﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2024v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2026-08-14T18:15:43-04:00</ReturnTs>
    <TaxPeriodEndDt>2025-09-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>821455657</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>FESTER &amp; CHAPMAN PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>9019 E BAHIA DR STE 100</AddressLine1Txt>
        <CityNm>SCOTTSDALE</CityNm>
        <StateAbbreviationCd>AZ</StateAbbreviationCd>
        <ZIPCd>85260</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2024-10-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>942540194</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>NATIVE HEALTH</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>NATI</BusinessNameControlTxt>
      <PhoneNum>6022795262</PhoneNum>
      <USAddress>
        <AddressLine1Txt>4041 N CENTRAL AVE BLDG C</AddressLine1Txt>
        <CityNm>PHOENIX</CityNm>
        <StateAbbreviationCd>AZ</StateAbbreviationCd>
        <ZIPCd>85012</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>CODY NELSON</PersonNm>
      <PersonTitleTxt>CFO</PersonTitleTxt>
      <PhoneNum>6022795262</PhoneNum>
      <SignatureDt>2026-08-12</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>false</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>RACHEL R LOCKE CPA</PreparerPersonNm>
      <PTIN>P00450405</PTIN>
      <PhoneNum>6022643077</PhoneNum>
      <PreparationDt>2026-08-12</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2024</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <DoingBusinessAsName>
        <BusinessNameLine1Txt>NATIVE AMERICAN COMMUNITY HLTH CNTR</BusinessNameLine1Txt>
      </DoingBusinessAsName>
      <PrincipalOfficerNm>WALTER MURILLO</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>4041 N CENTRAL AVE BLDG C</AddressLine1Txt>
        <CityNm>PHOENIX</CityNm>
        <StateAbbreviationCd>AZ</StateAbbreviationCd>
        <ZIPCd>85012</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>29943035</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.NATIVEHEALTHPHOENIX.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1978</FormationYr>
      <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE ACCESSIBLE HOLISTIC PATIENT CENTERED CARE, TO EMPOWER OUR COMMUNITY TO ACHIEVE THE HIGHEST QUALITY HEALTH AND WELL-BEING.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>276</TotalEmployeeCnt>
      <TotalVolunteersCnt>25</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>19017859</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>17562944</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>10282200</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>11441099</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>712192</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>631220</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>178171</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>307772</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>30190422</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>29943035</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>15574467</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>15858287</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>8135032</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>11330306</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>23709499</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>27188593</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>6480923</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>2754442</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>42003392</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>46913424</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>12921502</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>14789921</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>29081890</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>32123503</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE ACCESSIBLE HOLISTIC PATIENT CENTERED CARE, TO EMPOWER OUR COMMUNITY TO ACHIEVE THE HIGHEST QUALITY HEALTH AND WELL-BEING.</MissionDesc>
      <SignificantNewProgramSrvcInd>true</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>17803769</ExpenseAmt>
      <RevenueAmt>11441099</RevenueAmt>
      <Desc>NATIVE HEALTH'S MEDICAL DEPARTMENT EXPANDED CLINICAL SERVICES IN PARTNERSHIP WITH THE PASCUA YAQUI TRIBE, OPENING NATIVE HEALTH @ WALUPE, IN GUADALUPE, ARIZONA. IN ADDITION, WE COMPLETED RENOVATIONS AND OPENED A NEW SITE, NHW COMMUNITY HEALTH CENTER. PHARMACY WAS A WELCOME ADDITION INSIDE THE CLINIC, WITH MANY PATIENTS AND COMMUNITY MEMBERS REMARKING HOW CONVENIENT IT IS THAT WE ARE A ONE STOP SHOP. CHIROPRACTIC SERVICES ROLLED OUT AT MULTIPLE CLINICS. WE HELD MULTIPLE DRIVE THRU FLU SHOT CLINICS, COMPLETE WITH BLUE CORN MUSH AND NAVAJO HOPI TEA. NATIVE HEALTH'S MOBILE MEDICAL UNIT CONTINUED TO PROVIDE MEDICAL AND VACCINE SERVICES TO STUDENTS AT AREA SCHOOLS. NATIVE HEALTH'S COMMUNITY HEALTH AND WELLNESS DEPARTMENT PROVIDED MANY SERVICES AND PROGRAMS THROUGH OUR INDIGENOUS WELLNESS PROGRAM INCLUDING WALK IN YOUR MOCS, COOKING CLASSES, TRADITIONAL GARDEN, INDIGENOUS BOOK CLUBS FOR YOUTH AND ADULTS, AS WELL AS TRADITIONAL AMERICAN INDIAN/ALASKA NATIVE GAMES AND OUR EVER POPULAR, INDIGENOUS WELLNESS CAMP TO NORTHERN ARIZONA. THIS YEAR WE ALSO ROLLED OUT MENTAL HEALTH FIRST AID SERVICES, WITH CLASSES FILLING UP WITHIN HOURS. WE CONTINUE TO OFFER OUR ANNUAL BIKE RODEO, COOKIES AND COCOA WITH SANTA, AND OUR POSITIVE INDIAN PARENTING