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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEIDI HART</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID GARRETT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>50.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>236794</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19971</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>236794</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>19971</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AZARA HEALTH CARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>70 BLANCHARD RD SUITE 100</AddressLine1Txt>
            <CityNm>BURLINGTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01803</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA OUTSOURCING</ServicesDesc>
        <CompensationAmt>526050</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>94092</MembershipDuesAmt>
      <FundraisingAmt>20025</FundraisingAmt>
      <GovernmentGrantsAmt>1993803</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>10926</AllOtherContributionsAmt>
      <TotalContributionsAmt>2118846</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH NETWORK ADMINST</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>415076</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>415076</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT AGREEMENTS</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>283000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>283000</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CHCNI K1</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>66468</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>66468</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SPEAKER FEES</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>4100</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4100</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>525</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>525</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>769169</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>9830</TotalRevenueColumnAmt>
        <ExclusionAmt>9830</ExclusionAmt>
      </InvestmentIncomeGrp>
      <FundraisingGrossIncomeAmt>23896</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>20025</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>33812</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-9916</TotalRevenueColumnAmt>
        <ExclusionAmt>-9916</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>2887929</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>769169</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>-86</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>228092</TotalAmt>
        <ProgramServicesAmt>228092</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>10000</TotalAmt>
        <ProgramServicesAmt>10000</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>256708</TotalAmt>
        <ProgramServicesAmt>250939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5769</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1023246</TotalAmt>
        <ProgramServicesAmt>998737</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24509</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>36882</TotalAmt>
        <ProgramServicesAmt>36650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>232</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>138150</TotalAmt>
        <ProgramServicesAmt>137282</ProgramServicesAmt>
        <ManagementAndGeneralAmt>868</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>105351</TotalAmt>
        <ProgramServicesAmt>102828</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2523</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>52493</TotalAmt>
        <ProgramServicesAmt>50782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1711</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>39025</TotalAmt>
        <ProgramServicesAmt>37753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1272</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>23820</TotalAmt>
        <ProgramServicesAmt>23044</ProgramServicesAmt>
        <ManagementAndGeneralAmt>776</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>64781</TotalAmt>
        <ProgramServicesAmt>64076</ProgramServicesAmt>
        <ManagementAndGeneralAmt>705</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>86981</TotalAmt>
        <ProgramServicesAmt>86352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>629</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>143670</TotalAmt>
        <ProgramServicesAmt>131727</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11943</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>9536</TotalAmt>
        <ProgramServicesAmt>9159</ProgramServicesAmt>
        <ManagementAndGeneralAmt>377</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>3914</TotalAmt>
        <ProgramServicesAmt>3582</ProgramServicesAmt>
        <ManagementAndGeneralAmt>332</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM COSTS</Desc>
        <TotalAmt>419605</TotalAmt>
        <ProgramServicesAmt>414929</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4676</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>160445</TotalAmt>
        <ProgramServicesAmt>160445</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
        <TotalAmt>131694</TotalAmt>
        <ProgramServicesAmt>130718</ProgramServicesAmt>
        <ManagementAndGeneralAmt>976</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>TECHNOLOGY AND EQUIPMEN</Desc>
        <TotalAmt>45159</TotalAmt>
        <ProgramServicesAmt>45071</ProgramServicesAmt>
        <ManagementAndGeneralAmt>88</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>69548</TotalAmt>
        <ProgramServicesAmt>63717</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5831</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>3049100</TotalAmt>
        <ProgramServicesAmt>2985883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63217</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>58477</BOYAmt>
        <EOYAmt>75669</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1315317</BOYAmt>
        <EOYAmt>1298765</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>538489</BOYAmt>
        <EOYAmt>379742</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>324409</BOYAmt>
        <EOYAmt>258462</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>16477</BOYAmt>
        <EOYAmt>10820</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>159313</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>135082</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>16470</BOYAmt>
        <EOYAmt>24231</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>259231</BOYAmt>
        <EOYAmt>325699</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>58493</BOYAmt>
        <EOYAmt>385145</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>2587363</BOYAmt>
        <EOYAmt>2758533</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>356813</BOYAmt>
