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            <CityNm>ELDER</CityNm>
            <StateAbbreviationCd>MT</StateAbbreviationCd>
            <ZIPCd>59521</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>272044</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BERNIE YAZZIE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1942</AddressLine1Txt>
            <CityNm>WINDOW ROCK</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>86515</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTHCARE CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>187554</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>34978632</AllOtherContributionsAmt>
      <TotalContributionsAmt>34978632</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE MEDICAID</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>26678013</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>26678013</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>UTILITY SERVICE</Desc>
        <BusinessCd>221000</BusinessCd>
        <TotalRevenueColumnAmt>734732</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>734732</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>27412745</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1856437</TotalRevenueColumnAmt>
        <ExclusionAmt>1856437</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>PROCEEDS FROM NMTC</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1383276</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1383276</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>310468</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>310468</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1693744</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>65941558</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29106489</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>50938</TotalAmt>
        <ProgramServicesAmt>50938</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>1174790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>293697</ManagementAndGeneralAmt>
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        <TotalAmt>15757764</TotalAmt>
        <ProgramServicesAmt>12606211</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3151553</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>1273508</ProgramServicesAmt>
        <ManagementAndGeneralAmt>318377</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3309933</ProgramServicesAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>45457</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11364</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>663458</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165864</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>970578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>242644</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>380298</ProgramServicesAmt>
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      <TravelGrp>
        <TotalAmt>874102</TotalAmt>
        <ProgramServicesAmt>699282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174820</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>114720</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28680</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>195738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48934</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1671964</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>HEALTHCARE EXPENSE</Desc>
        <TotalAmt>16043201</TotalAmt>
        <ProgramServicesAmt>12834561</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3208640</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>COMMUNITY ACTIVITIES</Desc>
        <TotalAmt>448223</TotalAmt>
        <ProgramServicesAmt>358578</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89645</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BANK SERVICE CHARGES</Desc>
        <TotalAmt>365400</TotalAmt>
        <ProgramServicesAmt>292320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73080</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>339335</TotalAmt>
        <ProgramServicesAmt>271468</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67867</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>889719</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222430</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>52529947</TotalAmt>
        <ProgramServicesAmt>42034145</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10495802</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>24413509</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SEVERANCE PAY</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RELATED PARTIES</Desc>
        <Amt>705945</Amt>
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      <RevenueNotReportedAmt>642378</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>65941558</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>65941558</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>52529947</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>52529947</TotalExpensesPerForm990Amt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING THE EXPENDITURES OF GRANT FUNDS IS DONE IN ACCORDANCE WITH ROCKY BOY HEALTH CENTER'S FINANCIAL POLICIES AND PROCEDURES MANUAL. THE BUSINESS OFFICE PROVIDES FISCAL OVERSIGHT FOR ALL FINANCIAL AFFAIRS TO ENSURE THAT THESE FUNDS ARE BEING USED IN COMPLIANCE WITH ALL POLICIES AND PROCEDURES.</ExplanationTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>CRAIG KANESHIRO</PersonNm>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>