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      <ActivityOrMissionDesc>TO STRENGTHEN AND ADVOCATE FOR WASHINGTON'S COMMUNITY HEALTH CENTERS TO BUILD HEALTHCARE ACCESS.</ActivityOrMissionDesc>
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      <MissionDesc>THE MISSION OF WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH IS TO STRENGTHEN AND ADVOCATE FOR WASHINGTON'S COMMUNITY HEALTH CENTERS (CHCS) AS THEY BUILD HEALTHCARE ACCESS, INNOVATION, AND VALUE. THE ASSOCIATION PROVIDES TRAINING AND TECHNICAL ASSISTANCE SUPPORT IN THE FOLLOWING AREAS: WORKFORCE, HEALTH EQUITY, OUTREACH &amp; ENROLLMENT, DATA, CLINICAL, QI, ORAL HEALTH, BEHAVIORAL HEALTH, AND POLICY/ADVOCACY. THE ASSOCIATION'S WORK IS GOVERNED BY ITS BOARD OF DIRECTORS AND VARIOUS COMMITTEES COMPRISED OF CHC STAFF.</MissionDesc>
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      <Desc>WORKFORCE AND HEALTHCARE APPRENTICESHIPS:COMMITTEE APPRISED OF MAINLY HR PROFESSIONALS AND ADMINISTRATIVE LEADERSHIP REPRESENTING OUR CHC PARTNERS. THE PURPOSE OF THE WORKFORCE COMMITTEE IS TO PROVIDE FIELD UPDATES, SOLICIT STRATEGIC GUIDANCE, AND PROMOTE PEER LEARNING FOR CURRENT WORKFORCE INITIATIVES THAT DIRECTLY IMPACT CHC RECRUITMENT, RETENTION AND DEVELOPMENT. TRAINING AND PEER LEARNING TOPICS INCLUDED STRATEGIES TO ADDRESS WORKFORCE SHORTAGES, COMPREHENSIVE WORKFORCE PLAN DEVELOPMENT, INNOVATIVE HEALTH PROFESSION TRAINING PROGRAMS, PRIMARY CARE OFFICE RESOURCES AND TOOLS, AND LEGISLATIVE UPDATES. THE ASSOCIATION ADMINISTERED A REGISTERED APPRENTICESHIP PROGRAM IN MEDICAL ASSISTING THROUGH MARCH 2023. FROM APRIL 1,2022 - MARCH 31, 2023, THERE WERE 12 ACTIVE MEDICAL ASSISTANT APPRENTICESHIP COHORTS, AND 368 APPRENTICES WERE ENROLLED. MEDICAL ASSISTING APPRENTICESHIP PROGRAM HAS A COMPLETION RATE OF 85% WITH 1,060 STUDENTS GRADUATED OR ON TRACK TO GRADUATE SINCE INCEPTION. THE MA PROGRAM HAD AN OVERALL CERTIFICATION EXAM PASS RATE OF 98% FOR THIS PERIOD. THE ASSOCIATION ALSO OFFERS A DENTAL ASSISTING TRAINING PROGRAM THAT IS AVAILABLE TO ALL COMMUNITY HEALTH CENTERS. THERE WERE 2 ACTIVE DENTAL ASSISTANT COHORTS AND 30 APPRENTICES WERE ENROLLED. DURING 2022-2023 THE ASSOCIATION DEEPENED ITS PARTNERSHIP WITH AREA HEALTH EDUCATION CENTERS BY BECOMING THE SW REGIONAL AREA HEATLH EDUCATION CENTER. THE ASSOCIATION'S HEALTHCARE APPRENTICESHIP PROGRAMS CONTINUE TO BE RECOGNIZED NATIONWIDE, AND CONSULTATION WORK, INCLUDING CURRICULUM LICENSING FOR OUT OF STATE ORGANIZATIONS, CONTINUES TO GROW. THE IN-REACH CURRICULUM IS NOW BEING USED IN 7 STATES WITH PLANS FOR EXPANSION. THE ASSOCIATION ALSO PARTNERED WITH AN APPRENTICE PROGRAM SPONSOR WITHIN THE STATE TO OFFER BEVAHIORAL HEALTH APPRENTICESHIP OPTIONS FOR COMMUNITY HEALTH CENTERS.THE ASSOCIATION ALSO LAUNCHED A PRE-APPRENTICESHIP PROGRAM PILOT FOCUSED ON PROVIDING JOB TRAINING AND EXPOSURE TO HEALTH CARE TRAINING PATHWAYS TO HIGH-SCHOOL STUDENTS.</Desc>
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        <Desc>CARE IMPROVEMENT AND INNOVATION:THE ASSOCIATION FACILITATES WORK WITH FEDERALLY QUALIFIED HEALTH CENTERS TO PROVIDE COACHING SUPPORT AND TRAINING OPPORTUNITIES FOR QUALITY IMPROVEMENT STAFF, MEDICAL DIRECTORS, PHARMACISTS, BEHAVIORAL HEALTH PROVIDERS, DENTAL DIRECTORS, EMERGENCY PREPAREDNESS MANAGERS AND CLINICAL CARE TEAMS. ACCOMPLISHMENTS FOR THE YEAR ENDED MARCH 31,2023, INCLUDED:CONVENED 2 CHRONIC DISEASE LEARNING NETWORK MEETINGS TO FOCUS ON REMOTE PATIENT MONITORING AND TRAUMA INFORMED CARE.CONVENED 8 SESSIONS OF BUILDING SKILLS IN SEXUAL HEALTH SERIES TO FOCUS ON HIV/STI DIAGNOSIS, TREATMENT, AND PREVENTION.CONVENED 3 CLINICAL QUALITY WORKGROUP MEETINGS TO FOCUS ON PATIENT SAFETY, UDS MODERNIZATION AND RESOURCE SHARING BETWEEN PEERS.CONVENED 5 MEDICAL DIRECTOR