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        <PersonNm>SANDRA LEAL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLINTON KUNTZ</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>663738</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19989</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOY MOCKBEE</PersonNm>
        <TitleTxt>FAMILY PRACT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>417734</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16419</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW ARTHUR</PersonNm>
        <TitleTxt>PEDIATRICS M</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>414599</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16385</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA SOLTANI</PersonNm>
        <TitleTxt>INTERNAL MED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>441668</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18099</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSE RIOS</PersonNm>
        <TitleTxt>PHYSICIAN -</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>444435</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16786</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNETTE HERNANDEZ-PARKHURST</PersonNm>
        <TitleTxt>PHYSICIAN -</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>437262</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16684</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID YARGER</PersonNm>
        <TitleTxt>SR DIR PAYER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>97188</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK SCHILDT</PersonNm>
        <TitleTxt>CHIEF WELLNE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>379584</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15843</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA PINDER HYNES</PersonNm>
        <TitleTxt>CHIEF OF DEN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>361375</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15593</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE TOY</PersonNm>
        <TitleTxt>CHIEF HUMAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>354112</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15180</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN SNEDAKER</PersonNm>
        <TitleTxt>CHIEF INFO O</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>351814</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15379</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAMONA DURRER</PersonNm>
        <TitleTxt>CHIEF COMPLI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>294704</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13259</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER OBEN</PersonNm>
        <TitleTxt>CHIEF OF STA</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>281096</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9918</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALEXANDRA DAVIS</PersonNm>
        <TitleTxt>CHIEF CLINIC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>269337</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12120</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VANESSA SEANEY</PersonNm>
        <TitleTxt>CHIEF BEHAV</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>217665</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9795</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TARA RADKE</PersonNm>
        <TitleTxt>CHIEF GRANTS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>209721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9438</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7772113</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>297639</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>20</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORDIC CONSULTING PARTNERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 415000</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>2813302</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASCEND HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>312 N ALMA SCHOOL ROAD SUITE 11</AddressLine1Txt>
            <CityNm>CHANDLER</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85224</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BEHAVIORAL HEAL</ServicesDesc>
        <CompensationAmt>1617525</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARK B RAVEN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2802 E 9TH STREET</AddressLine1Txt>
            <CityNm>TUCSON</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85716</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>369200</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>QUISITIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 84491</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT CONSULTING</ServicesDesc>
        <CompensationAmt>347974</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY OF ARIZONA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1303 E UNIVERSITY BLVD BOX 3</AddressLine1Txt>
            <CityNm>TUCSON</CityNm>
            <StateAbbreviationCd>AZ</StateAbbreviationCd>
            <ZIPCd>85722</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROJECT SERVICE</ServicesDesc>
        <CompensationAmt>325360</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>13</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>23972221</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2106755</AllOtherContributionsAmt>
      <NoncashContributionsAmt>5805848</NoncashContributionsAmt>
