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        <ReportableCompFromOrgAmt>205743</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN HOUGHLAND</PersonNm>
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        <ReportableCompFromOrgAmt>325638</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
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        <ProgramServicesAmt>49953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6936</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>75992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62034</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>15827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198722</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43675</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>4854</ManagementAndGeneralAmt>
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        <Desc>PURCHASED MEMBER SERVIC</Desc>
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        <ProgramServicesAmt>166366</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>ADVOCACY</Desc>
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        <ManagementAndGeneralAmt>124924</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BUSINESS SOFTWARE</Desc>
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        <ProgramServicesAmt>40071</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DATA AGGREGATOR</Desc>
        <TotalAmt>89738</TotalAmt>
        <ManagementAndGeneralAmt>89738</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>24170</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100069</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>9148982</TotalAmt>
        <ProgramServicesAmt>7740225</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1408757</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1405259</EOYAmt>
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        <EOYAmt>80011</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>950150</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>15728184</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>20318674</EOYAmt>
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        <EOYAmt>1156753</EOYAmt>
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        <BOYAmt>409506</BOYAmt>
        <EOYAmt>136746</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2295247</BOYAmt>
        <EOYAmt>1293499</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>19025175</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>19025175</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>22950728</BOYAmt>
        <EOYAmt>20318674</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-1630306</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>4905857</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9376705</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9362580</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8958256</CurrentTaxYearAmt>
        <TotalAmt>37511177</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>4905857</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9376705</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9362580</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8958256</CurrentTaxYearAmt>
        <TotalAmt>37511177</TotalAmt>
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      <PublicSupportTotal170Amt>37511177</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>151301</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>52354</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>325389</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>407923</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>55425</CurrentTaxYearAmt>
        <TotalAmt>992392</TotalAmt>
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      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus3YearsAmt>98081</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>-326737</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>-402423</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>-28693</CurrentTaxYearAmt>
        <TotalAmt>-659772</TotalAmt>
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        <CurrentTaxYearMinus2YearsAmt>70555</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>71790</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>21050</CurrentTaxYearAmt>
        <TotalAmt>315062</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>27615778</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.97900</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <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>
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    <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>0</OtherActivitiesInd>
      <OtherActivitiesAmt>0</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>0</TotalLobbyingExpendituresAmt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>PAID RETAINER WITH LOBBYIST FIRM FOR MONITORING OF LEGISLATIVE ACTIVITIES</ExplanationTxt>
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    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>20000</OtherCostOrOtherBasisAmt>
        <BookValueAmt>20000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1133497</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>244463</DepreciationAmt>
        <BookValueAmt>889034</BookValueAmt>
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      <EquipmentGrp>
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        <BookValueAmt>41116</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>950150</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INTANGIBLE ASSET, NET</Desc>
        <BookValueAmt>16143</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN CIN</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>2743810</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>4621278</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>AS OF THE FISCAL YEAR END, MANAGEMENT HAS DETERMINED THAT THE COMPANY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT MATERIALLY IMPACT THE FINANCIAL STATEMENTS OR RELATED DISCLOSURES. AS TAX MATTERS ARE SUBJECT TO SOME DEGREE OF UNCERTAINTY, THERE CAN BE NO ASSURANCE THAT THE COMPANY'S TAX RETURNS WILL NOT BE CHALLENGED BY THE TAXING AUTHORITIES AND THAT THE COMPANY WILL NOT BE SUBJECT TO ADDITIONAL TAX, PENALTIES, AND INTEREST AS A RESULT OF SUCH CHALLENGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>K-1 ACTIVITY NOT REPORTED ON CONSOLIDATED AUDITED FINANCIAL STATEMENTS -28,178. GRANT PASSTHROUGH PAYMENTS 4,621,278. FINAL K-1 INVESTMENT LOSS -1,849,290.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANT PASSTHROUGH PAYMENTS 4,621,278.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
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          <BusinessNameLine1Txt>ALEPH GROUP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1900 E ALESSANDRO BLVD SUITE 105</AddressLine1Txt>
          <CityNm>RIVERSIDE</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>82508</ZIPCd>
        </USAddress>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ARCARE INC DBA KENTUCKYCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 497</AddressLine1Txt>
          <CityNm>AUGUSTA</CityNm>
          <StateAbbreviationCd>AR</StateAbbreviationCd>
          <ZIPCd>72006</ZIPCd>
        </USAddress>
        <CashGrantAmt>46956</CashGrantAmt>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BIG SANDY HEALTH CARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1709 KY-321</AddressLine1Txt>
          <CityNm>PRESTONSBURG</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41653</ZIPCd>
        </USAddress>
        <CashGrantAmt>475896</CashGrantAmt>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLUEGRASS COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1306 VERSAILLES RD UNIT 120</AddressLine1Txt>
          <CityNm>LEXINGTON</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40504</ZIPCd>
        </USAddress>
        <CashGrantAmt>51254</CashGrantAmt>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRESH START HEALTH CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>336 29TH STREET STE 203</AddressLine1Txt>
          <CityNm>ASHLAND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41101</ZIPCd>
        </USAddress>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRONTIER BEHAVIORAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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        </USAddress>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>21154 US-421</AddressLine1Txt>
          <CityNm>HYDEN</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>41749</ZIPCd>
        </USAddress>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH HELP INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>401 HIGHLAND PARK DR</AddressLine1Txt>
          <CityNm>RICHMOND</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40475</ZIPCd>
        </USAddress>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IN HOUSE PRIMARY CARE SERVICES PLLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5189 W 600 N</AddressLine1Txt>
          <CityNm>MCCORDSVILLE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46055</ZIPCd>
        </USAddress>
        <CashGrantAmt>71258</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>JUNIPER HEALTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>1025 GRAND AVENUE</AddressLine1Txt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <AddressLine1Txt>226 MEDICAL PLAZA LANE</AddressLine1Txt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ONE CROSS MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>106 WINSTON WAY</AddressLine1Txt>
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          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>42718</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
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      <RecipientTable>
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      <RecipientTable>
        <RecipientBusinessName>
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          <CityNm>MT STERLING</CityNm>
          <StateAbbreviationCd>KY</StateAbbreviationCd>
          <ZIPCd>40353</ZIPCd>
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        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
    </IRS990ScheduleI>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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        <PersonNm>MOLLY LEWIS</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEWED BY BOARD, CEO AND FINANCE COMMITTEE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE ASSESSES THE SALARY OF THE EXECUTIVE DIRECTOR ANNUALLY AND BASES THE COMPENSATION LEVEL ON SALARY SURVEYS AND PERFORMANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ON WEBSITE AND UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS IS UNCHANGED FROM THE PREVIOUS YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>651 COMANCHE TRAIL</AddressLine1Txt>
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          <StateAbbreviationCd>KY</StateAbbreviationCd>
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        </USAddress>
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        <ShareOfEOYAssetsAmt>10830451</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
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      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
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      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>KENTUCKY PRIMARY CARE - CLINICALLY INTEGRATED NETWORK</BusinessNameLine1Txt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>