LEARNING NETWORK MEETINGSFOCUSED ON COVID-19 UPDATES, CARE MANAGEMENT STRATEGIES, CHILDHOOD IMMUNIZATION RATES &amp; CARE COORDINATION.CONVENED 4 PHARMACY LEARNING NETWORK MEETINGS FOCUSED ON 340B PROGRAM, PHARMACY REGULATIONS AND OPERATIONS.CONVENED 6 BEHAVIORAL HEALTH LEARNING NETWORK MEETINGS FOCUSED ON TELEBEHAVIORAL HEALTH, TELEHEALTH IN RURAL AREAS, WORKFORCE ISSUES, PSYCHOPHARMACOLOGY CONSULTATIONS &amp; BASED HEALTH CENTERS.CONVENED 4 DENTAL LEARNING NETWORK MEETINGS FOCUSED ON ORAL HEALTH OPERATIONAL AND STAFFING ISSUES.HELD 3 EMERGENCY PREPAREDNESS LEARNING NETWORK MEETINGS FOCUSED ON ADDRESSING EMERGENCY PREPAREDNESS NEEDS AT HEALTH CENTERS, BASIC BUSINESS CONCEPTS AND EP COALITION ENGAGEMENT.PARTNERED WITH UNIVERSITY OF WASHINGTON COLONOSCOPY OUTREACH FOR RURAL COMMUNITIES PROGRAM.</Desc>
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        <Desc>POLICY AND ADVOCACY:IN THE LAST FISCAL YEAR, THE ASSOCIATION'S POLICY AND ADVOCACY TEAM HAS CONTINUED TO ADVOCATE FOR THE REAUTHORIZATION OF THE FEDERAL COMMUNITY HEALTH CENTER FUND AND THE PROTECTION OF WASHINGTON'S HEALTHCARE SAFETY NET SYSTEM, SECURED CAPITAL FUNDS FOR DENTAL CLINIC EXPANSIONS, SECURED INCREASED FUNDING FOR HEALTH PROFESSIONS LOAN REPAYMENT PROGRAMS, AND EXPANSION OF HEALTH INSURANCE COVERAGE TO INDIVIDUALS REGARDLESS OF IMMIGRATION STATUS. THE ASSOCIATION POLICY AND ADVOCACY TEAM PROVIDED CONSISTENT AND CONSIDERABLE TECHNICAL ASSISTANCE TO COMMUNITY HEALTH CENTERS IN UNDERSTANDING FEDERAL AND STATE PROGRAMS, OPERATIONALIZING POLICY AND REGULATORY CHANGES, AND NAVIGATING THE POLICY AND REGULATORY ENVIRONMENT.</Desc>
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        <Desc>HEALTH EQUITY AND HEALTH ACCESS:THE ASSOCIATION PROVIDED TRAINING FOR HEALTH CENTERS TO DEVELOP ORGANIZATIONAL HEALTH EQUITY GOALS, TO MITIGATE THE NEGATIVE IMPACTS OF UNINTENDED BIASES, INCREASE ACCESS TO CARE FOR AGRICULTURAL WORKERS AND THEIR FAMILIES, SUPPORT ENROLLMENT IN HEALTH COVERAGE, SUPPORT COMMUNITY HEALTH WORKERS, AND SCREEN FOR SOCIAL NEEDS. THE ASSOCIATION FACILITATED LEARNING NETWORK CALLS THAT PROVIDED PEER NETWORKING OPPORTUNITIES FOR HEALTH CENTER STAFF TO SHARE BEST PRACTICES AND CHALLENGES AND IDENTIFY TRAINING NEEDS. IN ADDITION, THE ASSOCIATION PARTICIPATED ON MULTIPLE STATEWIDE WORKGROUPS TO SUPPORT CHC PRACTICES THAT REACH WASHINGTON'S MOST VULNERABLE POPULATIONS. ACCOMPLISHMENTS FOR THE YEAR ENDED MARCH 31,2023, INCLUDED:CONVENED 4 OUTREACH &amp; ENROLLMENT LEARNING NETWORK MEETINGS FOCUSED ON ENROLLMENT IN COVERAGE, UPDATE ON FINAL RULE ON PUBLIC CHARGE AND COVERAGE OPPORTUNITIES FOR UNDOCUMENTED IMMIGRANTS. CONVENED 4 COMMUNITY HEALTH WORKER LEARNING NETWORK MEETINGS FOCUSED ON TIME MANAGEMENT/STAYING ORGANIZED/SETTING PRIORITIES AND SAFELY WORKING IN THE COMMUNITY.CONVENED 15 SOCIAL DETERMINANTS OF HEALTH LEARNING NETWORK MEETINGS TO SUPPORT SOCIAL NEEDS SCREENING AT COMMUNITY HEALTH CENTERS, INCLUDING THROUGH A PARTNERSHIP WITH KAISER. FOCUSED ON COLLABORATIVE SCREENING, ANALYSIS &amp; DASHBOARDS, SCREENING AG WORKERS AND SCREENING FOR HOUSING STATUS.</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONI LODGE</PersonNm>
        <TitleTxt>REPRESENTATIVE AT LARGE</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY BARTOLO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA BERSCHAUER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM COFFEE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RASHAD COLLINS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VAZASKIA CROCKRELL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID FLENTGE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANA FOX</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NIEVES GOMEZ</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESUS HERNANDES</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RHONDA HAUFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JODI JOYCE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ESTHER LUCERO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MANUEL NAVARRO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTY NEEDHAM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KELLI NOMURA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GAELON SPRADLEY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDY TAYLOR</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTY TROTTER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA WULFF</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA YOHALEM</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AARON WILSON</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT MARSALLI</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA DALE</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COURTNEY SMITH</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTINA ALNAJJAR</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3456</OtherCompensationAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>KEITH HEARLE - VERITE HEALTHCARE CONSULT</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4250 NORTH FAIRFAX DRIVE SUITE 600</AddressLine1Txt>
            <CityNm>ARLINGTON</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
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        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>18838</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>38000</TotalAmt>
        <ProgramServicesAmt>38000</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>28900</ProgramServicesAmt>
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        <ProgramServicesAmt>142418</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>1215356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>310670</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>26858</ProgramServicesAmt>
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        <ProgramServicesAmt>231967</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86276</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>128992</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42892</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>38799</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>33767</TotalAmt>
        <ManagementAndGeneralAmt>33767</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>79500</TotalAmt>
        <ProgramServicesAmt>79500</ProgramServicesAmt>
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        <TotalAmt>877056</TotalAmt>
        <ProgramServicesAmt>530004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>347052</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>38758</TotalAmt>
        <ProgramServicesAmt>1613</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37145</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>81943</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12356</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>74915</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>44727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16044</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>40058</ProgramServicesAmt>
        <ManagementAndGeneralAmt>59518</ManagementAndGeneralAmt>
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        <TotalAmt>10785</TotalAmt>
        <ManagementAndGeneralAmt>10785</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>8441</TotalAmt>
        <ManagementAndGeneralAmt>8441</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>APPRENTICESHIP ACCREDIT</Desc>
        <TotalAmt>410118</TotalAmt>
