﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-09-06T13:18:49-04:00</ReturnTs>
    <TaxPeriodEndDt>2024-03-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>841255164</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>KUNDINGER CORDER &amp; MONTOYA PC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>475 LINCOLN STREET SUITE 200</AddressLine1Txt>
        <CityNm>DENVER</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80203</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-04-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>840910590</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COLORADO COMMUNITY HEALTH</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>NETWORK INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>COLO</BusinessNameControlTxt>
      <PhoneNum>3038615165</PhoneNum>
      <USAddress>
        <AddressLine1Txt>600 GRANT ST STE 800</AddressLine1Txt>
        <CityNm>DENVER</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80203</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>ANNETTE KOWAL</PersonNm>
      <PersonTitleTxt>PRESIDENT AND CEO</PersonTitleTxt>
      <PhoneNum>3038615165</PhoneNum>
      <SignatureDt>2024-09-05</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>TIFFANY KNIGHT</PreparerPersonNm>
      <PTIN>P01725779</PTIN>
      <PhoneNum>3035345953</PhoneNum>
      <PreparationDt>2024-09-06</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-08-08 14:25:15Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc7">
      <PrincipalOfficerNm>ANNETTE KOWAL</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>600 GRANT ST STE 800</AddressLine1Txt>
        <CityNm>DENVER</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80203</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>4151441</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.CCHN.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1982</FormationYr>
      <LegalDomicileStateCd>CO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO INCREASE ACCESS TO HIGH QUALITY HEALTH CARE FOR PEOPLE IN NEED IN COLORADO.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>20</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>20</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>30</TotalEmployeeCnt>
      <TotalVolunteersCnt>27</TotalVolunteersCnt>
      <TotalGrossUBIAmt>16192</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>5573</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>3841270</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3138799</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1509639</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>799267</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>39604</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>168906</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>25578</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>44469</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>5416091</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>4151441</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>258425</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>165213</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>3364210</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2649324</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>62475</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1508653</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1319935</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>5131288</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4134472</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>284803</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>16969</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>5573840</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>5426806</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1030532</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>991135</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>4543308</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>4435671</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO INCREASE ACCESS TO HIGH QUALITY HEALTH CARE FOR PEOPLE IN NEED IN COLORADO.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1101854</ExpenseAmt>
      <Desc>BPHC COOPERATIVE AGREEMENT: TO PROVIDE TRAINING AND TECHNICAL ASSISTANCE TO COLORADO COMMUNITY HEALTH CENTERS TO INCREASE ACCESS TO CARE, ACCELERATE VALUE-BASED CARE DELIVERY, FOSTER A WORKFORCE TO ADDRESS CURRENT AND EMERGING NEEDS, ENHANCE EMERGENCY PREPAREDNESS AND RESPONSE, AND ADVANCE CLINICAL QUALITY AND PERFORMANCE.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>745700</ExpenseAmt>
        <Desc>PUBLIC AFFAIRS: TO EDUCATE LOCAL, STATE AND FEDERAL AGENCIES AND GOVERNMENTS ABOUT THE IMPORTANCE OF COMMUNITY HEALTH CENTERS.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>1504291</ExpenseAmt>
        <GrantAmt>165213</GrantAmt>
        <RevenueAmt>827544</RevenueAmt>