        <EOYAmt>441808</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>2500</BOYAmt>
        <EOYAmt>12052</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>16841</BOYAmt>
        <EOYAmt>254635</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>376154</BOYAmt>
        <EOYAmt>708495</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>1806874</BOYAmt>
        <EOYAmt>1658223</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>404335</BOYAmt>
        <EOYAmt>391815</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>2211209</BOYAmt>
        <EOYAmt>2050038</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>2587363</BOYAmt>
        <EOYAmt>2758533</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-161171</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2277139</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2945140</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2778626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2415254</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2118846</CurrentTaxYearAmt>
        <TotalAmt>12535005</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2277139</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2945140</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2778626</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2415254</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2118846</CurrentTaxYearAmt>
        <TotalAmt>12535005</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>1289672</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11245333</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1044</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>123</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1122</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>9410</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9830</CurrentTaxYearAmt>
        <TotalAmt>21529</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>12556534</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>2730931</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.89560</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.91110</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>2731753</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>2731753</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>286588</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>71647</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>283571</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>303956</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>311370</CurrentYearMinus1Amt>
        <CurrentYearAmt>286588</CurrentYearAmt>
        <TotalAmt>1185485</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>1778228</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>10863</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>3544</CurrentYearMinus2Amt>
        <TotalAmt>14407</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>70893</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>75989</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>77843</CurrentYearMinus1Amt>
        <CurrentYearAmt>71647</CurrentYearAmt>
        <TotalAmt>296372</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>444558</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>159313</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>135082</DepreciationAmt>
        <BookValueAmt>24231</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>24231</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>CHCNI INVESTMENT</Desc>
        <BookValueAmt>325699</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>325699</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSET</Desc>
        <BookValueAmt>385145</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>385145</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>254635</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>254635</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>2821461</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2821461</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>66468</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>66468</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2887929</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3049100</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3049100</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3049100</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, IPCA MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEARS 2024 OR 2023. IPCA FILES FORM 990 IN THE U.S. FEDERAL JURISDICTION. IPCA IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHCNI K1 66,468.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>SPECIAL EVENT</Event1Nm>
        <GrossReceiptsEvent1Amt>43921</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>20025</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>23896</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>219</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>19532</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>8414</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>5647</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>43921</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>20025</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>23896</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>219</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>19532</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>8414</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>5647</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>33812</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-9916</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ADAMS COUNTY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>205 N BERKLEY ST</AddressLine1Txt>
          <CityNm>COUNCIL</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83612</ZIPCd>
        </USAddress>
        <RecipientEIN>208341138</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24800</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHALLIS AREA HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>611 CLINIC RD</AddressLine1Txt>
          <CityNm>CHALLIS</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83226</ZIPCd>
        </USAddress>
        <RecipientEIN>473263272</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15800</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH ASSOCIATES SPOKANE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 W 5TH AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99204</ZIPCd>
        </USAddress>
        <RecipientEIN>911641797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8600</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DESERT SAGE HEALTH CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>120 DESERT SAGE WAY</AddressLine1Txt>
          <CityNm>MOUNTAIN HOME</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83647</ZIPCd>
