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        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION FOR UNCERTAIN TAX POSITIONS UNDER FIN 48: TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED, AS DESCRIBED ABOVE, IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEETS, ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. UPON ADOPTION AND AS OF DECEMBER 31, 2024 AND 2023, THE COMPANY HAS ADDRESSED UNCERTAINTY IN ITS INCOME TAX POSITION UNDER THIS GUIDANCE AND THERE ARE NO UNRECOGNIZED/DERECOGNIZED TAX BENEFITS THAT REQUIRE AN ACCRUAL.</ExplanationTxt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
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        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 2A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE LA IPA DID NOT ISSUE ANY W-2S DURING 2024. COMPENSATION REPORTED ON PART VII AND SCHEDULE J IS FROM HEALTHCARE LA IPA'S MANAGEMENT COMPANY, MEDPOINT MANAGEMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDPOINT MANAGEMENT, AN INDEPENDENT CONTRACTOR, PERFORMS MANAGEMENT DUTIES FOR HEALTH CARE LA, IPA, INCLUDING, BUT NOT LIMITED TO, PLANNING AND EXECUTING BUDGETS OR FINANCIAL OPERATIONS, SUPERVISING EXEMPT OPERATIONS, AND NEGOTIATING AND ADMINISTRATING PLAN CONTRACTS AND PROVIDER CONTRACTS. IT ALSO HANDLES CLAIMS PROCESSING, AND ELIGIBILITY AND BENEFITS MANAGEMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHCARE LA, IPA'S ACCOUNTING DEPARTMENT COLLECTED THE NECESSARY INFORMATION TO COMPLETE THE TAX RETURN. THE ACCOUNTING FIRM RSM US LLP PREPARED THE RETURN, WHICH WAS IS REVIEWED BY THE CEO. ANY CHANGES IF APPLICABLE ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR FINAL REVIEW. ONCE FINALIZED, THE COMPLETED TAX RETURN IS SHARED WITH THE BOARD.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY YEAR, HCLA WILL REQUIRE CONFLICT OF INTEREST STATEMENTS FROM COMMITTEE AND BOARD MEMBERS. ACTUAL OR PERCEIVED CONFLICTS OF INTEREST WILL BE BROUGHT TO THE COMMITTEE CHAIR, OR THE BOARD SHOULD THE CONFLICT REST WITH THE COMMITTEE CHAIR. INDIVIDUALS WILL BE REQUIRED TO RECUSE THEMSELVES FROM VOTES INVOLVING CONFLICTS OR INTEREST, OR RESIGN FROM THEIR COMMITTEE POSITION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY UTILIZED OUTSIDE COUNCIL TO DETERMINE THE INITIAL COMPENSATION FOR THE CEO. THE CEO'S COMPENSATION IS REGULARLY REVIEWED IN SEPTEMBER AND DETERMINATIONS ARE APPROVED BY THE BOARD OF DIRECTORS AND DOCUMENTED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).</ExplanationTxt>
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</Return>