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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE MCCLEARY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1738549</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>114459</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>33</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IN-YARAK CONSTRUCTION INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>772 AIRFIELD LN</AddressLine1Txt>
            <CityNm>SHERIDAN</CityNm>
            <StateAbbreviationCd>WY</StateAbbreviationCd>
            <ZIPCd>82801</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>1307750</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>288947</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HIGH PLAINS ARCHITECTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2720 MINNESOTA AVE</AddressLine1Txt>
            <CityNm>BILLINGS</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECT</ServicesDesc>
        <CompensationAmt>223047</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY LINK CONSULTING</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</ServicesDesc>
        <CompensationAmt>145701</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>2332</FundraisingAmt>
      <GovernmentGrantsAmt>12711370</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>378597</AllOtherContributionsAmt>
      <TotalContributionsAmt>13092299</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>17322672</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17322672</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT INCOME</Desc>
        <BusinessCd>624110</BusinessCd>
        <TotalRevenueColumnAmt>2993072</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2993072</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>20315744</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>6977</TotalRevenueColumnAmt>
        <ExclusionAmt>6977</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>124530</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>124530</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>124530</TotalRevenueColumnAmt>
        <ExclusionAmt>124530</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>6714</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
        <OtherAmt>6714</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>6714</TotalRevenueColumnAmt>
        <ExclusionAmt>6714</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>1619</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>2332</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>4441</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-2822</TotalRevenueColumnAmt>
        <ExclusionAmt>-2822</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>QUALITY/INCENTIVE REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>319410</TotalRevenueColumnAmt>
        <ExclusionAmt>319410</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>72573</TotalRevenueColumnAmt>
        <ExclusionAmt>72573</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>391983</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>33935425</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20315744</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>527382</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>408450</TotalAmt>
        <ProgramServicesAmt>208483</ProgramServicesAmt>
        <ManagementAndGeneralAmt>199967</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>17078995</TotalAmt>
        <ProgramServicesAmt>16164914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>874653</ManagementAndGeneralAmt>
        <FundraisingAmt>39428</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>261505</TotalAmt>
        <ProgramServicesAmt>204601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54848</ManagementAndGeneralAmt>
        <FundraisingAmt>2056</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2281447</TotalAmt>
        <ProgramServicesAmt>1793784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>469693</ManagementAndGeneralAmt>
        <FundraisingAmt>17970</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1240214</TotalAmt>
        <ProgramServicesAmt>970343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>260197</ManagementAndGeneralAmt>
        <FundraisingAmt>9674</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>27072</TotalAmt>
        <ManagementAndGeneralAmt>27072</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>136179</TotalAmt>
        <ManagementAndGeneralAmt>136179</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>205</TotalAmt>
        <ManagementAndGeneralAmt>205</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1467613</TotalAmt>
        <ProgramServicesAmt>1081407</ProgramServicesAmt>
        <ManagementAndGeneralAmt>382179</ManagementAndGeneralAmt>
        <FundraisingAmt>4027</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>92106</TotalAmt>
        <FundraisingAmt>92106</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>437552</TotalAmt>
        <ProgramServicesAmt>196808</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240744</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>1640644</TotalAmt>
        <ProgramServicesAmt>1283640</ProgramServicesAmt>
        <ManagementAndGeneralAmt>344207</ManagementAndGeneralAmt>
        <FundraisingAmt>12797</FundraisingAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>746565</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200191</ManagementAndGeneralAmt>
        <FundraisingAmt>7443</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>511358</TotalAmt>
        <ProgramServicesAmt>400086</ProgramServicesAmt>
        <ManagementAndGeneralAmt>107283</ManagementAndGeneralAmt>
        <FundraisingAmt>3989</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>191320</TotalAmt>
        <ProgramServicesAmt>186900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4262</ManagementAndGeneralAmt>
        <FundraisingAmt>158</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ManagementAndGeneralAmt>262357</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>616567</TotalAmt>
        <ProgramServicesAmt>517960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>95072</ManagementAndGeneralAmt>
        <FundraisingAmt>3535</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>220509</TotalAmt>
        <ProgramServicesAmt>171790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47196</ManagementAndGeneralAmt>
        <FundraisingAmt>1523</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUGS</Desc>
        <TotalAmt>4584342</TotalAmt>
        <ProgramServicesAmt>4584342</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIR &amp; MAINTENANCE</Desc>
        <TotalAmt>403090</TotalAmt>
        <ProgramServicesAmt>315378</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84568</ManagementAndGeneralAmt>
        <FundraisingAmt>3144</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; LICENSES</Desc>
        <TotalAmt>211679</TotalAmt>
        <ProgramServicesAmt>157000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54536</ManagementAndGeneralAmt>
        <FundraisingAmt>143</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>OUTREACH</Desc>
        <TotalAmt>163912</TotalAmt>
        <ProgramServicesAmt>128245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34389</ManagementAndGeneralAmt>
        <FundraisingAmt>1278</FundraisingAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>155492</TotalAmt>
        <ProgramServicesAmt>126551</ProgramServicesAmt>
