<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2022v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2023-08-03T17:11:18-04:00</ReturnTs>
    <TaxPeriodEndDt>2022-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>203746583</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>TAYLOR ROTH AND COMPANY</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>800 GRANT ST STE 205</AddressLine1Txt>
        <CityNm>DENVER</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>802032944</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2022-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>841587575</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>GRAND COUNTY RURAL HEALTH NETWORK</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>GRAN</BusinessNameControlTxt>
      <PhoneNum>9707253477</PhoneNum>
      <USAddress>
        <AddressLine1Txt>PO BOX 95</AddressLine1Txt>
        <CityNm>HOT SULPHUR SPRINGS</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80451</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>JESSICA KLABAK DDS</PersonNm>
      <PersonTitleTxt>CHAIR</PersonTitleTxt>
      <PhoneNum>9708873064</PhoneNum>
      <SignatureDt>2023-08-02</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <SigningOfficerGrp>
      <PersonFullName>
        <PersonFirstNm>JESSICA</PersonFirstNm>
        <PersonLastNm>KLABAK</PersonLastNm>
      </PersonFullName>
      <SSN>999009999</SSN>
    </SigningOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>KEN ROTH</PreparerPersonNm>
      <PTIN>P01389203</PTIN>
      <PhoneNum>3038308109</PhoneNum>
      <PreparationDt>2023-08-03</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2022</TaxYr>
    <BuildTS>2023-04-26 12:10:37Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="6">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc5">
      <PrincipalOfficerNm>JEN FANNING</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>PO BOX 95</AddressLine1Txt>
        <CityNm>HOT SULPHUR SPRINGS</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>80451</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>872692</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.GCRURALHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2001</FormationYr>
      <LegalDomicileStateCd>CO</LegalDomicileStateCd>
      <ActivityOrMissionDesc>WE WORK IN PARTNERSHIP TO ADVOCATE FOR AND SUPPORT THE HEALTH OF OUR COMMUNITY.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>7</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>7</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>17</TotalEmployeeCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>718274</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>665259</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>121600</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>206200</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>765</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1233</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>-636</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>-4562</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>840003</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>868130</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>546499</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>587830</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>29159</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>218594</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>259489</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>765093</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>847319</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>74910</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>20811</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>633343</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>648511</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>44733</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>39090</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>588610</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>609421</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>WE WORK IN PARTNERSHIP TO ADVOCATE FOR AND SUPPORT THE HEALTH OF OUR COMMUNITY.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>300174</ExpenseAmt>
      <RevenueAmt>206200</RevenueAmt>
      <Desc>THE PATIENT NAVIGATOR PROGRAM WORKS IN PARTNERSHIP WITH THE CLIENT TO COORDINATE HEALTHCARE, REMOVE BARRIERS TO CARE, AND EDUCATE ON SELF-MANAGED CARE. THE PATIENT NAVIGATOR IS A HEALTHCARE PROFESSIONAL TRAINED ON NAVIGATION AND PATIENT EMPOWERMENT MODELS TO ASSIST THE CLIENT IN GETTING THE CARE THEY NEED WHEN THEY NEED IT. IN 2022, THE PROGRAM SERVED AT LEAST 279 UNIQUE CLIENTS.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>178374</ExpenseAmt>
        <Desc>HEALTHY GRAND COUNTY IS THE COLLECTIVE IMPACT MODEL, WITH THE NETWORK AS THE BACKBONE AGENCY, TO MOVE THE NEEDLE ON KEY ISSUES IN OUR COMMUNITY, SUCH AS EQUITY, MENTAL HEALTH, AND AFFORDABLE HOUSING. THE HEALTH AND HUMAN RESOURCES COALITION, THE PARTNER GROUP GUIDING HEALTHY GRAND COUNTY INITIATIVES, IS A COLLABORATIVE OF HEALTH, HUMAN SERVICES, AND GOVERNMENT ORGANIZATIONS WORKING TOWARD LONG-TERM, SUSTAINABLE CHANGE TO IMPROVE THE HEALTH OF OUR COMMUNITY. THE HEALTHY GRAND COUNTY PROGRAM ALSO PROMOTES COMMUNITY ENGAGEMENT AND EQUITY INITIATIVES, SUCH AS THE COMMUNITY LEADER COHORT. IN 2022, OVER 70 INDIVIDUALS PARTICIPATED IN THE COMMUNITY LEADER COHORT.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>76541</ExpenseAmt>
