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        <TotalAmt>75209</TotalAmt>
        <ProgramServicesAmt>75209</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>214101</TotalAmt>
        <ProgramServicesAmt>170958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43143</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>154460</TotalAmt>
        <ProgramServicesAmt>119066</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35394</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>204579</TotalAmt>
        <ProgramServicesAmt>197448</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7131</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
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        <ProgramServicesAmt>104035</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53698</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>94056</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28095</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>55420</TotalAmt>
        <ProgramServicesAmt>41704</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13716</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>883388</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OPERATION &amp; HOUSEKEEPING</Desc>
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        <ProgramServicesAmt>149339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25763</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>8557</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>156711</ProgramServicesAmt>
        <ManagementAndGeneralAmt>96643</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>10575734</TotalAmt>
        <ProgramServicesAmt>8258970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2316764</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <AccountsReceivableGrp>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>2518356</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>347325</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>2171031</EOYAmt>
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        <EOYAmt>9258094</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>1257</BOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>184338</BOYAmt>
        <EOYAmt>186545</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>710230</BOYAmt>
        <EOYAmt>696710</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>6129308</BOYAmt>
        <EOYAmt>8207666</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>353718</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6401881</BOYAmt>
        <EOYAmt>8561384</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>9258094</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>2159503</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>false</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="990A">
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        <CurrentTaxYearMinus4YearsAmt>379162</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1570444</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3257006</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1412762</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2602649</CurrentTaxYearAmt>
        <TotalAmt>9222023</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>3198134</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6273545</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9343763</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10132588</CurrentTaxYearAmt>
        <TotalAmt>32022071</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>3453203</CurrentTaxYearMinus4YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>9530551</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10756525</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12735237</CurrentTaxYearAmt>
        <TotalAmt>41244094</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>41244094</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>125</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>144</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>269</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>125</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>144</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>269</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <TotalSupportCalendarYearGrp>
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        <CurrentTaxYearMinus3YearsAmt>4768722</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9530551</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10756525</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>12735237</CurrentTaxYearAmt>
        <TotalAmt>41244363</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>1.00000</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>1.00000</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="990B">
      <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="990D">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>963178</OtherCostOrOtherBasisAmt>
        <BookValueAmt>963178</BookValueAmt>
      </LandGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>630458</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>97542</DepreciationAmt>
        <BookValueAmt>532916</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>759041</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>249783</DepreciationAmt>
        <BookValueAmt>509258</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>165679</OtherCostOrOtherBasisAmt>
        <BookValueAmt>165679</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>2171031</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS NET</Desc>
        <BookValueAmt>181744</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>181744</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>186545</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>186545</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>12735237</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>12735237</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>12735237</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10575734</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>10575734</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>10575734</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Footnote for uncertain tax position under FIN 48 (Part X)</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DOESNOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="990J">
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN VASS</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>274915</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13488</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22083</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>310486</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID DEMATTEI</PersonNm>
        <TitleTxt>PA</TitleTxt>
        <BaseCompensationFilingOrgAmt>207784</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2301</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20239</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230324</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIMBERLEY SCHAUER</PersonNm>
        <TitleTxt>PAC</TitleTxt>
        <BaseCompensationFilingOrgAmt>196985</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7771</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22083</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226839</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TOM KING</PersonNm>
        <TitleTxt>FNP</TitleTxt>
        <BaseCompensationFilingOrgAmt>233394</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11652</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20239</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>265285</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINA VALENTE-MOORE</PersonNm>
        <TitleTxt>FNPCOO</TitleTxt>
        <BaseCompensationFilingOrgAmt>333983</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22083</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>372566</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMY CURTIN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>127951</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6243</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22083</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156277</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAYA STANLEY</PersonNm>
        <TitleTxt>ACUPUNTURIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>224997</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11196</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22955</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259148</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATHANIEL METHOT</PersonNm>
        <TitleTxt>FNP</TitleTxt>
        <BaseCompensationFilingOrgAmt>195802</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9770</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22083</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>227655</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE SIGNING OFFICER BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE EXECUTIVE DIRECTOR IS REVIEWED AND APPROVED BY THE GOVERNING BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES THESE DOCUMENTS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="990R">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>CHICKEN RANCH Rancheria Tribe</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>16929 CHICKEN RANCH ROAD</AddressLine1Txt>
          <CityNm>Jamestown</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>95327</ZIPCd>
        </USAddress>
        <EIN>770068411</EIN>
        <PrimaryActivitiesTxt>INDIAN Tribe</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>7701 A40</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NO</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>