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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 803</AddressLine1Txt>
            <CityNm>HARLEM</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59526</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>1038343</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY LINK CONSULTING (CLC)</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 276</AddressLine1Txt>
            <CityNm>NEWMAN LAKE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99025</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INTERIM CFO SERVICES</ServicesDesc>
        <CompensationAmt>222123</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>JACKSON CONTRACTOR GROUP INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 967</AddressLine1Txt>
            <CityNm>MISSOULA</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59806</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>180776</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>13538760</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>56263</NoncashContributionsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>20429654</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20429654</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT INCOME</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>1118405</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1118405</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>21548059</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>82967</ExclusionAmt>
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      <RentalIncomeOrLossGrp>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>26109</TotalRevenueColumnAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-5008</TotalRevenueColumnAmt>
        <ExclusionAmt>-5008</ExclusionAmt>
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        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>373499</ExclusionAmt>
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      <OtherRevenueTotalAmt>373499</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>36088101</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21548059</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
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        <FundraisingAmt>137</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
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        <FundraisingAmt>130492</FundraisingAmt>
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        <ManagementAndGeneralAmt>73475</ManagementAndGeneralAmt>
        <FundraisingAmt>2665</FundraisingAmt>
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        <FundraisingAmt>290</FundraisingAmt>
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        <ManagementAndGeneralAmt>297655</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>142846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41151</ManagementAndGeneralAmt>
        <FundraisingAmt>1492</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL &amp; PHARMACEUTICA</Desc>
        <TotalAmt>4449435</TotalAmt>
        <ProgramServicesAmt>4449435</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>144540</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39218</ManagementAndGeneralAmt>
        <FundraisingAmt>16</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>OUTREACH</Desc>
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        <ProgramServicesAmt>61180</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20490</ManagementAndGeneralAmt>
        <FundraisingAmt>743</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITING EXPENSE</Desc>
        <TotalAmt>26557</TotalAmt>
        <ProgramServicesAmt>26557</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>4350</TotalAmt>
        <ProgramServicesAmt>3712</ProgramServicesAmt>
        <ManagementAndGeneralAmt>595</ManagementAndGeneralAmt>
        <FundraisingAmt>43</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>22144230</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>11548857</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>7686</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>1704531</EOYAmt>
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        <EOYAmt>342403</EOYAmt>
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        <EOYAmt>281069</EOYAmt>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>10229501</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus3YearsAmt>15284</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>51806</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3912</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>109076</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>515612</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>373499</CurrentTaxYearAmt>
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      <RevenueNotReportedFinclStmtAmt>195987</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>KATHRYN WILLIAMS</PersonNm>
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        <PersonNm>JOSEPH NEMES</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD, THE EXECUTIVE COMMITTEE MEETS AS NEEDED BETWEEN SCHEDULED BOARD MEETINGS AND TAKES ACTION AS REQUIRED ON BEHALF OF THE BOARD, WHEN IT IS NOT FEASIBLE TO BRING THE FULL BOARD TOGETHER IN TIME TO ADDRESS AN ISSUE. ALL SUCH ACTIONS ARE REPORTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. THE EXECUTIVE COMMITTEE MUST ACT CONSISTENT WITH ESTABLISHED BOARD POLICIES AND/OR DIRECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR ENDED APRIL 30, 2022, BVHC OUTSOURCED THE CFO POSITION TO AMY BRISSON THROUGH COMMUNITY LINK CONSULTING. SHE WAS COMPENSATED $59,776 DURING CALENDAR YEAR 2021 FOR THESE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CEO AND CFO, PRESENTED TO THE BOARD'S FINANCE COMMITTEE FOR APPROVAL, AND PROVIDED TO ALL BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY FOR BOARD MEMBERS IS INCLUDED IN THE ORGANIZATION'S BYLAWS. COMPLIANCE IS MET THROUGH SELF-DISCLOSURE FORMS THAT ARE COMPLETED ON AN ANNUAL BASIS. ADDITIONALLY, INCUMBENT ON THE BOARD MEMBER IS THE RESPONSIBILITY OF DISCLOSURE DURING RELEVANT DECISION-MAKING IN MEETINGS, AS DESCRIBED IN THE ORGANIZATION'S BYLAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS MONITORED AND DETERMINED BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA WITHIN THE REGION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AMENDED FORM 990:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS BEING AMENDED TO REFLECT THE ISSUED AUDITED FINANCIAL STATEMENTS. THE FOLLOWING FORMS, SCHEDULES, PARTS, LINES, ETC., ARE UPDATED AS A RESULT OF THE AMENDMENT: FORM 990, PAGE 1, BOX G FORM 990, PART I, LINES 8-12, 15, 17-22 FORM 990, PART III, LINES 4A, 4E FORM 990, PART IV, LINE 12A FORM 990, PART VIII, LINES 1E-1H, 2A-2B, 2G, 3, 6A, 6C-6D, 7B-7D, 11A, 11E, 12 FORM 990, PART IX, LINES 7, 11G, 14, 20, 22, 24B-24E, 25 FORM 990, PART X, LINES 1, 3-4, 9, 10A-10C, 13, 15-17, 23, 26-28, 32-33 FORM 990, PART XI, LINES 1-3, 8, 10 FORM 990, PART XII, LINES 2B, 2C, 3A, 3B SCHEDULE A, PART II, LINES 1, 4, 6-8, 10-12, 14 SCHEDULE B, PART I SCHEDULE D, PART VI SCHEDULE D, PART XI SCHEDULE D, PART XII SCHEDULE R, PART I, COLUMNS D-E</ExplanationTxt>
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    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>ONE HEALTH MANAGER LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
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          <AddressLine1Txt>10 WEST 4TH STREET SUITE B</AddressLine1Txt>
          <CityNm>HARDIN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59034</ZIPCd>
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          <BusinessNameLine1Txt>BIGHORN VALLEY HEALTH CENTER</BusinessNameLine1Txt>
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          <CityNm>HARDIN</CityNm>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
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</Return>