        <Desc>AMERICAN RESCUE PLAN: TO PROVIDE TRAINING/TECHNICAL ASSISTANCE TO ASSIST HEALTH CENTERS IN COVID VACCINATION CAPACITY; COVID RESPONSE AND TREATMENT; MAINTAINING AND INCREASING CAPACITY; AND RECOVERY AND STABILIZATION. GROUP PURCHASING PROGRAM: THE ORGANIZATION HAS ENTERED INTO AGREEMENTS WITH SUPPLIERS OF GOODS AND SERVICES FOR CHCS AND OTHER HEALTH CARE SAFETY NET CLINICS. THE ORGANIZATION RECEIVES A FEE FROM THE SUPPLIERS TO COVER EXPENSES ASSOCIATED WITH ADMINISTERING THESE CONTRACTS. COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES (CHAMPS): CCHN PROVIDES ADMINISTRATIVE AND ACCOUNTING SERVICES TO CHAMPS UNDER A PROFESSIONAL SERVICES AGREEMENT. EMERGENCY PREPAREDNESS: TO PROVIDE TRAINING, TECHNICAL ASSISTANCE, OTHER EDUCATION AND EQUIPMENT TO COLORADO CHCS. COVERING KIDS AND FAMILIES (CKF): TO IMPROVE HOW COLORADANS ACCESS AND RETAIN AFFORDABLE HEALTH COVERAGE. SYNCUP GROW YOUR OWN: TO BUILD AWARENESS OF HEALTH CENTER CAREER OPPORTUNITIES AND PROVIDE AN ACCESSIBLE PATHWAY FOR ENTRY AND ADVANCEMENT TO MEANINGFUL AND FINANCIALLY SUSTAINABLE CAREERS, WITH A SPECIFIC FOCUS ON MEDICAL ASSISTING AS A FIRST STEP. ORAL HEALTH: TO IMPROVE THE DENTAL HEALTH OF VULNERABLE POPULATIONS BY INCREASING INTEGRATION OF ORAL HEALTH PREVENTIVE SERVICES IN PRIMARY CARE DELIVERY SYSTEMS. WORKFORCE DEVELOPMENT: TO DEVELOP AND DELIVER WORKFORCE TRAINING OPPORTUNITIES FOR COLORADO CHCS AND TO GROW AND MAINTAIN RELATIONSHIPS WITH KEY WORKFORCE PARTNERS IN ORDER TO PROVIDE PROGRAMS AND RESOURCES WHICH SUSTAIN AND GROW THE EXISTING CHC WORKFORCE. RACIAL EQUITY: TO DEVELOP EQUITY GOALS AND A ROADMAP THAT WILL SERVE AS A GUIDE TO BEGIN OR STRENGTHEN HEALTH CENTERS- AND CCHN'S EQUITY JOURNEY. SIX BUILDING BLOCKS OF PRESCRIPTION OPIOID MANAGEMENT: TO SUPPORT THE IMPLEMENTATION OF SAFE PRESCRIBING PRACTICES AND DECREASE HIGH-RISK PRESCRIBING AT CHCS. CANCER, CHRONIC DISEASE, AND DIABETES PREVENTION AND EARLY DETECTION: TO IMPLEMENT STRATEGIES TO ADDRESS CANCER PREVENTION AND EARLY DETECTION AT ONE OR MORE LEVELS OF THE SOCIOECOLOGICAL FRAMEWORK, DEPENDING ON THE NEEDS OF THE UNDERSERVED POPULATION SERVED BY AND LIVING WITHIN THE SERVICE AREA. PAYMENT REFORM: TO WORK WITH COLORADO CHCS AND THE STATE MEDICAID AGENCY TO DEVELOP A NEW POPULATION-BASED PAYMENT METHODOLOGY FOR CHC MEDICAID REIMBURSEMENT AND TO SUPPORT CHCS IN SYSTEM AND CARE CHANGES. COLORADO HEALTH SERVICE CORPS: TO REVIEW LOAN REPAYMENT APPLICATIONS FROM HEALTH CARE PROVIDERS EMPLOYED BY FACILITIES SERVING MEDICALLY UNDERSERVED POPULATIONS. TEAM-BASED CARE: TO PROVIDE TRAINING/TECHNICAL ASSISTANCE TO HEALTH CENTERS TO FACILITATE CONTINUED TRANSFORMATION AROUND TEAM-BASED CARE COMPONENTS OF PATIENT CENTERED MEDICAL HOME. VIRTUAL CARE NETWORK: TO PARTICIPATE IN THE VIRTUAL CARE INNOVATION NETWORK BY ENGAGING MEMBER CHCS, INFORMING THE APPLICATION PROCESS AND PROGRAM DESIGN, PROVIDING ADVOCACY SUPPORT, AND DISSEMINATING LESSONS.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>1504291</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcGrantAmt>165213</TotalOtherProgSrvcGrantAmt>
      <TotalOtherProgSrvcRevenueAmt>827544</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>3351845</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc3">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc3">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc3">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">true</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">true</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc5">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc5">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>11</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>30</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>true</UnrelatedBusIncmOverLimitInd>
      <Form990TFiledInd>true</Form990TFiledInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>20</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>20</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>CO</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>THE ORGANIZATION</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>3038615165</PhoneNum>
        <USAddress>
          <AddressLine1Txt>600 GRANT ST 800</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80203</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNETTE KOWAL</PersonNm>
        <TitleTxt>PRESIDENT AN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>231771</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6990</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN LAUX</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>135692</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17935</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>POLLY ANDERSON</PersonNm>
        <TitleTxt>VP STRATEGY/</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>150716</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22121</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA SANCHEZ</PersonNm>
        <TitleTxt>VP QUALITY/O</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>157074</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25351</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIMON SMITH</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAY RAMACHANDRAN</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE EINFELD</PersonNm>
