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        <ServicesDesc>DATA MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>5614422</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ONPOINT HEALTH DATA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12 MOUNTFORT STREET SUITE 201</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>1847955</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CMA PHYSICIANS SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1201 K STREET SUITE 800</AddressLine1Txt>
            <CityNm>SACRAMENTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95814</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>TRAINING &amp; TECHNICAL ASSISTANCE</ServicesDesc>
        <CompensationAmt>1133100</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>APPLIED RESEARCH WORKS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>39300 CIVIC CENTER SUITE 170</AddressLine1Txt>
            <CityNm>FREMONT</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94538</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>647500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY HEALTH CENTER NETWORK</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 CALLAN AVENUE SUITE 300</AddressLine1Txt>
            <CityNm>SAN LEANDRO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94577</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>543481</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>10280373</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10280373</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4446215</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4446215</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAMMATIC GRANT REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>4409584</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4409584</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1982207</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1982207</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1401349</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1401349</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>22519728</TotalProgramServiceRevenueAmt>
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        <ExclusionAmt>348593</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>59286</SecuritiesAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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        <OtherAmt>4547</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>19749</SecuritiesAmt>
        <OtherAmt>-4547</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>15202</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>22883523</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
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      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
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      <InformationTechnologyGrp>
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      <OtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <NetUnrlzdGainsLossesInvstAmt>130931</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <ExplanationTxt>UNDER APPLICABLE LAWS AND REGULATIONS, THE ASSOCIATION HAS BEEN DETERMINED TO BE EXEMPT FROM FEDERAL AND CALIFORNIA INCOME TAXES AS AN ASSOCIATION DESCRIBED IN SECTION 501(C)(6) OF THE INTERNAL REVENUE CODE AND THE RELATED CALIFORNIA REVENUE AND TAXATION CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN RECORDED IN THESE FINANCIAL STATEMENTS. THE PREPARATION OF FINANCIAL STATEMENTS IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES THE ASSOCIATION TO REPORT INFORMATION REGARDING ITS EXPOSURE TO VARIOUS TAX POSITIONS TAKEN BY THE ASSOCIATION. THE ASSOCIATION HAS DETERMINED WHETHER ANY TAX POSITIONS HAVE MET THE RECOGNITION THRESHOLD AND HAVE MEASURED THE EXPOSURE TO THOSE TAX POSITIONS. MANAGEMENT BELIEVES THAT THE ASSOCIATION HAS ADEQUATELY ADDRESSED ALL RELEVANT TAX POSITIONS AND THAT THERE ARE NO UNRECORDED TAX LIABILITIES. FEDERAL AND STATE TAX AUTHORITIES GENERALLY HAVE THE RIGHT TO EXAMINE AND AUDIT THE PREVIOUS THREE YEARS OF TAX RETURNS FILED. ANY INTEREST OR PENALTIES ASSESSED TO THE ASSOCIATION ARE RECORDED IN OPERATING EXPENSES. NO INTEREST OR PENALTIES FROM FEDERAL OR STATE TAX AUTHORITIES WERE RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS.</ExplanationTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>644717</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HELENA LYNN THOMPSON</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE SHALL BE AN EXECUTIVE COMMITTEE COMPOSED OF THE PAST CHAIR, THE CHAIR, THE CHAIR-ELECT, THE SECRETARY, THE TREASURER, THE PRESIDENT AND CEO AND UP TO FOUR (4) DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS. THIS COMMITTEE MAY SERVE IN A LIAISON CAPACITY WITH SIMILAR COMMITTEES OF OTHER PROFESSIONAL ORGANIZATIONS IN THE HEALTH FIELD. THE EXECUTIVE COMMITTEE SHALL HAVE THE FULL AUTHORITY TO DIRECT AND MANAGE THE AFFAIRS OF THE ASSOCIATION BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, PROVIDED THAT THE AUTHORITY OF THE EXECUTIVE COMMITTEE SHALL NOT EXTEND TO: FILLING ANY VACANCIES ON THE BOARD OF DIRECTORS, ON THE EXECUTIVE COMMITTEE, OR ON ANY OTHER COMMITTEE WHICH HAS THE AUTHORITY OF THE BOARD OF DIRECTORS; FIXING THE COMPENSATION, IF ANY, OF DIRECTORS FOR SERVING ON THE BOARD OF DIRECTORS OR ON ANY COMMITTEE; AMENDING OR REPEALING ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH, BY ITS EXPRESS TERMS, IS NOT SO AMENDABLE OR REPEALABLE; APPOINTING COMMITTEES OF THE BOARD OF DIRECTORS OR THE MEMBERS THEREOF; EXPENDING CORPORATE FUNDS TO SUPPORT A NOMINEE FOR DIRECTOR AFTER THERE ARE MORE PEOPLE NOMINATED FOR DIRECTOR THAN CAN BE ELECTED; OR APPROVING ANY SELF-DEALING TRANSACTION EXCEPT AS PROVIDED IN SECTION 5233(A) OF THE CALIFORNIA NONPROFIT CORPORATION LAW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE TAX RETURNS ARE REVIEWED BY THE PRESIDENT/CEO AND THE VP, FINANCE &amp; ADMINISTRATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ELIGIBILITY STATUS IS REVIEWED ON THE INDIVIDUALS REPRESENTING MEMBER ORGANIZATIONS ON THE IR RENEWAL DATES. INTEGRATED HEALTHCARE ASSOCIATION EXECUTIVE COMMITTEE REVIEWS ANY QUESTIONS THAT MAY ARISE REGARDING ELIGIBLITY IF CONFLICT OF INTEREST IS DETERMINED. THE COMMITTEE WOULD ASK FOR RESIGNATION OF THAT INDIVIDUAL AND REQUEST A REPLACEMENT FROM THE MEMBER ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PRESIDENT/CEO SALARY IS REVIEWED BY THE EXECUTIVE COMMITTEE MEMBERS AND RECOMMENDATIONS FOR SALARY ARE APPROVED BY THAT GOVERNING BODY. OTHER MEMBERS OF STAFF ARE REVIEWED BY IMMEDIATE SUPERVISORS. RECOMMENDATIONS ARE MADE BY SUPERVISOR. A COMPENSATION BENCHMARKING TOOL IS USED AS COMPARABILITY DATA WHEN DETERMINING SALARY FOR ALL MEMBERS. ANY BONUS MONIES PAID OUT ARE RELATED TO PERFORMANCE REVIEW AND A BUDGETED AMOUNT FOR THE DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>