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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Alex Mena</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.1</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1911362</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>0</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>37</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Carlos Santivanez MD Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>CA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Physician</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Happy Kids Smile PC</PersonNm>
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        <ContractorAddress>
          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Mary Rose B Manzana DDS Inc</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SurgiTek Outpatient Center Inc</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
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          </USAddress>
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      <FederatedCampaignsAmt>0</FederatedCampaignsAmt>
      <MembershipDuesAmt>0</MembershipDuesAmt>
      <FundraisingAmt>0</FundraisingAmt>
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      <GovernmentGrantsAmt>7338349</GovernmentGrantsAmt>
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      <TotalContributionsAmt>7340013</TotalContributionsAmt>
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        <BusinessCd>621400</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
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        <ExclusionAmt>0</ExclusionAmt>
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      <OtherExpensesGrp>
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    <IRS990ScheduleA documentId="R000002" softwareId="24021167" softwareVersionNum="v1.00">
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        <PersonNm>Paul Gonzales</PersonNm>
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        <PersonNm>Lissette Padilla</PersonNm>
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        <PersonNm>James Kaniaru</PersonNm>
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        <PersonNm>Dawn Bickner</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Alex Mena</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The draft copy of Form 990 is reviewed by the CFO/CEO before the final copy is submitted to the Board of Directors prior to filing if time permits otherwise after filling is completed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict-of-interest policy is reviewed annually, and each director and officer is required to submit a signed statement confirming compliance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>All compensation is determined through a comprehensive market review, utilizing national, state, and private data sources. The CEO's compensation was established by the independent Board of Directors based on industry benchmarks, including Form 990 filings from comparable organizations and compensation surveys conducted by CPCA and NACHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>As required by law, the organization makes the following documents available for public inspection at its primary location by appointment with an officer or director: the most recent Form 990, the application for tax exemption, articles of incorporation, bylaws, and the conflict-of-interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractor Services include practitioner fees, 340B third-party administrator (TPA) fees, laboratory services, and quality testing.</ExplanationTxt>
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          <BusinessNameLine1Txt>Synergy 365</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>555 E Street</AddressLine1Txt>
          <CityNm>Lemoore</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>93245</ZIPCd>
        </USAddress>
        <EIN>833287663</EIN>
        <PrimaryActivitiesTxt>Holding title to property, collecting rental income and turning it over to ACHC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Aria Community Health Center</BusinessNameLine1Txt>
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      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
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      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
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      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
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          <BusinessNameLine1Txt>Synergy 365</BusinessNameLine1Txt>
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        <TransactionTypeTxt>k</TransactionTypeTxt>
        <InvolvedAmt>329278</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Rent specified in lease agreement; the rent was based on an estimate of the market rate per square foot leased.</MethodOfAmountDeterminationTxt>
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      <ExplanationTxt>Form 8868 was submitted on March 25, 2025, requesting an extension, and the IRS approved the request.</ExplanationTxt>
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</Return>