        <TitleTxt>PARLIAMENTAR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR SIMON HAMBIDGE</PersonNm>
        <TitleTxt>IMM. PAST CH</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANIA ARNOLDI</PersonNm>
        <TitleTxt>CHAIR ELECT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM GARCIA</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDY GRIMM</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHUCK PORTH</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL BECKER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD MOORE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DUSTIN MOYER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY PTSAZEK</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERICA SHERER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GENE SOBCZAK</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN SANTISTEVAN</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAYE HOTSENPILLER</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRAIG BURLESON</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MITZI MORAN</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANTOS VERA</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHELLY BURKE</PersonNm>
        <TitleTxt>MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JASON GREER</PersonNm>
        <TitleTxt>MEMBER (NON-</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN WIEDERHOLT</PersonNm>
        <TitleTxt>MEMBER (NON-</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN ROBERTSON</PersonNm>
        <TitleTxt>MEMBER (THRU</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNETTE FRANTA</PersonNm>
        <TitleTxt>MEMBER (THRU</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW SHAHIDI</PersonNm>
        <TitleTxt>MEMBER (THRU</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSS BROOKS</PersonNm>
        <TitleTxt>MEMBER (THRU</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>675253</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>72397</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <MembershipDuesAmt>926368</MembershipDuesAmt>
      <GovernmentGrantsAmt>1707098</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>505333</AllOtherContributionsAmt>
      <TotalContributionsAmt>3138799</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT FEES</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>440960</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>440960</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GROUP PURCHASING</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>160139</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>160139</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>TRIANNUAL MEETING REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>62544</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>62544</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROFESSIONAL SERVICES</Desc>
        <BusinessCd>541200</BusinessCd>
        <TotalRevenueColumnAmt>55104</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>55104</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OCCUPANCY INCOME</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>46328</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>46328</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>34192</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>18000</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>16192</UnrelatedBusinessRevenueAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>799267</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>168906</TotalRevenueColumnAmt>
        <ExclusionAmt>168906</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>44469</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44469</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>44469</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4151441</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>827544</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>16192</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>168906</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>165213</TotalAmt>
        <ProgramServicesAmt>165213</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>392388</TotalAmt>
        <ProgramServicesAmt>184364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>200861</ManagementAndGeneralAmt>
        <FundraisingAmt>7163</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1840507</TotalAmt>
        <ProgramServicesAmt>1528186</ProgramServicesAmt>
        <ManagementAndGeneralAmt>272776</ManagementAndGeneralAmt>
        <FundraisingAmt>39545</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>59068</TotalAmt>
        <ProgramServicesAmt>52349</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5526</ManagementAndGeneralAmt>
        <FundraisingAmt>1193</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>190666</TotalAmt>