        <Desc>THE PARTNERS FOR ADULTS IN NEED OF SERVICES (P.A.I.N.S.) IS A PROGRAM ESTABLISHED BY THE NETWORK AND ITS PARTNERS TO PROVIDE HEALTHCARE VOUCHERS FOR ACUTE, NON-EMERGENT MEDICAL AND MENTAL HEALTH SERVICES TO UNINSURED ADULTS WHO QUALIFY FINANCIALLY. IN 2022, THE P.A.I.N.S. PROGRAM SERVED 109 UNIQUE CLIENTS VIA 257 VOUCHERS.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>110486</ExpenseAmt>
        <Desc>THE HEALTH COVERAGE GUIDE PROGRAM, IN PARTNERSHIP WITH THE NORTHWEST COLORADO COMMUNITY HEALTH PARTNERSHIP, PROVIDES FREE, IN-PERSON ASSISTANCE AND EDUCATION FOR INDIVIDUALS AND FAMILIES ENROLLING IN THE STATE HEALTH INSURANCE MARKETPLACE. IN 2022, THE HEALTH COVERAGE GUIDES ASSISTED 164 HOUSEHOLDS THROUGH 345 APPOINTMENTS. ADVOCACY FOR CHILDREN'S HEALTH AND EDUCATION SERVICES (A.C.H.E.S.) IS A COLLABORATIVE EFFORT OF GRAND COUNTY AGENCIES AND COMMUNITY GROUPS TO PROMOTE THE WELL-BEING OF CHILDREN. THE ACHES PROGRAM PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH VOUCHERS TO UNINSURED CHILDREN WHO QUALIFY FINANCIALLY AND ARE IN NEED OF ACUTE, NON-EMERGENT CARE OR PREVENTATIVE CARE. IN 2022, THE A.C.H.E.S. PROGRAM SERVED 19 UNIQUE CLIENTS VIA 31 HEALTHCARE VOUCHERS. THE MENTAL HEALTH NAVIGATOR (MHN) PROGRAM IS A COLLABORATIVE BETWEEN GRAND COUNTY RURAL HEALTH NETWORK, GRAND COUNTY GOVERNMENT, MIND SPRINGS HEALTH, MIDDLE PARK HEALTH, WINTER PARK RESORT, AND SNOW MOUNTAIN RANCH/YMCA OF THE ROCKIES. MASTER'S LEVEL CLINICIANS PROVIDE BRIEF INTERVENTION TO IMPROVE ACCESS TO BEHAVIORAL HEALTHCARE IN PRIMARY CARE PROVIDER AND OTHER COMMUNITY SETTINGS, EDUCATE PATIENTS ON THE IMPORTANCE OF MENTAL HEALTH SERVICES, AND NAVIGATE PATIENTS TO A LONG-TERM PROVIDER WHEN POSSIBLE. THE MHN PROGRAM HAS TRANSFERRED TO MIDDLE PARK HEALTH FOR PROGRAM SUSTAINABILITY. THE GCRHN STILL LEADS THE COLLABORATIVE EFFORTS, CONVENING THE OVERSIGHT COMMITTEE TO ENSURE PROGRAM GOALS AND ACCESS REMAINS PATIENT-CENTERED AND PROVIDER-NEUTRAL.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>110486</TotalOtherProgSrvcExpenseAmt>
      <TotalProgramServiceExpensesAmt>665575</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc6">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">false</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc4">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc4">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc4">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</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>10</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>17</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <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>7</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>7</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>false</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>LONG RUN ACCOUNTING</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>9705316400</PhoneNum>
        <USAddress>
          <AddressLine1Txt>17353 WEST 84TH DRIVE</AddressLine1Txt>
          <CityNm>ARVADA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80007</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESSICA KLABAK DDS</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN JOHNSON MSW LSW</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEREK ORTNER</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICK MIDDLEBROOKS</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DARCY SELENKE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY BRUMENSCHENKEL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABBIE BAKER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD ODEGAARD DO</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEN FANNING</PersonNm>
        <TitleTxt>EXEC DIR\PRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>86091</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5485</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>86091</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>5485</TotalOtherCompensationAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <FundraisingAmt>31457</FundraisingAmt>
      <GovernmentGrantsAmt>261702</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>372100</AllOtherContributionsAmt>
      <TotalContributionsAmt>665259</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT FUNDING</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>206000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>206000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PROGRAM SERVICE FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>200</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>200</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>206200</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1233</TotalRevenueColumnAmt>
        <ExclusionAmt>1233</ExclusionAmt>
      </InvestmentIncomeGrp>
      <ContriRptFundraisingEventAmt>31457</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>4562</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-4562</TotalRevenueColumnAmt>
        <ExclusionAmt>-4562</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>868130</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>206200</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-3329</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>91576</TotalAmt>