      <TotalContributionsAmt>26078976</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICES FEES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>271979737</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>271979737</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>271979737</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2721423</TotalRevenueColumnAmt>
        <ExclusionAmt>2721423</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>7364656</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>5343320</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>2021336</SecuritiesAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>2021336</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2021336</RelatedOrExemptFuncIncomeAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>17414633</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17414633</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>17414633</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>320216105</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>291415706</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2721423</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>6239681</TotalAmt>
        <ProgramServicesAmt>5589541</ProgramServicesAmt>
        <ManagementAndGeneralAmt>650140</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>128254318</TotalAmt>
        <ProgramServicesAmt>114890913</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13363405</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>6173887</TotalAmt>
        <ProgramServicesAmt>5530601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>643286</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>33878241</TotalAmt>
        <ProgramServicesAmt>30348312</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3529929</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>10449808</TotalAmt>
        <ProgramServicesAmt>9360995</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1088813</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>610853</TotalAmt>
        <ProgramServicesAmt>462168</ProgramServicesAmt>
        <ManagementAndGeneralAmt>60225</ManagementAndGeneralAmt>
        <FundraisingAmt>88460</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>283360</TotalAmt>
        <ProgramServicesAmt>214388</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27937</ManagementAndGeneralAmt>
        <FundraisingAmt>41035</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2497994</TotalAmt>
        <ProgramServicesAmt>1889970</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246279</ManagementAndGeneralAmt>
        <FundraisingAmt>361745</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>10917936</TotalAmt>
        <ProgramServicesAmt>8260451</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1076412</ManagementAndGeneralAmt>
        <FundraisingAmt>1581073</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>1621286</TotalAmt>
        <ProgramServicesAmt>1226656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>159845</ManagementAndGeneralAmt>
        <FundraisingAmt>234785</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>409390</TotalAmt>
        <ProgramServicesAmt>309742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40362</ManagementAndGeneralAmt>
        <FundraisingAmt>59286</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>301291</TotalAmt>
        <ProgramServicesAmt>227954</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29705</ManagementAndGeneralAmt>
        <FundraisingAmt>43632</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1090114</TotalAmt>
        <ProgramServicesAmt>1090114</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>7471145</TotalAmt>
        <ProgramServicesAmt>2894727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4576418</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>794590</TotalAmt>
        <ProgramServicesAmt>601182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78340</ManagementAndGeneralAmt>
        <FundraisingAmt>115068</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SERVICES/SUPPLIES</Desc>
        <TotalAmt>74408909</TotalAmt>
        <ProgramServicesAmt>71491380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2580489</ManagementAndGeneralAmt>
        <FundraisingAmt>337040</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>IN-KIND EXPENSES</Desc>
        <TotalAmt>5805848</TotalAmt>
        <ProgramServicesAmt>5801304</ProgramServicesAmt>
        <FundraisingAmt>4544</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>4925423</TotalAmt>
        <ProgramServicesAmt>3726548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>485603</ManagementAndGeneralAmt>
        <FundraisingAmt>713272</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>2907470</TotalAmt>
        <ProgramServicesAmt>2199776</ProgramServicesAmt>
        <ManagementAndGeneralAmt>286651</ManagementAndGeneralAmt>
        <FundraisingAmt>421043</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>6995277</TotalAmt>
        <ProgramServicesAmt>5292588</ProgramServicesAmt>
        <ManagementAndGeneralAmt>689673</ManagementAndGeneralAmt>
        <FundraisingAmt>1013016</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>306036821</TotalAmt>
        <ProgramServicesAmt>271409310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29613512</ManagementAndGeneralAmt>
        <FundraisingAmt>5013999</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>13713604</BOYAmt>
        <EOYAmt>17602192</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>22635952</BOYAmt>
        <EOYAmt>19153898</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>2599635</BOYAmt>
        <EOYAmt>2773810</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>24024278</BOYAmt>
        <EOYAmt>29351624</EOYAmt>
      </AccountsReceivableGrp>