        </USAddress>
        <RecipientEIN>820372006</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24711</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>794 EASTLAND DRIVE</AddressLine1Txt>
          <CityNm>TWIN FALLS</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83301</ZIPCd>
        </USAddress>
        <RecipientEIN>820371093</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24800</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HERITAGE HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1090 W PARK PLACE</AddressLine1Txt>
          <CityNm>COUER DALENE</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83814</ZIPCd>
        </USAddress>
        <RecipientEIN>943036820</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>65009</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KANIKSU COMMUNITY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 CEDAR STREET ST 206</AddressLine1Txt>
          <CityNm>SANDPOINT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83864</ZIPCd>
        </USAddress>
        <RecipientEIN>043634356</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7972</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>TERRY REILLY HEALTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>808 CLEVELAND BLVD</AddressLine1Txt>
          <CityNm>CALDWELL</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83605</ZIPCd>
        </USAddress>
        <RecipientEIN>820300537</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24800</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VALLEY FAMILY HEALTH CARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>207 E 12TH ST</AddressLine1Txt>
          <CityNm>EMMETT</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83617</ZIPCd>
        </USAddress>
        <RecipientEIN>820371383</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15800</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>10000</CashGrantAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS OR ASSISTANCE, AND THE SELECTION CRITERIA USED TO AWARD THE GRANTS OR ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID GARRETT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>236794</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11780</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8191</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>256765</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVES THE COMPENSATION FOR THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <BusinessName>
          <BusinessNameLine1Txt>ADAMS COUNTY HEALTH CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>EXECUTIVE DIRECTOR OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>24800</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
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      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CHALLIS AREA HEALTH CENTER</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>15800</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH ASSOC SPOKANE</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>8600</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>DESERT SAGE HEALTH CENTERS</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>24711</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>FAMILY HEALTH SERVICES</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>24800</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>HERITAGE HEALTH</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>65009</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KANIKSU HEALTH SERVICES</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>7972</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>TERRY REILLY HEALTH SERVICES</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>24800</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <GrntAsstBnftInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>VALLEY FAMILY HEALTH CARE</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>CEO OF ENTITY IS A DIRECTOR</RelationshipWithOrgTxt>
        <CashGrantAmt>15800</CashGrantAmt>
        <TypeOfAssistanceTxt>CASH GRANT</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>SUPPORT FOR CAMBIA GRANTS AND TRAINING &amp; TECHNICAL SUPPORT</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING BODY OF THE ORGANIZATION DELEGATES BROAD AUTHORITY TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSISTS OF THE PRESIDENT, VICE-PRESIDENT, SECRETARY/TREASURER, AND ONE AT-LARGE MEMBER OF THE BOARD. EXECUTIVE COMMITTEE DECISIONS ARE SUBJECT TO RATIFICATION BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS OF IDAHO PRIMARY CARE ASSOCIATION, INC. CONSIST OF COMMUNITY HEALTH CENTERS IN IDAHO. THE ORGANIZATION HAS THREE TYPES OF MEMBERSHIP, ORGANIZATIONAL MEMBERS, ASSOCIATE MEMBERS AND SUPPORTING MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS OF THE ORGANIZATION ARE ELECTED AT THE ANNUAL MEMBERSHIP MEETING BY A 2/3 MAJORITY VOTE OF VOTING POWER PRESENT IN QUORUM. A MAJORITY OF THE VOTING MEMBERS SHALL CONSTITUTE A QUORUM AT ANY MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE, FINANCE DIRECTOR, AND CEO CONDUCT A REVIEW OF THE FORM 990 AND APPROVE IT FOR FILING. A COPY OF THE FILED RETURN IS MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS FOR REVIEW BY MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLIANCE OFFICER CONDUCTS AN ANNUAL REVIEW TO DETERMINE THAT CONFLICT OF INTEREST POLICIES ARE CURRENT AND INQUIRES IF ANY REPORTABLE EVENTS OCCURRED DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S SALARY AND PERFORMANCE IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. CHANGES IN COMPENSATION ARE APPROVED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FILED TAX RETURNS AND AUDITED FINANCIAL STATEMENTS ARE MAINTAINED AT THE ORGANIZATION'S PLACE OF BUSINESS AND ARE AVAILABLE FOR PUBLIC VIEWING DURING NORMAL OFFICE HOURS UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>NO CHANGE IN THE OVERSIGHT PROCESS OR SELECTION PROCESS FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1087 W RIVER STREET SUITE 160</AddressLine1Txt>
          <CityNm>BOISE</CityNm>
          <StateAbbreviationCd>ID</StateAbbreviationCd>
          <ZIPCd>83702</ZIPCd>
        </USAddress>
        <EIN>460729951</EIN>
        <PrimaryActivitiesTxt>ADMINISTRATIVE SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>ID</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>134057</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>325699</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.06670</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
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      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
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      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH CENTER NETWORK OF IDAHO LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>415076</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CONTRACT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>