        <ProgramServicesAmt>162681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24338</ManagementAndGeneralAmt>
        <FundraisingAmt>3647</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>166695</TotalAmt>
        <ProgramServicesAmt>131256</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32194</ManagementAndGeneralAmt>
        <FundraisingAmt>3245</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>69608</TotalAmt>
        <ProgramServicesAmt>69608</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>639621</TotalAmt>
        <ProgramServicesAmt>548245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>89199</ManagementAndGeneralAmt>
        <FundraisingAmt>2177</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>66980</TotalAmt>
        <ProgramServicesAmt>27239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39680</ManagementAndGeneralAmt>
        <FundraisingAmt>61</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>21610</TotalAmt>
        <ProgramServicesAmt>17635</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3903</ManagementAndGeneralAmt>
        <FundraisingAmt>72</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>129749</TotalAmt>
        <ProgramServicesAmt>106238</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18223</ManagementAndGeneralAmt>
        <FundraisingAmt>5288</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>158138</TotalAmt>
        <ProgramServicesAmt>157978</ProgramServicesAmt>
        <ManagementAndGeneralAmt>160</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>93609</TotalAmt>
        <ProgramServicesAmt>72023</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21586</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>14545</TotalAmt>
        <ProgramServicesAmt>11282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3179</ManagementAndGeneralAmt>
        <FundraisingAmt>84</FundraisingAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>53940</TotalAmt>
        <ProgramServicesAmt>48880</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5060</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
        <TotalAmt>34166</TotalAmt>
        <ProgramServicesAmt>31203</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2963</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>31396</TotalAmt>
        <ProgramServicesAmt>30892</ProgramServicesAmt>
        <ManagementAndGeneralAmt>504</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>GROUP PURCHASING</Desc>
        <TotalAmt>6573</TotalAmt>
        <ProgramServicesAmt>6573</ProgramServicesAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4134472</TotalAmt>
        <ProgramServicesAmt>3351845</ProgramServicesAmt>
        <ManagementAndGeneralAmt>720152</ManagementAndGeneralAmt>
        <FundraisingAmt>62475</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>222763</BOYAmt>
        <EOYAmt>250050</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>3421590</BOYAmt>
        <EOYAmt>2839744</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>617370</BOYAmt>
        <EOYAmt>322240</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>168498</BOYAmt>
        <EOYAmt>211270</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>169464</BOYAmt>
        <EOYAmt>157785</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>101149</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>52060</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>63634</BOYAmt>
        <EOYAmt>49089</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>545476</BOYAmt>
        <EOYAmt>1018488</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>365045</BOYAmt>
        <EOYAmt>578140</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>5573840</BOYAmt>
        <EOYAmt>5426806</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>436497</BOYAmt>
        <EOYAmt>412600</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>118096</BOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>475939</BOYAmt>
        <EOYAmt>578535</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1030532</BOYAmt>
        <EOYAmt>991135</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>2669280</BOYAmt>
        <EOYAmt>3071647</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1874028</BOYAmt>
        <EOYAmt>1364024</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4543308</BOYAmt>
        <EOYAmt>4435671</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>5573840</BOYAmt>
        <EOYAmt>5426806</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>16969</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>-124606</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2182584</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1978685</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4249337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3841270</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3138799</CurrentTaxYearAmt>