      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>23562325</BOYAmt>
        <EOYAmt>23562325</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>898978</BOYAmt>
        <EOYAmt>2639109</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2543917</BOYAmt>
        <EOYAmt>2938781</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>127800691</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>74457654</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>51787079</BOYAmt>
        <EOYAmt>53343037</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>28803699</BOYAmt>
        <EOYAmt>32158392</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>36670887</BOYAmt>
        <EOYAmt>13577534</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>207240354</BOYAmt>
        <EOYAmt>197100702</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>27988465</BOYAmt>
        <EOYAmt>26222998</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>54839</BOYAmt>
        <EOYAmt>934608</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>8685</BOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>16292007</BOYAmt>
        <EOYAmt>15382671</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>35246188</BOYAmt>
        <EOYAmt>13560686</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>79590184</BOYAmt>
        <EOYAmt>56100963</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>127650170</BOYAmt>
        <EOYAmt>140999739</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>127650170</BOYAmt>
        <EOYAmt>140999739</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>207240354</BOYAmt>
        <EOYAmt>197100702</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WILL BE REVIEWED BY THE CEO AND CFO, THEN BY THE BUDGET &amp; FINANCE COMMITTEE MEMBERS EITHER AT A BOARD MEETING, TIME PERMITTING, OR VIA EMAIL IF TIME DOES NOT ALLOW IT.</ExplanationTxt>
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        <ExplanationTxt>IN MATTERS RELATED TO BOARD MEMBERS, REVIEW AND FOLLOW-UP WILL BE THE RESPONSIBILITY OF THE BOARD PRESIDENT; IN MATTERS RELATED TO THE MEDICAL STAFF AND EMPLOYEES, REVIEW AND FOLLOW-UP WILL BE THE RESPONSIBILITY OF THE CEO. IF REVIEW / INVESTIGATION SHOULD DISCOVER: -REASONABLE CAUSE TO BELIEVE THAT AN INDIVIDUAL HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST; THEY SHALL INFORM THE INDIVIDUAL OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. -IF, AFTER HEARING THE RESPONSE OF THE INDIVIDUAL AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, A DETERMINATION SHALL BE MADE THAT THE INDIVIDUAL HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION SHALL BE TAKEN.</ExplanationTxt>
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        <ExplanationTxt>THE PROCESS FOR DETERMINING THE COMPENSATION OF THE KEY EMPLOYEES INCLUDED A REVIEW AND APPROVAL BASED ON A COMPENSATION COMMITTEE AND INDEPENDENT COMPENSATION CONSULTANT, AND COMPENSATION SURVEY/STUDY.</ExplanationTxt>
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        <ExplanationTxt>1) A REASONABLE RANGE OF COMPENSATION AND BENEFITS PACKAGES, FOR EACH POSITION, IS DETERMINED BY AN INDEPENDENT AND CERTIFIED COMPENSATION/BENEFITS CONSULTANT, 2) CONSULTANT ESTABLISHES THE RANGES OF SALARIES AND BENEFITS BY USING RECOGNIZED SURVEYS FROM ORGANIZATIONS THAT ARE COMPARABLE TO EL RIO IN SIZE, GEOGRAPHIC AREA AND SERVICES THAT ARE PROVIDED, 3) ALL SURVEY DATA IS REDUCED TO A WRITTEN REPORT THAT CONTAINS RECOMMENDATIONS BY THE INDEPENDENT CONSULTANT, AND 4) THE INDEPENDENT CONSULTANT THEN PRESENTS THE DATA AND RECOMMENDATIONS TO THE EL RIO BOARD OF DIRECTORS FOR A FORMAL VOTE WHICH IS THEN DOCUMENTED IN THE BOARD MINUTES. ONLY "DISINTERESTED" PARTIES, AS DEFINED BY THE CODE, ARE ALLOWED TO PARTICIPATE IN THE DECISION MAKING PROCESS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABLE IN ADMINISTRATION: 450 W. PASEO REDONDO, TUCSON, AZ 85701.</ExplanationTxt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EL RIO FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>450 W PASEO REDONDO</AddressLine1Txt>
          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
          <ZIPCd>85701</ZIPCd>
        </USAddress>
        <EIN>860816675</EIN>
        <PrimaryActivitiesTxt>FOUNDATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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          <CityNm>TUCSON</CityNm>
          <StateAbbreviationCd>AZ</StateAbbreviationCd>
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        <EIN>832153632</EIN>
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        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
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      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
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        </DisregardedEntityName>
        <USAddress>
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        </USAddress>
        <EIN>863455405</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AZ</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</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>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GRANT ROAD HOLDINGS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>96949</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CHERRYBELL HOLDINGS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>AMOUNT PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SOUTHEAST HOLDINGS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>105000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>AMOUNT PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>EL RIO FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>AMOUNT PAID</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>