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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN NULL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SMOKEY STANTON</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>BOB STEPHENS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE YODER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2188447</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>249768</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAYSTAR BUILDERS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1524 FOSTERS INN ROAD</AddressLine1Txt>
            <CityNm>GRANTSVILLE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21536</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CARDINAL HEALTH 110 LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5303 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLY</ServicesDesc>
        <CompensationAmt>969353</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ATHENA HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 415615</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE</ServicesDesc>
        <CompensationAmt>705817</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCKESSON MEDICAL SUGICAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9954 MARYLAND DRIVE SUITE 400</AddressLine1Txt>
            <CityNm>HENRICO</CityNm>
            <StateAbbreviationCd>VA</StateAbbreviationCd>
            <ZIPCd>23233</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SUPPLY</ServicesDesc>
        <CompensationAmt>439021</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MOUNTAINEER RESIDENTIAL CLEANING SER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>479 MAPLE AVE</AddressLine1Txt>
            <CityNm>GRAFTON</CityNm>
            <StateAbbreviationCd>WV</StateAbbreviationCd>
            <ZIPCd>26354</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING</ServicesDesc>
        <CompensationAmt>181842</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>3650387</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1434009</AllOtherContributionsAmt>
      <TotalContributionsAmt>5084396</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUE</Desc>
        <TotalRevenueColumnAmt>9272417</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9272417</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>VALUED BASED CONTRACTS</Desc>
        <TotalRevenueColumnAmt>2389685</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2389685</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11662102</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>51820</TotalRevenueColumnAmt>
        <ExclusionAmt>51820</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>48434</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>48434</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>48434</TotalRevenueColumnAmt>
        <ExclusionAmt>48434</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossSalesOfInventoryAmt>7487097</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>4582384</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>2904713</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2904713</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>3901</ExclusionAmt>
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        <RelatedOrExemptFuncIncomeAmt>14566815</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>104155</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>439050</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>1690</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>40768</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ManagementAndGeneralAmt>172619</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
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        <ProgramServicesAmt>319077</ProgramServicesAmt>
        <ManagementAndGeneralAmt>301521</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>291742</ProgramServicesAmt>
        <ManagementAndGeneralAmt>335518</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>44160</TotalAmt>
        <ProgramServicesAmt>18528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25632</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>15099</TotalAmt>
        <ProgramServicesAmt>2259</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12840</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
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        <ProgramServicesAmt>193569</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>452126</ProgramServicesAmt>
        <ManagementAndGeneralAmt>103702</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>3144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128919</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>482202</TotalAmt>
        <ProgramServicesAmt>482202</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>157961</TotalAmt>
        <ManagementAndGeneralAmt>157961</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>23401</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <ManagementAndGeneralAmt>6156716</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <AccountsReceivableGrp>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>3280477</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <RevenueNotReportedFinclStmtAmt>1695</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19755366</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>18243857</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>1768968</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>1768968</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16474889</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16474889</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT- FOR-PROFIT CENTER THAT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ON INCOME FROM OPERATIONS RELATED TO THEIR TAX-EXEMPT PURPOSE, AND THEREFORE, HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER FOLLOWS THE FASB ACCOUNTING STANDARDS CODIFICATION, WHICH PROVIDES GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE CENTER'S FINANCIAL STATEMENTS. THE CENTER'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES ON UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE IN THE FINANCIAL STATEMENTS. THE CENTER'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE AND LOCAL TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THE RETURNS ARE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY EXPENSE 1,768,968</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>UNREALIZED LOSS ON INVESTMENTS 1,695</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY EXPENSE 1,768,968</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <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>
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        <PersonNm>SARAH CALL</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>326294</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20663</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>366757</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MELISSA SCOTT</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR OF</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>11183</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20663</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CRYSTAL PIRAS</PersonNm>
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        <DeferredCompensationFlngOrgAmt>11355</DeferredCompensationFlngOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER FERRELL</PersonNm>
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        <PersonNm>BRIAN BAILEY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JONATHAN MILLER</PersonNm>
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        <DeferredCompensationFlngOrgAmt>9770</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>263611</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE DIXON</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES MOU</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>6808</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7366</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156136</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD REVIEWS AND APPROVES THE FORM 990 TAX RETURN BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS MONITOR COMPLIANCE BY ANNUALLY SIGNING THE CONFLICTS POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION COMMITTEE OBTAINS AN INDEPENDENT REVIEW AND DETERMINES COMPENSATION BY BOARD VOTE BASED ON COMMITTEE RECOMMENDATIONS. COMMITTEE RECOMMENDATIONS ARE BASED ON COMPARABLE DATA AND HRSA/FQHC SALARY SURVEYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER EMPLOYEES RECEIVE COMPENSATION AND RAISES ACCORDING TO THE BOARD APPROVED SALARY SCHEDULE. COMPENSATION IS DETERMINED BASED ON COMPARABLE DATA AND HRSA/FQHC SALARY SURVEYS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PUBLIC MAY REQUEST DOCUMENTS FOR INSPECTION UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PHARMACY EXPENSE 1,768,968 UNREALIZED LOSS ON INVESTMENTS -1,695 PHARMACY EXPENSE -1,768,968 TOTAL -1,695</ExplanationTxt>
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    </IRS990ScheduleO>
  </ReturnData>
</Return>