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      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>33346807</TotalAmt>
        <ProgramServicesAmt>29238797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3908739</ManagementAndGeneralAmt>
        <FundraisingAmt>199271</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>11548857</BOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>7686</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>764596</EOYAmt>
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      <AccountsReceivableGrp>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>6829440</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>389857</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>281069</BOYAmt>
        <EOYAmt>1290434</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>16585307</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>13916746</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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      <InvestmentsProgramRelatedGrp>
        <EOYAmt>1100064</EOYAmt>
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      <IntangibleAssetsGrp>
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      <TotalAssetsGrp>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <DonorRestrictionNetAssetsGrp>
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      <PriorPeriodAdjustmentsAmt>-427268</PriorPeriodAdjustmentsAmt>
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        <CurrentTaxYearMinus2YearsAmt>11506129</CurrentTaxYearMinus2YearsAmt>
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      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>15284</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>51806</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>109076</CurrentTaxYearMinus1YearAmt>
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      <Form990ScheduleAPartVIGrp>
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    <IRS990ScheduleB documentId="RetDoc1">
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      <BuildingsGrp>
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      <LeaseholdImprovementsGrp>
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      <EquipmentGrp>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>3073732</BookValueAmt>
      </OtherLandBuildingsGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>717201</Amt>
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      <TotalLiabilityAmt>717201</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
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      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID MARK</PersonNm>
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        <TotalCompensationFilingOrgAmt>259297</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY QUANBECK</PersonNm>
        <TitleTxt>REGIONAL MEDICAL DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>221709</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5435</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6283</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12888</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>246315</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JACOB FORKE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>218696</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6992</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6429</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11146</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>243263</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHRYN WILLIAMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>190583</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>25000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>4133</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8720</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>228436</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ORIN HANSEN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>196111</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>5750</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>233</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10980</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>213074</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON SARISKY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>189543</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>6426</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2056</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7236</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>205261</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELE FOY</PersonNm>
        <TitleTxt>VP OF GENERAL OPERAT</TitleTxt>
        <BaseCompensationFilingOrgAmt>158327</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4750</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10879</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173956</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE CHOSA</PersonNm>
        <TitleTxt>PHARMACIST CO</TitleTxt>
        <BaseCompensationFilingOrgAmt>157755</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4733</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7236</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169724</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BVHC OUTSOURCED THE CFO POSITION THROUGH COMMUNITY LINK CONSULTING FOR A PORTION OF THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CEO, CFO, AND BOARD FINANCE COMMITTEE WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PROVIDED TO THE BOARD. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc6">
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ONE HEALTH LANDLORD LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10 WEST 4TH STREET SUITE B</AddressLine1Txt>
          <CityNm>HARDIN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59034</ZIPCd>
        </USAddress>
        <EIN>862433799</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ONE HEALTH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MANAGER LLC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>EXCLUDED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-187426</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>7750968</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.72500</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ONE HEALTH MASTER TENANT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10 WEST 4TH STREET SUITE B</AddressLine1Txt>
          <CityNm>HARDIN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59034</ZIPCd>
        </USAddress>
        <EIN>862496936</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>ONE HEALTH</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>MANAGER LLC</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>EXCLUDED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-1820</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>96280</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>true</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.01000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ONE HEALTH MANAGER LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>10 WEST 4TH STREET</AddressLine1Txt>
          <CityNm>HARDIN</CityNm>
          <StateAbbreviationCd>MT</StateAbbreviationCd>
          <ZIPCd>59034</ZIPCd>
        </USAddress>
        <EIN>862461731</EIN>
        <PrimaryActivitiesTxt>HOLDING CO</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MT</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
