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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CO-EMPLOYMENT ARRANGEMENT WITH A THIRD-PARTY ENTITY WHEREBY THE THIRD-PARTY IS THE EMPLOYER OF RECORD AND THE ORGANIZATION IS THE SITE EMPLOYER. DURING 2023, THE ORGANIZATION HAD 106 EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>INTEGRATED INFORMATION TECHNOLOGY: NCHA MANAGES A SHARED AND INTEGRATED IT PLATFORM FOR PARTNER MEMBERS WHO WISH TO USE THE PLATFORM. NCHA EMPLOYS A DIRECTOR OF INFORMATION TECHNOLOGY TO OVERSEE ALL PROGRAM ACTIVITIES AND HAS A SERVICES AGREEMENT WITH A HIPAA-COMPLIANT EXTERNAL HOSTING COMPANY FOR HARDWARE INCLUDING DATABASE AND CITRIX SERVERS, SYSTEM DESIGN AND MAINTENANCE, AND ENGINEERING SUPPORT. IN ADDITION TO BASIC E-MAIL, OFFICE PRODUCTIVITY SOFTWARE, GENERAL LEDGER, AND PAYROLL PROGRAMS, NCHA HOSTS A SHARED PRACTICE MANAGEMENT AND ELECTRONIC HEALTH RECORD SOLUTION (ATHENA PRACTICE MANAGEMENT SOLUTION) THAT SUPPORTS THE INTEGRATED HEALTH CARE PROGRAMS OPERATED BY ALLIANCE PARTNER ORGANIZATIONS. OPERATING COSTS ARE SHARED ON A PRO-RATED BASIS DETERMINED BY NUMBER OF ORGANIZATIONAL USERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>SECOND ACCOMPLISHMENT REGIONAL ACCOUNTABLE ENTITY (RAE) CARE MANAGEMENT: NCHA PROVIDES CARE MANAGEMENT SERVICES IN TWO OF SEVEN REGIONS IN COLORADO UNDER DELEGATION AGREEMENTS WITH NORTHEAST HEALTH PARTNERS (RAE 2) AND ROCKY MOUNTAIN HEALTH PLANS (RAE 1). NCHA IS COMPENSATED ON A PER MEMBER PER MONTH BASIS TO PROVIDE CARE MANAGEMENT SERVICES TO ATTRIBUTED MEDICAID/MEDICARE MEMBERS. NCHA IS RESPONSIBLE FOR AN AVERAGE POPULATION OF 90,000 MEMBERS BETWEEN BOTH REGIONS. THE PERFORMANCE METRICS OF THE CARE MANAGEMENT PROGRAM INCLUDE REDUCING EMERGENCY DEPARTMENT UTILIZATION, REDUCING HOSPITAL ADMISSIONS AND READMISSIONS, ADDRESSING POTENTIALLY AVOIDABLE HEALTH CARE COSTS THROUGH INCREASING RATES OF WELL CHILD CHECKS, PRENATAL AND POSTPARTUM VISITS, AND DIABETES SCREENING AND ASSESSMENTS. CURRENTLY THE CARE MANAGEMENT TEAM HAS A TOTAL OF 52 POSITIONS FUNDED THROUGH THIS SOURCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM ACCOMPLISHMENTS INCLUDE A PROJECT TO CONTINUE TO EXPAND ACCESS TO COMPREHENSIVE INTEGRATED HEALTH CARE FOR ALL RESIDENTS OF NORTHERN COLORADO FUNDED BY A GRANT FROM THE COLORADO HEALTH FOUNDATION, AND A PROGRAM TO PROVIDE A MEDICAL VAN TO TRANSPORT LOW-INCOME INDIVIDUALS TO SERVICE LOCATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS PROVIDE FOR ONE CLASS OF VOTING MEMBERSHIP. MEMBERSHIP DOES NOT CREATE ANY OWNERSHIP RIGHTS TO OR INTEREST IN THE INCOME OR ASSETS OF THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ONE CLASS OF VOTING STOCK INCLUDES THE POWER TO APPOINT AND REMOVE ONE DIRECTOR EACH AND TO ELECT OR REMOVE OTHER ORGANIZATIONS TO VOTING MEMBERSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS REVIEWED BY THE CFO AND WITH THE BOARD OF DIRECTORS PRIOR TO FILING IT WITH THE IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>SECTION 5.13 OF THE BYLAWS RELATING TO CONFLICT OF INTEREST IS MONITORED AT THE BOARD OF DIRECTORS LEVEL. IT IS ADDRESSED IN BOARD MEETINGS AND MEMBERS ARE ASKED TO ACKNOWLEDGE ANY CONFLICT OF INTEREST AS MATTERS ARE DISCUSSED. THIS IS DONE CONSISTENTLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS AGREED UPON BY THE BOARD OF DIRECTORS. EVERY TWO YEARS, THE ORGANIZATION HAS ACCESS TO DATA FROM THE FEDERAL, STATE, AND LOCAL LEVELS TO RE-EVALUATE THE APPROPRIATENESS OF THE COMPENSATION. THIS DATA IS COLLECTED FROM ORGANIZATIONS SIMILAR TO NCHA.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>KEY EMPLOYEE COMPENSATION IS AGREED UPON BY THE BOARD OF DIRECTORS AND THE CEO. EVERY TWO YEARS, THE ORGANIZATION HAS ACCESS TO DATA FROM THE FEDERAL, STATE, AND LOCAL LEVELS TO RE-EVALUATE THE APPROPRIATENESS OF THE COMPENSATION. THIS DATA IS COLLECTED FROM ORGANIZATIONS SIMILAR TO NCHA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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</Return>