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        <ExplanationTxt>ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TRISHA GUSHUE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>220507</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8851</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>229358</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURIE HUNTRESS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>241345</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9852</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>281992</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANNAMARIE POND</PersonNm>
        <TitleTxt>FAM. MED. SPECIALIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>166556</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2631</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20251</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189438</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLEY STANLEY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>245145</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9799</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>285739</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYDIA THORP</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>263895</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10404</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>30795</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>305094</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS BEFORE IT IS FILED AND IS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO THAT MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF THE BOARD AND THE SENIOR MANAGEMENT MUST REVIEW THEIR INDIVIDUAL CONFLICT OF INTEREST DOCUMENT ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR THE CEO IS REVIEWED AND APPROVED BY THE FULL BOARD DURING AN EXECUTIVE SESSION. THE REVIEW INCLUDES COMPARATIVE DATA FOR BOTH THE REGION AND THE NATION FOR CEO'S IN ORGANIZATIONS OF SIMILAR PURPOSE, SCOPE, AND SIZE. THE MEETING IS DOCUMENTED IN MINUTES AND THE DECISION FORWARDED DIRECTLY BY THE PRESIDENT TO THE CHIEF FINANCIAL OFFICER FOR IMPLEMENTATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>NACHC AND OTHER HEALTH CENTERS ARE QUERIED FOR THE SALARIES OF THE CFO, DIRECTOR OF CLINICAL QUALITY, AND MEDICAL DIRECTOR. SALARIES ARE PAID BASED UPON THE PREVAILING MARKET FOR ALL CLINICIANS, AND SALARY SURVEYS (MGMA, MPCA, AND NACHC) ARE LOOKED AT AND RECRUITING FIRMS ARE USED AS A RESOURCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
