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      <Form990PartVIISectionAGrp>
        <PersonNm>WALT VERNON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>IAN MOUNTJOY</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14820</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>POONAM SAKHRANI</PersonNm>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4940</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREN MURPHY</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7040</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
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      <ProgramServiceRevenueGrp>
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        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>3954</ExclusionAmt>
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      <OtherRevenueTotalAmt>3954</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>6487489</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>149093</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>17868</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>450545</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>2043625</TotalAmt>
        <ProgramServicesAmt>1658070</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>191010</TotalAmt>
        <ProgramServicesAmt>134601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27453</ManagementAndGeneralAmt>
        <FundraisingAmt>28956</FundraisingAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>93162</TotalAmt>
        <ProgramServicesAmt>70883</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>14772</TotalAmt>
        <ManagementAndGeneralAmt>14772</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>76076</TotalAmt>
        <ManagementAndGeneralAmt>76076</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>156417</TotalAmt>
        <ProgramServicesAmt>115258</ProgramServicesAmt>
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        <FundraisingAmt>17563</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>134804</TotalAmt>
        <ManagementAndGeneralAmt>86667</ManagementAndGeneralAmt>
        <FundraisingAmt>48137</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <FundraisingAmt>17026</FundraisingAmt>
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        <ProgramServicesAmt>106169</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4287</ManagementAndGeneralAmt>
        <FundraisingAmt>4521</FundraisingAmt>
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      <TravelGrp>
        <TotalAmt>97689</TotalAmt>
        <ProgramServicesAmt>52766</ProgramServicesAmt>
        <FundraisingAmt>44923</FundraisingAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>688225</TotalAmt>
        <ProgramServicesAmt>688225</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICINE AND SUPPLIES</Desc>
        <TotalAmt>487363</TotalAmt>
        <ProgramServicesAmt>487363</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUPPLIES FOR PROGRAMS</Desc>
        <TotalAmt>420838</TotalAmt>
        <ProgramServicesAmt>420838</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE COSTS</Desc>
        <TotalAmt>355960</TotalAmt>
        <ProgramServicesAmt>355960</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>CLINIC AND WELLNESS</Desc>
        <TotalAmt>221822</TotalAmt>
        <ProgramServicesAmt>221822</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>62641</TotalAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>4772148</ProgramServicesAmt>
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      <CashNonInterestBearingGrp>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>71120</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>19633280</LandBldgEquipCostOrOtherBssAmt>
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        <EOYAmt>17450844</EOYAmt>
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        <EOYAmt>25362990</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>972300</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>814085</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus2YearsAmt>6092608</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearMinus2YearsAmt>421</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>347</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>623670</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2954222</CurrentTaxYearMinus1YearAmt>
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        <ContributorBusinessName>
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        </ContributorBusinessName>
        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>70000</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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      <LeaseholdImprovementsGrp>
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      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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      </EquipmentGrp>
      <OtherLandBuildingsGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE AS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. THERE ARE NINE MEMBERS OF THE EXECUTIVE COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS BILL AND SHARON JACOBS HAVE A FAMILY RELATIONSHIP. DR CATHRYN CHRISTENSEN, DEO'S WIFE, WAS ON THE PAYROLL, EMPLOYED TO FIND AND MAINTAIN MEDICAL PARTNERSHIPS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED 990 IS DISTRIBUTED TO THE FINANCE/AUDIT COMMITTEE FOR REVIEW AND APPROVAL PRIOR TO BEING FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS AND DIRECTORS ARE REQUIRED TO DISCLOSE CONFLICT OF INTERESTS AND I MONITOR COMPLIANCE WITH THIS POLICY. THE CHIEF OF STAFF MONITORS COMPLIANCE WITH THIS POLICY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, NONE OF WHOSE MEMBERS HAVE A CONFLICT OF INTEREST, IS CHARGED WITH REVIEWING THE PROPOSED COMPENSATION OF OFFICERS EACH YEAR. COMPARABILITY DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS IS PREPARED BY THE ORGANIZATION AND REVIEWED BY THE COMMITTEE BEFORE REACHING ITS CONCLUSIONS. THE DELIBERATIONS AND DECISION OF THE COMMITTEE ARE DOCUMENTED IN THE MINUTES OF THE COMMITTEE SUBSTANTIALLY CONTEMPORANEOUSLY. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS ARE NOT ON OUR WEBSITE, BUT ARE AVAILABLE UPON DIRECT REQUEST</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PAGE 1, SECTION B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 2023 FORM 990 IS BEING AMENDED TO ACCOUNT FOR CHANGES MADE TO THE FINAL AUDITED FINANCIAL STATEMENTS WHICH WERE ISSUED SUBSEQUENT TO FILING THE FORM 990. THE FOLLOWING SECTIONS OF THE RETURN WERE UPDATED FOR THESE CHANGES: - PART III BREAKOUT OF PROGRAM EXPENSES BY PROGRAM SERVICE ACCOMPLISHMENT - PART IV, LINE 12A - PART VI, SECTION C, LINE 20 - PART VIII - PART IX - PART X - PART XI - PART XII, LINE 2B AND 2C - SCHEDULE A, PART II - SCHEDULE D, PART XI AND PART XII</ExplanationTxt>
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