AND MOTHERHOOD IS SACRED/FATHERHOOD IS SACRED PROGRAMS FOR FAMILIES. THE WIC PROGRAM CONTINUES TO GROW WITH THREE VALLEY LOCATIONS AND A BREASTFEEDING PEER COUNSELOR. OUR HOME VISITING PROGRAMS CONTINUE TO BE POPULAR WITH MANY CHILDREN GRADUATING FROM THESE PROGRAMS READY TO ENTER SCHOOL SUCCESSFULLY NATIVE HEALTH'S BEHAVIORAL HEALTH DEPARTMENT CONTINUED TO GROW DURING THIS PERIOD. PSYCHIATRIC SERVICES WERE EXPANDED AT NATIVE HEALTH CENTRAL, NATIVE HEALTH MESA, AND NHW COMMUNITY HEALTH CENTER. WEEKLY GROUPS CONTINUE TO GROW AND INCLUDE INTENSIVE OUTPATIENT PROGRAM, STANDING OUTPATIENT PROGRAM, DUI ASSESSMENT AND SERVICES, AND OUR MEN'S DOMESTIC VIOLENCE GROUP. NEW TRADITIONAL SERVICES WERE ADDED WHICH INCLUDES MANY DIFFERENT TALKING CIRCLES AS WELL AS BLESSINGS AND SMUDGING. OUR ANNUAL PRAYER WALK: WALK FOR THE LAND THE PEOPLE, CONTINUES TO BE ONE OF OUR SIGNATURE EVENTS WITH HUNDREDS ATTENDING EACH SPRING.</Desc>
      <TotalProgramServiceExpensesAmt>17803769</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc4">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc5">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc5">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>19</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>276</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>AZ</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>NATIVE AMERICAN COMMUNITY HEALTH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>CARE</BusinessNameLine2Txt>
        </BusinessName>
        <PhoneNum>6022795262</PhoneNum>
        <USAddress>
          <AddressLine1Txt>4041 N CENTRAL AVE BLDG C</AddressLine1Txt>
          <CityNm>PHOENIX</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85012</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANINE EDAAKIE</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KYLE MITCHELL</PersonNm>
        <TitleTxt>VICE PRESIDE</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIAN BIZARDI</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OLIVIA WAUNEKA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YVETTE BROWN-SHIRLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERY DUTCHER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELENA YOUNG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RISHI POPAT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAWN SELLERS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WALTER MURILLO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>319341</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25199</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEANNA SANGSTER</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>235146</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22657</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CODY NELSON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>202631</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16445</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MITCHELL TERRY</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>175187</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18852</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VAFA MATIN</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>340893</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11522</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCIE BROWN-SPENCER</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>165991</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13652</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTONTREY BEGAYE</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>261464</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9526</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COLLEEN BEAUFILS COX</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>172567</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17611</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ADRIAN FLETCHER</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>217194</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10962</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LEVY</PersonNm>
        <TitleTxt>COMMUNICATIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>156448</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14007</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAREK KAAKANI</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>174303</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>21033</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2421165</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>181466</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ANDREW LEWANDOWSKI</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 531</AddressLine1Txt>
            <CityNm>PAGE</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>86040</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>132155</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>16924691</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>638253</AllOtherContributionsAmt>
      <NoncashContributionsAmt>576702</NoncashContributionsAmt>
      <TotalContributionsAmt>17562944</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE, NET</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9757205</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9757205</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER CONTRACTS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1614200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1614200</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>RENTAL INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>69694</TotalRevenueColumnAmt>
