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        <ProgramServicesAmt>75130</ProgramServicesAmt>
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        <ProgramServicesAmt>24912</ProgramServicesAmt>
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        <ProgramServicesAmt>33302</ProgramServicesAmt>
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        <ProgramServicesAmt>308679</ProgramServicesAmt>
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        <ProgramServicesAmt>32324</ProgramServicesAmt>
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        <ProgramServicesAmt>625000</ProgramServicesAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
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      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus2YearsAmt>3845282</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>4608826</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus1YearAmt>4608826</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2812176</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>26026</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10397</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>65168</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus2YearsAmt>34270</CurrentTaxYearMinus2YearsAmt>
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          <AddressLine2>RESTRICTED</AddressLine2>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedFinclStmtAmt>-104302</RevenueNotReportedFinclStmtAmt>
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      <TotExpnsEtcAuditedFinclStmtAmt>8197894</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotReportedAmt>104302</ExpensesNotReportedAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE OPINION OF MANAGEMENT THAT THE ORGANIZATION HAS NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE FEDERAL INCOME TAX RETURNS OF THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. ALL TAX FILINGS ARE UP-TO-DATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIFFANY SCHMIDT</PersonNm>
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        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTINE HARSELL</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>6204</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>159295</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS DISTRIBUTED TO THE MEMBERS OF THE BOARD OF DIRECTORS AND IS REVIEWED PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL NEW BOARD MEMBERS FILL OUT THE CONFLICT OF INTEREST FORM TO COMPLY WITH THE POLICY. MONTHLY BOARD MEETINGS ARE HELD WITH DISCLOSURE UPDATES TO THE CONFLICT OF INTERSET(S) AS WELL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S PERFORMANCE IS EVALUATED ON AN ANNUAL BASIS AND THE EVALUATION IS BASED ON MEETING JOB DESCRIPTION REQUIREMENTS AND MUTUAL GOALS SET BY THE BOARD AND THE CEO. SATISFACTORY PERFORMANCE IS AWARDED A WAGE ADJUSTMENT. WAGES ARE SET USING THE CHAMPS (A CHC MEMBER ORGANIZATION) SALARY SURVEY. THE CFO'S PERFORMANCE IS REVIEWED BY THE CEO AND THE EVALUATION IS BASED ON THE JOB DESCRIPTION REQUIREMENTS. SATISFACTORY PERFORMANCE MAY BE AWARDED A WAGE ADJUSTMENT. THE WAGE SCALE IS ALSO CALCULATED USING THE CHAMPS SALARY SURVEY. ALL KEY EMPLOYEES ARE REVIEWED ANNUALLY FOR PERFORMANCE. SALARIES AND WAGES ARE BASED UPON INDUSTRY COMPARISON(S), CHAMPS(FQHC) SALARY SURVEYS AND QUALIFICATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, PART 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>