        <ProgramServicesAmt>410118</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PROGRAM SUPPLIES</Desc>
        <TotalAmt>258326</TotalAmt>
        <ProgramServicesAmt>258326</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>120000</TotalAmt>
        <ManagementAndGeneralAmt>120000</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>118378</TotalAmt>
        <ProgramServicesAmt>70424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47954</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>3329204</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1387425</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>2948484</BOYAmt>
        <EOYAmt>3260482</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>992694</BOYAmt>
        <EOYAmt>984880</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>111696</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>712238</BOYAmt>
        <EOYAmt>894187</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>24414</BOYAmt>
        <EOYAmt>77397</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>46536</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>20128</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>32665</BOYAmt>
        <EOYAmt>26408</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>192065</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>4710495</BOYAmt>
        <EOYAmt>5547115</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>635593</BOYAmt>
        <EOYAmt>391611</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>1196064</BOYAmt>
        <EOYAmt>1311737</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>198708</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1831657</BOYAmt>
        <EOYAmt>1902056</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2878838</BOYAmt>
        <EOYAmt>3645059</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ASSOCIATION HAS RECEIVED A DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE THAT STATES IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS SHOWN IN THE FINANCIAL STATEMENTS. MANAGEMENT EVALUATED THE ASSOCIATION'S TAX POSITIONS AND CONCLUDED THAT THE ASSOCIATION HAD TAKEN NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ACCOUNTING STANDARDS CODIFICATION.</ExplanationTxt>
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          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
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        <PurposeOfGrantTxt>INCREASE NUMBER AND CAPACITY OF SCHOOL BASED HEALTH CENTERS PROVIDING INTEGR</PurposeOfGrantTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BENEFICIARIES OF FLOW-THROUGH FUNDS ARE IDENTIFIED BY ALIGNMENT OF ORGANIZATIONAL MISSION. FOLLOW UP REPORTS AND FREQUENT COLLABORATION BETWEEN ORGANIZATIONS ENSURE APPROPRIATE USE OF FUNDS.</ExplanationTxt>
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      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
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        <PersonNm>ROBERT MARSALLI</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES ALL EMPLOYEES, INCLUDING THE CEO, WITH A MONTHLY STIPEND OF $25 TOWARDS HEALTH CLUB DUES. THIS WAS UPDATED TO $35 PER MONTH IN CALENDAR YEAR 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUSES ARE NON-FIXED PAYMENTS. THEY ARE AWARDED TO STAFF FOR MERIT/PERFORMANCE AND/OR RETENTION ON A CASE-BY-CASE BASIS. THE CEO BONUS IS CALCULATED ANNUALLY BASED ON A BOARD OF DIRECTORS' EVALUATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE CONSISTS OF SIX ELECTED OFFICERS PLUS THE IMMEDIATE PAST PRESIDENT OF THE BOARD OF DIRECTORS. THE PRESIDENT WILL ONLY VOTE WHEN NECESSARY TO BREAK A TIE UNLESS THE VOTE IS SECRET. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE THE AUTHORITY AS DELEGATED BELOW: 1. ENSURE THAT THE BOARD ACTIONS AND DECISIONS ARE CARRIED OUT 2. REPORT TO THE BOARD ON PROGRESS OF BOARD INITIATED ACTIVITIES AND ACTION TAKEN BY THE EXECUTIVE COMMITTEE 3. MAKE DECISIONS REGARDING PROGRAMS, POLICIES, AND FINANCES OF THE ORGANIZATION BETWEEN ANNUAL AND BOARD MEETINGS 4. ADDRESS BUSINESS, MANAGEMENT, AND BOARD ISSUES REQUIRING ATTENTION BETWEEN BOARD MEETINGS 5. SERVE AS THE SCREENING COMMITTEE FOR HIRING OF THE CEO 6. EVALUATE THE CEO 7. WHEN INDICATED, SUSPEND THE CEO FOR JUST CAUSE IN ACCORDANCE WITH ESTABLISHED PERSONNEL POLICIES 8. PERFORM OTHER BUSINESS AS DETERMINED BY THE BOARD OF DIRECTORS 9. ASSIGN RESPONSIBILITIES TO THE COMMITTEES AS NECESSARY, AND 10. ACT AS THE PERSONNEL COMMITTEE FOR THE BOARD AND AUTHORIZE A VOTE BY ELECTRONIC MAIL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONAL MEMBERSHIP IS AVAILABLE TO PROJECTS IN WASHINGTON FUNDED UNDER SECTION 330 OF THE PUBLIC HEALTH SERVICE ACT OR TITLE V OF THE INDIAN HEALTH CARE IMPROVEMENT ACT, AND/OR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOOKALIKES AND NOTFORPROFIT CORPORATIONS THAT HAVE THE EXPLICIT PRIMARY PURPOSE OF PROVIDING PRIMARY HEALTH CARE TO UNDERSERVED PEOPLE, PROVIDE SERVICES TO CLIENTS WITHOUT REGARD FOR A PERSON'S ABILITY TO PAY, ARE ACTIVELY ENGAGED IN OPERATING A PRIMARY HEALTH CARE PROGRAM, AND ARE GOVERNED BY A 51% OR MORE CONSUMER MAJORITY BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>VOTING MEMBERS ARE FEDERALLY QUALIFIED HEALTH CENTER ORGANIZATIONS. VOTING MEMBERS EACH APPOINT ONE REPRESENTATIVE TO SERVE ON THE BOARD OF DIRECTORS, USUALLY THEIR OWN CEO. THESE 27 CEOS CONSTITUTE THE GOVERNING BOARD APPOINTED BY THE MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS REVIEWED BY THE CEO AND FINANCE MANAGER. THE 990 IS PROVIDED ELECTRONICALLY TO THE FULL BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS ARE ALL CEOS OF FEDERALLY QUALIFIED HEALTH CENTERS WHO HAVE SERVED TOGETHER FOR MANY YEARS AND ARE FAMILIAR WITH EACH OTHERS BUSINESS DEALINGS WHEN POTENTIAL CONFLICTS ARISE EITHER FOR ONESELF OR FOR ANOTHER, A MEMBER BRINGS THE ISSUE DIRECTLY TO THE FLOOR OF THE NEXT BOARD MEETING FOR RESOLUTION BY THE ENTIRE GROUP. IN ADDITION, MANY SENIOR STAFF HAVE ACCESS TO VARIOUS CORPORATE OFFICERS AND HAVE INSTRUCTIONS TO BRING CONFLICT ISSUES DIRECTLY TO BOARD MEMBERS WITH WHOM THEY HAVE CONTACT, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS ANNUALLY SIGN A STATEMENT TO AFFIRM THEIR COMPLIANCE AND UNDERSTANDING WITH THE CONFLICTS OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>PROFESSIONALLY DEVELOPED SALARY SCALES WERE CREATED SPECIFICALLY FOR THE ASSOCIATION. A SALARY SCALE WAS USED AS A STARTING POINT IN DETERMINING THE CEO'S COMPENSATION. THE CEO AND BOARD OF DIRECTORS NEGOTIATED A SALARY IN THE LOW TO LOWERMIDDLE RANGE. THE CEO REVIEWED AND APPROVED COMPENSATION FOR OTHER KEY EMPLOYEES, IN ACCORDANCE WITH THE PROFESSIONALLY DEVELOPED SALARY SCALES. THE REVIEW PROCESS LAST OCCURRED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON ASSOCIATION FOR COMMUNITY HEALTH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>TRAINING PROGRAMS CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 222,389. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 222,389. TRAINING PROGRAMS INSTRUCTORS: PROGRAM SERVICE EXPENSES 229,325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 229,325. OTHER CONSULTING SERVICES : PROGRAM SERVICE EXPENSES 78,290. MANAGEMENT AND GENERAL EXPENSES 347,052. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 425,342.</ExplanationTxt>
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    </IRS990ScheduleO>
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</Return>