        <ExclusionAmt>69694</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11441099</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>631220</TotalRevenueColumnAmt>
        <ExclusionAmt>631220</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>307772</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>307772</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>307772</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>29943035</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11679177</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>700914</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1547516</TotalAmt>
        <ProgramServicesAmt>1204315</ProgramServicesAmt>
        <ManagementAndGeneralAmt>343201</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>11663250</TotalAmt>
        <ProgramServicesAmt>9076625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2586625</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>320066</TotalAmt>
        <ProgramServicesAmt>208426</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111640</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1379944</TotalAmt>
        <ProgramServicesAmt>1080372</ProgramServicesAmt>
        <ManagementAndGeneralAmt>299572</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>947511</TotalAmt>
        <ProgramServicesAmt>745603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>201908</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>94236</TotalAmt>
        <ManagementAndGeneralAmt>94236</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>68223</TotalAmt>
        <ProgramServicesAmt>7499</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60724</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>3880960</TotalAmt>
        <ProgramServicesAmt>1368217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2512743</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>445113</TotalAmt>
        <ProgramServicesAmt>232439</ProgramServicesAmt>
        <ManagementAndGeneralAmt>212674</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1411239</TotalAmt>
        <ProgramServicesAmt>706632</ProgramServicesAmt>
        <ManagementAndGeneralAmt>704607</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>322942</TotalAmt>
        <ProgramServicesAmt>139309</ProgramServicesAmt>
        <ManagementAndGeneralAmt>183633</ManagementAndGeneralAmt>
      </TravelGrp>
      <InterestGrp>
        <TotalAmt>221439</TotalAmt>
        <ManagementAndGeneralAmt>221439</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>731104</TotalAmt>
        <ProgramServicesAmt>687238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43866</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>270424</TotalAmt>
        <ProgramServicesAmt>194806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75618</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
        <TotalAmt>2143235</TotalAmt>
        <ProgramServicesAmt>1312373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>830862</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUBSCRIPTIONS &amp; DUES</Desc>
        <TotalAmt>621399</TotalAmt>
        <ProgramServicesAmt>146832</ProgramServicesAmt>
        <ManagementAndGeneralAmt>474567</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>IN-KIND</Desc>
        <TotalAmt>576702</TotalAmt>
        <ProgramServicesAmt>576702</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; EQUIPMENT</Desc>
        <TotalAmt>214153</TotalAmt>
        <ProgramServicesAmt>47274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166879</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>329137</TotalAmt>
        <ProgramServicesAmt>69107</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260030</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>27188593</TotalAmt>
        <ProgramServicesAmt>17803769</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9384824</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>12219150</BOYAmt>
        <EOYAmt>8077294</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>6056908</BOYAmt>
        <EOYAmt>5483380</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1236433</BOYAmt>
        <EOYAmt>1482294</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>197920</BOYAmt>
        <EOYAmt>217516</EOYAmt>
      </AccountsReceivableGrp>
      <LandBldgEquipCostOrOtherBssAmt>27998400</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>4659717</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>14037900</BOYAmt>
        <EOYAmt>23338683</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>2539570</BOYAmt>
        <EOYAmt>3297491</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>5715511</BOYAmt>
        <EOYAmt>5016766</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>42003392</BOYAmt>
        <EOYAmt>46913424</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>3401775</BOYAmt>
        <EOYAmt>1542068</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>5258422</BOYAmt>
        <EOYAmt>8607514</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>4261305</BOYAmt>
        <EOYAmt>4640339</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>12921502</BOYAmt>
        <EOYAmt>14789921</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>29081890</BOYAmt>
        <EOYAmt>32123503</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>29081890</BOYAmt>
        <EOYAmt>32123503</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>42003392</BOYAmt>
