGeneralAmt>
        <FundraisingAmt>4072</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <InformationTechnologyGrp>
        <TotalAmt>618359</TotalAmt>
        <ProgramServicesAmt>432113</ProgramServicesAmt>
        <ManagementAndGeneralAmt>173334</ManagementAndGeneralAmt>
        <FundraisingAmt>12912</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>506796</TotalAmt>
        <ProgramServicesAmt>477310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28823</ManagementAndGeneralAmt>
        <FundraisingAmt>663</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>382139</TotalAmt>
        <ProgramServicesAmt>320017</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58652</ManagementAndGeneralAmt>
        <FundraisingAmt>3470</FundraisingAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>94630</TotalAmt>
        <ProgramServicesAmt>92693</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1937</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>292064</TotalAmt>
        <ProgramServicesAmt>216222</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75842</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>148076</TotalAmt>
        <ProgramServicesAmt>25469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122607</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DME/SUPPLIES</Desc>
        <TotalAmt>1356280</TotalAmt>
        <ProgramServicesAmt>1316636</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35676</ManagementAndGeneralAmt>
        <FundraisingAmt>3968</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUUBSCRIPTIONS</Desc>
        <TotalAmt>78504</TotalAmt>
        <ProgramServicesAmt>66948</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9025</ManagementAndGeneralAmt>
        <FundraisingAmt>2531</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>85611</TotalAmt>
        <ProgramServicesAmt>10428</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66722</ManagementAndGeneralAmt>
        <FundraisingAmt>8461</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>19390775</TotalAmt>
        <ProgramServicesAmt>16318304</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2914097</ManagementAndGeneralAmt>
        <FundraisingAmt>158374</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1414172</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>6305414</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2177746</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>72850</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>255499</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>6901060</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2978747</BOYAmt>
        <EOYAmt>2869378</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>2623237</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
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        <EOYAmt>2944084</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>18662380</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>4500088</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1583498</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>2517731</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>8601317</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>10014455</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>16490</BOYAmt>
        <EOYAmt>46608</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>12480354</BOYAmt>
        <EOYAmt>10061063</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>19619339</BOYAmt>
        <EOYAmt>18662380</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-201850</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>332261</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-2549702</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>308037</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2139037</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>204635</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3619278</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1435312</CurrentTaxYearAmt>
        <TotalAmt>7706299</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2139037</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>204635</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3619278</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1435312</CurrentTaxYearAmt>
        <TotalAmt>7706299</TotalAmt>
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      <SubstantialContributorsTotAmt>124003</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>7582296</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>0</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1231156</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>311293</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>258021</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>274101</CurrentTaxYearAmt>
        <TotalAmt>2074571</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>96</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>209</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9625</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>86207</CurrentTaxYearAmt>
        <TotalAmt>100107</TotalAmt>
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      <PublicSupportPY170Pct>0.88440</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>MISCELLANEOUS INCOME - 2019 AMOUNT: $ 3,970. 2020 AMOUNT: $ 96. 2021 AMOUNT: $ 209. 2022 AMOUNT: $ 9,625. 2023 AMOUNT: $ 86,207.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
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        <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>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>927</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>927</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIRECT - NATIONAL ASSOCIATION LOBBYING EFFORTS, ALLOCATED $927 OF OUR ANNUAL FEE TO THEIR LOBBYING EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>790521</OtherCostOrOtherBasisAmt>
        <BookValueAmt>790521</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>3318502</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1748208</DepreciationAmt>
        <BookValueAmt>1570294</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>513372</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>404333</DepreciationAmt>
        <BookValueAmt>109039</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2276665</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1879141</DepreciationAmt>
        <BookValueAmt>397524</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2000</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2869378</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT-OF-USE ASSETS - LEASE</Desc>
        <BookValueAmt>2435947</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>404019</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>104118</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>2944084</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITIES</Desc>