        <TotalAmt>15390675</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2182584</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1978685</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4249337</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3841270</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3138799</CurrentTaxYearAmt>
        <TotalAmt>15390675</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1064877</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>14325798</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>47523</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>11596</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2721</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>39604</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>168906</CurrentTaxYearAmt>
        <TotalAmt>270350</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
        <CurrentTaxYearMinus4YearsAmt>12150</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15067</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>20884</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4481</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>5573</CurrentTaxYearAmt>
        <TotalAmt>58155</TotalAmt>
      </UnrelatedBusinessNetIncm170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>6861</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10516</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>6812</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25578</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>44469</CurrentTaxYearAmt>
        <TotalAmt>94236</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>15813416</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>9195870</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.90590</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.84170</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>94,236</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc3">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>42255</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>76379</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>118634</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>4015838</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>4134472</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>356724</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>89181</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>384242</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>402724</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>406564</CurrentYearMinus1Amt>
        <CurrentYearAmt>356724</CurrentYearAmt>
        <TotalAmt>1550254</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>2325381</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>95655</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>100569</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>112357</CurrentYearMinus1Amt>
        <CurrentYearAmt>118634</CurrentYearAmt>
        <TotalAmt>427215</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>96061</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>100681</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>101641</CurrentYearMinus1Amt>
        <CurrentYearAmt>89181</CurrentYearAmt>
        <TotalAmt>387564</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>581346</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>28257</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>33669</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>40223</CurrentYearMinus1Amt>
        <CurrentYearAmt>42255</CurrentYearAmt>
        <TotalAmt>144404</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART I-A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL LOBBYING EXPENDITURES TO INFLUENCE PUBLIC OPINION (GRASS ROOTS LOBBYING)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHN EDUCATES LEGISLATORS AND GOVERNMENT ENTITIES ABOUT ISSUES OF IMPORTANCE TO COMMUNITY HEALTH CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>73399</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>28327</DepreciationAmt>
        <BookValueAmt>45072</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>27750</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23733</DepreciationAmt>
        <BookValueAmt>4017</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>49089</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CERTIFICATES OF DEPOSIT</Desc>
        <BookValueAmt>1018488</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>1018488</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING LEASE, RIGHT OF USE ASSET</Desc>
        <BookValueAmt>578140</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>578140</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>578535</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>578535</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>4026835</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>-124606</OtherRevenueAmt>
