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        <EOYAmt>60392</EOYAmt>
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        <EOYAmt>8657582</EOYAmt>
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        <EOYAmt>3422396</EOYAmt>
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        <EOYAmt>4195714</EOYAmt>
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        <EOYAmt>14848540</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>2308575</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus4YearsAmt>4116141</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3310813</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5420107</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5933321</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7043904</CurrentTaxYearAmt>
        <TotalAmt>25824286</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>5420107</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>5933321</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7043904</CurrentTaxYearAmt>
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      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3129</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3485</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>17396</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>112274</CurrentTaxYearAmt>
        <TotalAmt>140100</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>162513</CurrentTaxYearMinus3YearsAmt>
        <TotalAmt>306747</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>26271133</TotalSupportAmt>
      <PublicSupportCY170Pct>0.98300</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.97520</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
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        <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>
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        <BookValueAmt>245808</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5212720</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>253595</DepreciationAmt>
        <BookValueAmt>4959125</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3102101</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1142832</DepreciationAmt>
        <BookValueAmt>1959269</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2162983</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>669603</DepreciationAmt>
        <BookValueAmt>1493380</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>8657582</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>13074945</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>13074945</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13074945</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>10766370</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>10766370</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>10766370</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANTHONY BATTAGLIA</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>211790</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211790</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA J CROCKER</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>178854</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 11B EXPLANATION - THE FINANCIAL DIRECTOR, WORKING WITH ITS OUTSIDE CPA FIRM, REVIEWS THE RETURN FOR COMPLETENESS, ACCURACY, AND TRUTHFULNESS. ONLY AFTER THE FINANCIAL DIRECTOR HAS COMPLETELY REVIEWED AND AGREED TO THE RETURN; IS IT THEN SIGNED BY THE FINANCIAL DIRECTOR. THE DOCUMENT IS AVAILABLE FOR REVIEW BY ANY BOARD MEMBER AT ANY TIME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BECAUSE OUR BOARD OF DIRECTORS ARE ALL MEMBERS OF LOCAL NATIVE AMERICAN TRIBES, AND THE EXECUTIVE DIRECTOR IS ALSO A LOCAL TRIBAL MEMBER, AND WE EMPLOY MANY LOCAL NATIVE AMERICANS, THERE ARE FREQUENT OPPORTUNITIES FOR A CONFLICT OF INTEREST. DISCLOSURE IS AN IN THE MOMENT ONGOING REQUIREMENT, WHETHER IT BE FOR THE AWARDING OF A CONTRACT, DEALING WITH RELATIONS, WHETHER FOR EMPLOYMENT OR TREATMENT, AND MANY OTHER POSSIBLE SITUATIONS. THIS IS A COMMON OCCURRENCE IN THE NATIVE AMERICAN COMMUNITY. EVERY POSSIBLE CONFLICT OF INTEREST ISSUE IS CAREFULLY EXPLORED AND STEPS ARE TAKEN TO MITIGATE POSSIBLE CONFLICT OF INTEREST. SHOULD THE EXECUTIVE DIRECTOR BE RELATED TO AN EMPLOYEE, SHE WILL RECUES HERSELF FROM ANY EMPLOYMENT DEALINGS AND WILL NOT DIRECTLY SUPERVISE THE RELATIVE. SHOULD A RELATION SEEK TREATMENT AT OUR FACILITY, THEY WILL NOT BE COUNSELED BY A RELATIVE. SHOULD A BOARD MEMBER HAVE A POSSIBLE CONFLICT OF INTEREST IN THE AWARDING OF A CONTRACT, THEY IDENTIFY THE SITUATION AND THE BOARD DECIDES WHETHER THEY ARE INVOLVED IN ANY DISCUSSION OR DECISION MAKING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CURRENT EXECUTIVE DIRECTOR IS A CONTRACT EMPLOYEE WHO IS SUPERVISED BY THE HEALING LODGE BOARD PRESIDENT. THE ENTIRE BOARD WILL BE REVIEWING THE ANNUAL PERFORMANCE AND ESTABLISHING THE ANNUAL SALARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE NO REQUESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 216,116. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 216,116. OTHER FEES-PROGSERV-990: PROGRAM SERVICE EXPENSES 956,583. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 956,583.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>