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      <Form990PartVIISectionAGrp>
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        <RelatedOrExemptFuncIncomeAmt>37279488</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>2223663</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>385474</ExclusionAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>12846632</ProgramServicesAmt>
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      <OtherExpensesGrp>
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          <BusinessNameLine1Txt>Corie Buzard</BusinessNameLine1Txt>
        </BusinessName>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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          <BusinessNameLine1Txt>Abrahan Chaparro</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16500</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>9986</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>383768</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Holly Gentry</BusinessNameLine1Txt>
        </BusinessName>
        <TitleTxt>Chief Pharmacy Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>197115</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>10623</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>9492</NontaxableBenefitsFilingOrgAmt>
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          <BusinessNameLine1Txt>Hilary Patterson</BusinessNameLine1Txt>
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        <TitleTxt>Chief Dental Officer</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>8898</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>9477</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <BusinessName>
          <BusinessNameLine1Txt>Amparito Fiallo</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>293843</BaseCompensationFilingOrgAmt>
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        <BusinessName>
          <BusinessNameLine1Txt>Chun-Ho Ng</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>280012</BaseCompensationFilingOrgAmt>
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          <BusinessNameLine1Txt>Tammy Kiger</BusinessNameLine1Txt>
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        <TitleTxt>Physician</TitleTxt>
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        <TitleTxt>Dentist</TitleTxt>
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      <BusTrInvolveInterestedPrsnGrp>
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            <BusinessNameLine1Txt>Shawn Owens</BusinessNameLine1Txt>
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        <TransactionDesc>Compensation as Employee</TransactionDesc>
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        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Jason Terry</BusinessNameLine1Txt>
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        <TransactionDesc>Compensation as Employee</TransactionDesc>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Marty Johnson</BusinessNameLine1Txt>
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        </NameOfInterested>
        <RelationshipDescriptionTxt>Family Member of Officer</RelationshipDescriptionTxt>
        <TransactionAmt>65103</TransactionAmt>
        <TransactionDesc>Compensation as Employee</TransactionDesc>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="23017437" softwareVersionNum="2023v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED BY THE CEO IN ITS ENTIRETY. THE CFO AND FINANCE COMMITTEE REVIEWED ALL FINANCIAL INFORMATION. AFTER THEIR REVIEW, THE FORM 990 WAS PRESENTED TO THE BOARD MEMBERS. EACH VOTING BOARD MEMBER RECEIVED A COPY OF THE FORM 990 IN THEIR MEETING PACKETS. AFTER A DISCUSSION PERIOD AND QUESTIONS AND ANSWERS PERIOD, THE BOARD VOTED TO APPROVE AND ACCEPT THE FORM 990 AS PRESENTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES BOARD MEMBERS AND DIRECTORS TO SIGN A STANDARDS OF CONDUCT WHICH INCLUDES A CONFLICT OF INTEREST POLICY ANNUALLY. THE ORGANIZATION HAS ESTABLISHED AND UTILIZES INTERNAL CONTROLS TO MONITOR COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Salaries are based on local market trends plus salary guidelines provided by the National Association of Community Health Centers, US Bureau of Labor Statistics, and Salary.com. The salary grades are determined by the Director of HR, CEO, COO, and CFO. This procedure applies to all positions. The Board of Directors approves the salary and wage program at a minimum of every three years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Salaries are based on local market trends plus salary guidelines provided by the National Association of Community Health Centers, US Bureau of Labor Statistics, and Salary.com. The salary grades are determined by the Director of HR, CEO, COO, and CFO. This procedure applies to all positions. The Board of Directors approves the salary and wage program at a minimum of every three years.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, STANDARDS OF CONDUCT (INCLUDING CONFLICT OF INTEREST) POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY REQUEST.</ExplanationTxt>
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</Return>