        <EOYAmt>46913424</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2754442</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>287171</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>15110516</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14730191</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18853076</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19017849</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17562944</CurrentTaxYearAmt>
        <TotalAmt>85274576</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>15110516</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14730191</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>18853076</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19017849</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17562944</CurrentTaxYearAmt>
        <TotalAmt>85274576</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>85274576</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>291000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>712192</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>631220</CurrentTaxYearAmt>
        <TotalAmt>1634412</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus2YearsAmt>62522</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>75333</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>68694</CurrentTaxYearAmt>
        <TotalAmt>206549</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <TotalSupportAmt>87115537</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>42464735</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.97890</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98580</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>true</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>false</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>7779766</OtherCostOrOtherBasisAmt>
        <BookValueAmt>7779766</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>9885677</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>830171</DepreciationAmt>
        <BookValueAmt>9055506</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>328066</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>282752</DepreciationAmt>
        <BookValueAmt>45314</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4722073</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3485840</DepreciationAmt>
        <BookValueAmt>1236233</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>5282818</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>60954</DepreciationAmt>
        <BookValueAmt>5221864</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>23338683</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE - RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>3159619</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AHCCCS</Desc>
        <BookValueAmt>1043193</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RESTRICTED CASH EQUIVALENTS</Desc>
        <BookValueAmt>750000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>63954</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>5016766</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>3533373</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>REFUNDABLE ADVANCES</Desc>
        <Amt>556966</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>550000</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4640339</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>30230206</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>287171</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>287171</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29943035</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>29943035</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>27188593</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>27188593</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>27188593</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <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>WALTER MURILLO</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>319341</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16354</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8845</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>344540</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEANNA SANGSTER</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>235146</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12215</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10442</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>257803</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CODY NELSON</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>202631</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5025</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11420</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>219076</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MITCHELL TERRY</PersonNm>
        <TitleTxt>CCO</TitleTxt>