      <RevenueNotReportedAmt>-124606</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>4151441</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4151441</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4134472</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4134472</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4134472</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RETURNED GRANT -124,606</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DENVER HEALTH &amp; HOSPITAL AUTHORITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 17093</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80217</ZIPCd>
        </USAddress>
        <RecipientEIN>841343242</RecipientEIN>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <PurposeOfGrantTxt>STIPEND &amp; COVID-19</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TEPEYAC COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4725 HIGH ST</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80216</ZIPCd>
        </USAddress>
        <RecipientEIN>841285505</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>23791</CashGrantAmt>
        <PurposeOfGrantTxt>STIPEND</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VALLEY-WIDE HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>129 MARKET ST</AddressLine1Txt>
          <CityNm>ALAMOSA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81101</ZIPCd>
        </USAddress>
        <RecipientEIN>840706945</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>65315</CashGrantAmt>
        <PurposeOfGrantTxt>STIPEND</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CLINICA FAMILY HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1735 S PUBLIC ROAD 200</AddressLine1Txt>
          <CityNm>LAFYETTE</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80026</ZIPCd>
        </USAddress>
        <RecipientEIN>840743432</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <PurposeOfGrantTxt>STIPEND</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STRIDE COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2255 S ONEIDA ST</AddressLine1Txt>
          <CityNm>DENVER</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80224</ZIPCd>
        </USAddress>
        <RecipientEIN>742477108</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>STIPEND</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUMMIT COMMUNITY CARE CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 4337</AddressLine1Txt>
          <CityNm>FRISCO</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80443</ZIPCd>
        </USAddress>
        <RecipientEIN>201139635</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>14500</CashGrantAmt>
        <PurposeOfGrantTxt>COVID-19 VACCINATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HIGH PLAINS COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>201 KENDALL DRIVE</AddressLine1Txt>
          <CityNm>LAMAR</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81052</ZIPCd>
        </USAddress>
        <RecipientEIN>841244224</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>STIPEND</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NAT'L INST FOR MEDICAL ASS ADVANC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>635 MAIN STREET</AddressLine1Txt>
          <CityNm>MIDDLETOWN</CityNm>
          <StateAbbreviationCd>CT</StateAbbreviationCd>
          <ZIPCd>06457</ZIPCd>
        </USAddress>
        <RecipientEIN>813293048</RecipientEIN>
        <IRCSectionDesc>C-CORP</IRCSectionDesc>
        <CashGrantAmt>9107</CashGrantAmt>
        <PurposeOfGrantTxt>SCHOLARSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>7</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHN PROVIDES YEAR-END REPORTS AS SPECIFIED BY THE FUNDER. ASSISTANCE IS AWARDED BASED ON DOCUMENTED EXPENDITURES OR OTHER DATA SUBMITTED BY THE AWARDEES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc6">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNETTE KOWAL</PersonNm>
        <TitleTxt>PRESIDENT AND CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>231771</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2329</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>4661</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238761</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRISTIN LAUX</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>135692</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11540</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6395</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153627</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>POLLY ANDERSON</PersonNm>
        <TitleTxt>VP STRATEGY/FINANCIN</TitleTxt>
        <BaseCompensationFilingOrgAmt>150716</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12885</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9236</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>172837</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSICA SANCHEZ</PersonNm>