        <Amt>2517731</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2517731</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>19496633</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>332261</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>332261</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19164372</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>24553</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>24553</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19188925</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>19366222</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>19366222</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>24553</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>24553</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>19390775</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE (IRC) SECTION 501 (C)(3) AND CALIFORNIA REVENUE AND TAX CODE 23701D. FASB ASC TOPIC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT DISCLOSURE OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. RECOGNITION OF A TAX POSITION IS DETERMINED WHEN IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, INCLUDING RESOLUTION OF ANY RELATED APPEALS OR LITIGATION PROCESSES. A TAX POSITION THAT MEETS THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH A TAXING AUTHORITY. MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS ADEQUATELY ADDRESSED ALL RELEVANT TAX POSITIONS AND THAT THERE ARE NO UNRECORDED TAX LIABILITIES. ANY INTEREST OR PENALTIES ASSESSED TO THE ORGANIZATION ARE RECORDED IN OPERATING EXPENSES. NO INTEREST OR PENALTIES FROM FEDERAL OR STATE TAX AUTHORITIES ARE RECORDED IN THE ACCOMPANYING AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT EXPENSE RECLASSIFICATION 24,553.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT EXPENSE RECLASSIFICATION 24,553.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GLOBAL PARTNERS IN CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>501 COMFORT PLACE</AddressLine1Txt>
          <CityNm>MISHAWAKA</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46545</ZIPCd>
        </USAddress>
        <RecipientEIN>161590512</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9469</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>GRANT SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>VETERAN GRANT</GrantTypeTxt>
        <RecipientCnt>15</RecipientCnt>
        <CashGrantAmt>13084</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECORDS ARE KEPT FOR THOSE RECEIVING THE GRANTS. IN THE CASE OF THE VETERAN'S GRANT, THERE IS APPLICATION THAT GOES THROUGH AN APPROVAL PROCESS AND THE AMOUNT OF SUPPORT IS LIMITED TO NO MORE THAN $2,400. SNOWLINE PROVIDES ANNUAL REPORTS TO THE COUNTY SUPPORTING THE USE OF THE FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIM MEADOWS</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>219158</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>31186</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9327</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10008</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>269679</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LORI SCOVILLE</PersonNm>
        <TitleTxt>CHIEF CLINICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>171473</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5818</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10008</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>187299</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMARA GRIGOLEIT</PersonNm>
        <TitleTxt>DIRECTOR OF QUALITY ASSURANCE</TitleTxt>
        <BaseCompensationFilingOrgAmt>166188</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7985</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>174173</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALEXANDRA AKAKA</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>151183</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4625</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7588</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>163396</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MORGAN THOMAS</PersonNm>
        <TitleTxt>DIRECTOR OF CLINICAL SERVICES</TitleTxt>
        <BaseCompensationFilingOrgAmt>145163</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4437</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10008</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>159608</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BILL WIEDEMANN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>145327</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3637</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8964</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157928</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBRA BOARDMAN CHEEVERS</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>141348</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5746</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10008</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157102</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF FINANCIAL OFFICER REVIEWS THE RETURN AND THEN SUBMITS TO THE TREASURER FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY APPLIES TO ALL DIRECTORS AND OFFICERS OF THE CORPORATION. POTENTIAL CONFLICTS ARE INITIALLY REVIEWED AT THE BOARD OF DIRECTOR LEVEL, WHERE ANY TRANSACTIONS INVOLVING INTERESTED PARTIES ARE EVALUATED TO ENSURE COMPLIANCE WITH THE POLICY. THE DETERMINATION OF CONFLICTS IS MADE BY A MAJORITY VOTE OF THE DIRECTORS PRESENT, EXCLUDING ANY INTERESTED DIRECTORS, WHO MUST DISCLOSE THEIR FINANCIAL INTERESTS IN THE TRANSACTION. IF A CONFLICT IS IDENTIFIED, INDIVIDUALS DETERMINED TO HAVE A CONFLICT ARE RESTRICTED FROM PARTICIPATING IN DISCUSSIONS OR DECISIONS RELATED TO THE TRANSACTION IN QUESTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) AND AUTHORIZES THE CEO TO DETERMINE COMPENSATION FOR THE CFO, CHIEF HUMAN RESOURCES OFFICERS, AND OTHER TOP MEMBERS OF MANAGEMENT. THE BOARD AND CEO REFERENCE THE COMPENSATION SURVEY WHEN ACCESSING A REASONABLE COMPENSATION. THE SURVEY IS CONDUCTED BY OUR BENEFITS COMPANY FOR ALL EMPLOYEES. ONCE COMPENSATION IS DETERMINED, IT IS REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE. OTHER KEY EMPLOYEES' COMPENSATION IS REVIEWED BY THE CFO AND CHIEF HUMAN RESOURCES OFFICER, WITH FINAL APPROVAL BY THE CEO. MEETINGS ARE CONDUCTED TO REVIEW THE PROPOSED AMOUNT AND DOCUMENTED BY EMAIL. THE LAST COMPENSATION INCREASED OCCURRED IN FALL OF 2023, THE APPROVED COMPENSATION WAS IMPLEMENTED BETWEEN OCTOBER 203 AND APRIL 2024.</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 TO THE PUBLIC UPON REQUEST AT THE DIAMOND SPRINGS OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT RELATED SERVICES: PROGRAM SERVICE EXPENSES 1,971,861. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,971,861. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 664,946. MANAGEMENT AND GENERAL EXPENSES 51,745. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 716,691. TEMPORARY STAFF: PROGRAM SERVICE EXPENSES 296,688. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 296,688. CONTRACT LABOR - IT: PROGRAM SERVICE EXPENSES 163,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 163,900. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 136,283. MANAGEMENT AND GENERAL EXPENSES 54,668. FUNDRAISING EXPENSES 4,072. TOTAL EXPENSES 195,023. CONSULTANT: PROGRAM SERVICE EXPENSES 78,542. MANAGEMENT AND GENERAL EXPENSES 6,112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,654. TRIAGE SERVICES: PROGRAM SERVICE EXPENSES 599. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 599.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEE RETENTION CREDIT RETURNED -2,549,702.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>