        <ProgramServicesAmt>76008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11905</ManagementAndGeneralAmt>
        <FundraisingAmt>3663</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>418361</TotalAmt>
        <ProgramServicesAmt>347240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>54387</ManagementAndGeneralAmt>
        <FundraisingAmt>16734</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>37767</TotalAmt>
        <ProgramServicesAmt>31346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4910</ManagementAndGeneralAmt>
        <FundraisingAmt>1511</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>40126</TotalAmt>
        <ProgramServicesAmt>33305</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5216</ManagementAndGeneralAmt>
        <FundraisingAmt>1605</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>47016</TotalAmt>
        <ManagementAndGeneralAmt>47016</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>20601</TotalAmt>
        <ProgramServicesAmt>20601</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>13706</TotalAmt>
        <ProgramServicesAmt>13706</ProgramServicesAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>31190</TotalAmt>
        <ProgramServicesAmt>25888</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4056</ManagementAndGeneralAmt>
        <FundraisingAmt>1246</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>6920</TotalAmt>
        <ProgramServicesAmt>5744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>900</ManagementAndGeneralAmt>
        <FundraisingAmt>276</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>11346</TotalAmt>
        <ProgramServicesAmt>9417</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1475</ManagementAndGeneralAmt>
        <FundraisingAmt>454</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>4697</TotalAmt>
        <ProgramServicesAmt>3899</ProgramServicesAmt>
        <ManagementAndGeneralAmt>611</ManagementAndGeneralAmt>
        <FundraisingAmt>187</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>850</TotalAmt>
        <ProgramServicesAmt>706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>111</ManagementAndGeneralAmt>
        <FundraisingAmt>33</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>5321</TotalAmt>
        <ProgramServicesAmt>4416</ProgramServicesAmt>
        <ManagementAndGeneralAmt>692</ManagementAndGeneralAmt>
        <FundraisingAmt>213</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL &amp; DENTAL SERVICES</Desc>
        <TotalAmt>46481</TotalAmt>
        <ProgramServicesAmt>46481</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PUBLIC RELATIONS</Desc>
        <TotalAmt>25359</TotalAmt>
        <ProgramServicesAmt>21048</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3297</ManagementAndGeneralAmt>
        <FundraisingAmt>1014</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FILING FEES</Desc>
        <TotalAmt>13230</TotalAmt>
        <ManagementAndGeneralAmt>13230</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>12849</TotalAmt>
        <ProgramServicesAmt>10665</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1670</ManagementAndGeneralAmt>
        <FundraisingAmt>514</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>19923</TotalAmt>
        <ProgramServicesAmt>15105</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3109</ManagementAndGeneralAmt>
        <FundraisingAmt>1709</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>847319</TotalAmt>
        <ProgramServicesAmt>665575</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152585</ManagementAndGeneralAmt>
        <FundraisingAmt>29159</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>325935</BOYAmt>
        <EOYAmt>61263</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>195598</BOYAmt>
        <EOYAmt>247100</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>104275</BOYAmt>
        <EOYAmt>137657</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <EOYAmt>131537</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3781</BOYAmt>
        <EOYAmt>18562</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>37412</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>34508</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3754</BOYAmt>
        <EOYAmt>2904</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>49488</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>633343</BOYAmt>
        <EOYAmt>648511</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>44733</BOYAmt>
        <EOYAmt>39090</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>44733</BOYAmt>
        <EOYAmt>39090</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>322065</BOYAmt>
        <EOYAmt>471655</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>266545</BOYAmt>
        <EOYAmt>137766</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>588610</BOYAmt>
        <EOYAmt>609421</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>633343</BOYAmt>
        <EOYAmt>648511</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>20811</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc6">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>230950</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>474905</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>485921</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>718274</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>665259</CurrentTaxYearAmt>