        <TitleTxt>VP QUALITY/OPERATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>157074</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21704</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>3647</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>182425</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMERICAN RESCUE PLAN: TO PROVIDE TRAINING/TECHNICAL ASSISTANCE TO ASSIST HEALTH CENTERS IN COVID VACCINATION CAPACITY; COVID RESPONSE AND TREATMENT; MAINTAINING AND INCREASING CAPACITY; AND RECOVERY AND STABILIZATION. GROUP PURCHASING PROGRAM: THE ORGANIZATION HAS ENTERED INTO AGREEMENTS WITH SUPPLIERS OF GOODS AND SERVICES FOR CHCS AND OTHER HEALTH CARE SAFETY NET CLINICS. THE ORGANIZATION RECEIVES A FEE FROM THE SUPPLIERS TO COVER EXPENSES ASSOCIATED WITH ADMINISTERING THESE CONTRACTS. COMMUNITY HEALTH ASSOCIATION OF MOUNTAIN/PLAINS STATES (CHAMPS): CCHN PROVIDES ADMINISTRATIVE AND ACCOUNTING SERVICES TO CHAMPS UNDER A PROFESSIONAL SERVICES AGREEMENT. EMERGENCY PREPAREDNESS: TO PROVIDE TRAINING, TECHNICAL ASSISTANCE, OTHER EDUCATION AND EQUIPMENT TO COLORADO CHCS. COVERING KIDS AND FAMILIES (CKF): TO IMPROVE HOW COLORADANS ACCESS AND RETAIN AFFORDABLE HEALTH COVERAGE. SYNCUP GROW YOUR OWN: TO BUILD AWARENESS OF HEALTH CENTER CAREER OPPORTUNITIES AND PROVIDE AN ACCESSIBLE PATHWAY FOR ENTRY AND ADVANCEMENT TO MEANINGFUL AND FINANCIALLY SUSTAINABLE CAREERS, WITH A SPECIFIC FOCUS ON MEDICAL ASSISTING AS A FIRST STEP. ORAL HEALTH: TO IMPROVE THE DENTAL HEALTH OF VULNERABLE POPULATIONS BY INCREASING INTEGRATION OF ORAL HEALTH PREVENTIVE SERVICES IN PRIMARY CARE DELIVERY SYSTEMS. WORKFORCE DEVELOPMENT: TO DEVELOP AND DELIVER WORKFORCE TRAINING OPPORTUNITIES FOR COLORADO CHCS AND TO GROW AND MAINTAIN RELATIONSHIPS WITH KEY WORKFORCE PARTNERS IN ORDER TO PROVIDE PROGRAMS AND RESOURCES WHICH SUSTAIN AND GROW THE EXISTING CHC WORKFORCE. RACIAL EQUITY: TO DEVELOP EQUITY GOALS AND A ROADMAP THAT WILL SERVE AS A GUIDE TO BEGIN OR STRENGTHEN HEALTH CENTERS- AND CCHN'S EQUITY JOURNEY. SIX BUILDING BLOCKS OF PRESCRIPTION OPIOID MANAGEMENT: TO SUPPORT THE IMPLEMENTATION OF SAFE PRESCRIBING PRACTICES AND DECREASE HIGH-RISK PRESCRIBING AT CHCS. CANCER, CHRONIC DISEASE, AND DIABETES PREVENTION AND EARLY DETECTION: TO IMPLEMENT STRATEGIES TO ADDRESS CANCER PREVENTION AND EARLY DETECTION AT ONE OR MORE LEVELS OF THE SOCIOECOLOGICAL FRAMEWORK, DEPENDING ON THE NEEDS OF THE UNDERSERVED POPULATION SERVED BY AND LIVING WITHIN THE SERVICE AREA. PAYMENT REFORM: TO WORK WITH COLORADO CHCS AND THE STATE MEDICAID AGENCY TO DEVELOP A NEW POPULATION-BASED PAYMENT METHODOLOGY FOR CHC MEDICAID REIMBURSEMENT AND TO SUPPORT CHCS IN SYSTEM AND CARE CHANGES. COLORADO HEALTH SERVICE CORPS: TO REVIEW LOAN REPAYMENT APPLICATIONS FROM HEALTH CARE PROVIDERS EMPLOYED BY FACILITIES SERVING MEDICALLY UNDERSERVED POPULATIONS. TEAM-BASED CARE: TO PROVIDE TRAINING/TECHNICAL ASSISTANCE TO HEALTH CENTERS TO FACILITATE CONTINUED TRANSFORMATION AROUND TEAM-BASED CARE COMPONENTS OF PATIENT CENTERED MEDICAL HOME. VIRTUAL CARE NETWORK: TO PARTICIPATE IN THE VIRTUAL CARE INNOVATION NETWORK BY ENGAGING MEMBER CHCS, INFORMING THE APPLICATION PROCESS AND PROGRAM DESIGN, PROVIDING ADVOCACY SUPPORT, AND DISSEMINATING LESSONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHN'S MEMBERS INCLUDE COLORADO'S 20 COMMUNITY HEALTH CENTERS WHICH OPERATE CLINIC SITES AND CARE FOR PATIENTS LIVING IN 63 COUNTIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH MEMBER SHALL HAVE THE RIGHT TO APPOINT ONE MEMBER TO THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CCHN BOARD OF DIRECTORS DELEGATES AUTHORITY TO THE CCHN FINANCE COMMITTEE TO REVIEW AND APPROVE THE FORMS 990 AND 990-T. BEFORE APPROVAL BY THE FINANCE COMMITTEE, THE FORMS WILL BE DISTRIBUTED TO MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW. ONCE APPROVED BY THE CCHN FINANCE COMMITTEE, THE FORMS 990 AND 990-T WILL BE SHARED AGAIN WITH ALL OF THE MEMBERS OF THE CCHN BOARD OF DIRECTORS, AND THE CHAIR OF THE BOARD OF DIRECTORS, OR THE PRESIDENT AND CEO WILL SIGN THE FORMS ON THE RECOMMENDATION OF THE FINANCE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE BEGINNING OF EACH CCHN BOARD MEETING AND EXECUTIVE COMMITTEE MEETING AND AT ANY TIME DURING THE MEETING, ALL PARTICIPANTS ARE ASKED TO DECLARE CONFLICTS OF INTEREST. IF ANY CONFLICT OF INTEREST IS DECLARED, THE PARTICIPANT MAY BE ASKED TO RECUSE HIM OR HERSELF FROM ANY DECISIONS INVOLVING THE STATED CONFLICT OF INTEREST ISSUE. ANNUALLY, ALL CCHN BOARD MEMBERS ARE FORMALLY SURVEYED TO DETERMINE ANY CONFLICTS OF INTEREST ENCOUNTERED IN THE PAST YEAR. ALL CCHN BOARD MEMBERS MUST COMPLETE AND SIGN THE ANNUAL SURVEY. CCHN KEEPS ON FILE THE SIGNATURES AND COMPLETED SURVEYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS INCLUDES ALL OF THESE ELEMENTS: 1. REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE OF THE ORGANIZATION 2. USE OF DATA AS TO COMPARABLE COMPENSATION 3. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CCHN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTUAL AGREEMENTS 483,554 31,288 0 PROFESSIONAL FEES 0 38,787 0 COMPUTER CONSULTANT 66,214 19,124 2,177 GROUP PURCHASING-990T -9,619 0 0 GROUP PURCHASING GROUP PURCHASING 8,096 0 0 TOTAL 548,245 89,199 2,177</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 12, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XII, LINE 2C - CHANGE IN FINANCIAL REVIEW PROCESS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>