        <BaseCompensationFilingOrgAmt>175187</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9100</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9752</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>194039</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VAFA MATIN</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>340893</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11522</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>352415</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCIE BROWN-SPENCER</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>165991</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3486</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10166</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>179643</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTONTREY BEGAYE</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>261464</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9526</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>270990</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLLEEN BEAUFILS COX</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>172567</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8673</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8938</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>190178</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADRIAN FLETCHER</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>217194</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10860</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>102</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228156</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN LEVY</PersonNm>
        <TitleTxt>COMMUNICATIONS DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>156448</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7096</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6911</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>170455</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAREK KAAKANI</PersonNm>
        <TitleTxt>PROVIDER</TitleTxt>
        <BaseCompensationFilingOrgAmt>174303</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9536</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11497</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>195336</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc5">
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>491971</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>8353</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>SUPPLIES</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>76378</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, ITEM C</FormAndLineReferenceDesc>
        <ExplanationTxt>NATIVE AMERICAN COMMUNITY HEALTHCARE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>WE ADDED AN ADDITIONAL CLINIC, NATIVE HEALTH @ WALUPE HEALTH CENTER AND ADDED PHARMACY, CHIROPRACTIC, AND DENTAL SERVICES AT MULTIPLE CLINICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>NATIVE HEALTH'S MEDICAL DEPARTMENT EXPANDED CLINICAL SERVICES IN PARTNERSHIP WITH THE PASCUA YAQUI TRIBE, OPENING NATIVE HEALTH @ WALUPE, IN GUADALUPE, ARIZONA. IN ADDITION, WE COMPLETED RENOVATIONS AND OPENED A NEW SITE, NHW COMMUNITY HEALTH CENTER. PHARMACY WAS A WELCOME ADDITION INSIDE THE CLINIC, WITH MANY PATIENTS AND COMMUNITY MEMBERS REMARKING HOW CONVENIENT IT IS THAT WE ARE A ONE STOP SHOP. CHIROPRACTIC SERVICES ROLLED OUT AT MULTIPLE CLINICS. WE HELD MULTIPLE DRIVE THRU FLU SHOT CLINICS, COMPLETE WITH BLUE CORN MUSH AND NAVAJO HOPI TEA. NATIVE HEALTH'S MOBILE MEDICAL UNIT CONTINUED TO PROVIDE MEDICAL AND VACCINE SERVICES TO STUDENTS AT AREA SCHOOLS. NATIVE HEALTH'S COMMUNITY HEALTH AND WELLNESS DEPARTMENT PROVIDED MANY SERVICES AND PROGRAMS THROUGH OUR INDIGENOUS WELLNESS PROGRAM INCLUDING WALK IN YOUR MOCS, COOKING CLASSES, TRADITIONAL GARDEN, INDIGENOUS BOOK CLUBS FOR YOUTH AND ADULTS, AS WELL AS TRADITIONAL AMERICAN INDIAN/ALASKA NATIVE GAMES AND OUR EVER POPULAR, INDIGENOUS WELLNESS CAMP TO NORTHERN ARIZONA. THIS YEAR WE ALSO ROLLED OUT MENTAL HEALTH FIRST AID SERVICES, WITH CLASSES FILLING UP WITHIN HOURS. WE CONTINUE TO OFFER OUR ANNUAL BIKE RODEO, COOKIES AND COCOA WITH SANTA, AND OUR POSITIVE INDIAN PARENTING AND MOTHERHOOD IS SACRED/FATHERHOOD IS SACRED PROGRAMS FOR FAMILIES. THE WIC PROGRAM CONTINUES TO GROW WITH THREE VALLEY LOCATIONS AND A BREASTFEEDING PEER COUNSELOR. OUR HOME VISITING PROGRAMS CONTINUE TO BE POPULAR WITH MANY CHILDREN GRADUATING FROM THESE PROGRAMS READY TO ENTER SCHOOL SUCCESSFULLY NATIVE HEALTH'S BEHAVIORAL HEALTH DEPARTMENT CONTINUED TO GROW DURING THIS PERIOD. PSYCHIATRIC SERVICES WERE EXPANDED AT NATIVE HEALTH CENTRAL, NATIVE HEALTH MESA, AND NHW COMMUNITY HEALTH CENTER. WEEKLY GROUPS CONTINUE TO GROW AND INCLUDE INTENSIVE OUTPATIENT PROGRAM, STANDING OUTPATIENT PROGRAM, DUI ASSESSMENT AND SERVICES, AND OUR MEN'S DOMESTIC VIOLENCE GROUP. NEW TRADITIONAL SERVICES WERE ADDED WHICH INCLUDES MANY DIFFERENT TALKING CIRCLES AS WELL AS BLESSINGS AND SMUDGING. OUR ANNUAL PRAYER WALK: WALK FOR THE LAND THE PEOPLE, CONTINUES TO BE ONE OF OUR SIGNATURE EVENTS WITH HUNDREDS ATTENDING EACH SPRING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>NATIVE HEALTH'S BOARD OF DIRECTOR FINANCE CHAIR REVIEWS THE SUBMISSION FIRST, THEN PRESENTS THE 990 TO THE BOARD OF DIRECTORS AND RECOMMENDS ITS SUBMISSION DURING AN OFFICIAL BOARD OF DIRECTOR MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER BYLAWS AND POLICY REQUIRES DISCLOSURE OF CONFLICTS OF INTEREST. AN ANNUAL LETTER IS SENT TO EACH BOARD MEMBER TO DISCLOSE ANY POTENTIAL ISSUES. EACH RETURNED LETTER IS REVIEWED AND THEN RESOLVED AT AN OFFICIAL BOARD OF DIRECTOR MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET SURVEY OF SIMILAR ORGANIZATIONS IN THE COUNTY AND STATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>MARKET SURVEY OF SIMILAR ORGANIZATIONS IN THE COUNTY AND STATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST IN PERSON AND AVAILABLE ONLINE VIA GUIDESTAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTSIDE MEDICAL SERVICES 1,368,217 2,512,743 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>