        <TotalAmt>2575309</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <GovtFurnSrvcFcltsVl170Grp>
        <CurrentTaxYearMinus4YearsAmt>10000</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>10000</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>10000</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10000</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>10000</CurrentTaxYearAmt>
        <TotalAmt>50000</TotalAmt>
      </GovtFurnSrvcFcltsVl170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>240950</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>484905</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>495921</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>728274</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>675259</CurrentTaxYearAmt>
        <TotalAmt>2625309</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>601323</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>2023986</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>326</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>399</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>683</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>765</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1233</CurrentTaxYearAmt>
        <TotalAmt>3406</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>2628715</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>760232</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.77000</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.73670</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </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>
    <IRS990ScheduleD documentId="RetDoc3">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>37412</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>34508</DepreciationAmt>
        <BookValueAmt>2904</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>2904</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>885457</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>17327</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>17327</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>868130</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>868130</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>864646</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>17327</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>17327</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>847319</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>847319</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>GRATITUDE FOR G</Event1Nm>
        <GrossReceiptsEvent1Amt>31457</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>31457</CharitableContriEvent1Amt>
        <OtherDirectExpensesEvent1Amt>4562</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>31457</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>31457</CharitableContributionsTotAmt>
        <OthDirectExpnssTotalEventsAmt>4562</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>4562</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-4562</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH COVERAGE GUIDE PROGRAM, IN PARTNERSHIP WITH THE NORTHWEST COLORADO COMMUNITY HEALTH PARTNERSHIP, PROVIDES FREE, IN-PERSON ASSISTANCE AND EDUCATION FOR INDIVIDUALS AND FAMILIES ENROLLING IN THE STATE HEALTH INSURANCE MARKETPLACE. IN 2022, THE HEALTH COVERAGE GUIDES ASSISTED 164 HOUSEHOLDS THROUGH 345 APPOINTMENTS. ADVOCACY FOR CHILDREN'S HEALTH AND EDUCATION SERVICES (A.C.H.E.S.) IS A COLLABORATIVE EFFORT OF GRAND COUNTY AGENCIES AND COMMUNITY GROUPS TO PROMOTE THE WELL-BEING OF CHILDREN. THE ACHES PROGRAM PROVIDES MEDICAL, DENTAL AND MENTAL HEALTH VOUCHERS TO UNINSURED CHILDREN WHO QUALIFY FINANCIALLY AND ARE IN NEED OF ACUTE, NON-EMERGENT CARE OR PREVENTATIVE CARE. IN 2022, THE A.C.H.E.S. PROGRAM SERVED 19 UNIQUE CLIENTS VIA 31 HEALTHCARE VOUCHERS. THE MENTAL HEALTH NAVIGATOR (MHN) PROGRAM IS A COLLABORATIVE BETWEEN GRAND COUNTY RURAL HEALTH NETWORK, GRAND COUNTY GOVERNMENT, MIND SPRINGS HEALTH, MIDDLE PARK HEALTH, WINTER PARK RESORT, AND SNOW MOUNTAIN RANCH/YMCA OF THE ROCKIES. MASTER'S LEVEL CLINICIANS PROVIDE BRIEF INTERVENTION TO IMPROVE ACCESS TO BEHAVIORAL HEALTHCARE IN PRIMARY CARE PROVIDER AND OTHER COMMUNITY SETTINGS, EDUCATE PATIENTS ON THE IMPORTANCE OF MENTAL HEALTH SERVICES, AND NAVIGATE PATIENTS TO A LONG-TERM PROVIDER WHEN POSSIBLE. THE MHN PROGRAM HAS TRANSFERRED TO MIDDLE PARK HEALTH FOR PROGRAM SUSTAINABILITY. THE GCRHN STILL LEADS THE COLLABORATIVE EFFORTS, CONVENING THE OVERSIGHT COMMITTEE TO ENSURE PROGRAM GOALS AND ACCESS REMAINS PATIENT-CENTERED AND PROVIDER-NEUTRAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE APPOINTED BY THE GOVERNING BODY, THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS, BEFORE FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS ARE MINIMALLY REQUIRED TO ANNOUNCE THEIR CONFLICT OF INTEREST AT THE ANNUAL MEETING AND AGAIN UPON SIGNING THEIR ANNUAL BOARD OF DIRECTORS CONTRACT. IN PRACTICE, DIRECTORS ANNOUNCE CONFLICT OF INTEREST PRIOR TO DISCUSSING AN AGENDA ITEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER STAFF AND DOES CHECK OTHER WAGE SURVEYS AS WELL. THEN THE BOARD VOTES ON THE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND OTHER STAFF AND DOES CHECK OTHER WAGE SURVEYS AS WELL. THEN THE BOARD VOTES ON THE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
