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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JANET KIM MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <TotalCompensationFilingOrgAmt>252358</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR HOWARD GROSSMAN</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR (AS OF MAY 2025)</TitleTxt>
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        <TotalCompensationFilingOrgAmt>210650</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR THANES VANIG CMO</PersonNm>
        <TitleTxt>(THROUGH JUNE 2025) &amp; BOARD MEMBER</TitleTxt>
        <BaseCompensationFilingOrgAmt>182975</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsFilingOrgAmt>10014</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>192989</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ETHAN NGUYEN</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>150239</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>4400</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>20645</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175284</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE RODRIGUEZ-GARCIA</PersonNm>
        <TitleTxt>FORMER KEY EMPLOYEE</TitleTxt>
        <BaseCompensationFilingOrgAmt>101989</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6800</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>2249</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>10062</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>121100</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S NEW CHIEF MEDICAL OFFICER RECEIVED A RELOCATION BONUS, WHICH WAS GROSSED UP FOR TAX PURPOSES. THIS WAS INCLUDED IN HIS TAXABLE COMPENSATION</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2025, AMY SNEOR RECEIVED SEVERANCE PAYMENTS OF $41,539 AND BRANDILYN LAWSON-GARLUTZO RECEIVED SEVERANCE PAYMENTS OF $58,424.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECTRUM MEDICAL CARE MAINTAINS AN EXECUTIVE INCENTIVE COMPENSATION PROGRAM DESIGNED TO ALIGN LEADERSHIP PERFORMANCE WITH THE ORGANIZATION'S MISSION OF PROVIDING HIGH-QUALITY, ACCESSIBLE HEALTHCARE SERVICES TO THE COMMUNITIES IT SERVES. THE PROGRAM APPLIES TO MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM, INCLUDING THE CHIEF EXECUTIVE OFFICER AND OTHER DESIGNATED SENIOR EXECUTIVES. INCENTIVE COMPENSATION IS BASED ON A BALANCED SET OF ORGANIZATIONAL PERFORMANCE PILLARS TO ENSURE THAT LEADERSHIP DECISIONS SUPPORT BOTH THE FINANCIAL SUSTAINABILITY AND MISSION-DRIVEN OUTCOMES OF THE ORGANIZATION. OPERATING MARGIN IS ONE COMPONENT OF THE PROGRAM AND REFLECTS THE IMPORTANCE OF RESPONSIBLE FINANCIAL STEWARDSHIP AND LONG-TERM SUSTAINABILITY OF THE ORGANIZATION'S SERVICES. FINANCIAL PERFORMANCE IS NOT THE SOLE DETERMINANT OF INCENTIVE COMPENSATION. THE COMPENSATION PROGRAM ALSO INCORPORATES ADDITIONAL PERFORMANCE PILLARS THAT REFLECT SPECTRUM'S MISSION AND OPERATIONAL PRIORITIES. THESE INCLUDE MEASURES RELATED TO QUALITY OF CARE, PATIENT ACCESS AND SATISFACTION, EMPLOYEE ENGAGEMENT AND RETENTION, COMPLIANCE AND REGULATORY PERFORMANCE, AND ACHIEVEMENT OF KEY STRATEGIC INITIATIVES THAT EXPAND OR IMPROVE HEALTHCARE SERVICES. BY INCORPORATING BOTH FINANCIAL AND NON-FINANCIAL PERFORMANCE METRICS, THE COMPENSATION PROGRAM IS STRUCTURED TO PROMOTE BALANCED LEADERSHIP DECISION-MAKING AND REINFORCE SPECTRUM MEDICAL CARE'S COMMITMENT TO DELIVERING HIGH-QUALITY PATIENT CARE WHILE MAINTAINING RESPONSIBLE ORGANIZATIONAL STEWARDSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECTRUM MEDICAL CARE CENTER (SMCC) ADVANCES THE HEALTH AND WELL-BEING OF ARIZONA'S LGBTQ+ COMMUNITY AND THOSE LIVING WITH HIV BY PROVIDING PREMIUM, PERSONALIZED CARE ROOTED IN DEEP CULTURAL UNDERSTANDING AND HEALTH EQUITY. HISTORICALLY, HEALTHCARE HAS FOLLOWED A ONE-SIZE-FITS-ALL MODEL THAT HAS NOT CENTERED THE UNIQUE NEEDS OR LIVED EXPERIENCES OF THE LGBTQ+ COMMUNITY AND INDIVIDUALS LIVING WITH HIV. AS A RESULT, MANY HAVE BEEN FORCED INTO SYSTEMS THAT DO NOT REFLECT OR SUPPORT THEM. SPECTRUM MEDICAL EXISTS TO CHANGE THAT BY PLACING THESE COMMUNITIES AT THE CENTER OF CARE AND ADVANCING AWARENESS, ADVOCACY, EDUCATION, TREATMENT, AND CULTURALLY RESPONSIVE SERVICES ACROSS THE ENTIRE PATIENT JOURNEY. SMCC SPECIALIZES IN LGBTQ+ HEALTHCARE, WITH A FOCUS ON THE TREATMENT AND PREVENTION OF SEXUALLY TRANSMITTED INFECTIONS (STIS), INCLUDING HIV AND HEPATITIS C (HCV). THE ORGANIZATION DELIVERS A COMPREHENSIVE CONTINUUM OF CARE FOR INDIVIDUALS AND FAMILIES LIVING WITH OR AFFECTED BY HIV, HCV, AND OTHER COMMUNICABLE DISEASES, SUPPORTED BY COORDINATED, INTERDISCIPLINARY TREATMENT PLANS TAILORED TO EACH PATIENT. OUR PATIENT NAVIGATION TEAM SUPPORTS ADHERENCE AND RETENTION IN CARE FOR INDIVIDUALS ACCESSING PREP, PEP, AND DOXYPEP. OUR STATEWIDE OUTREACH PROGRAM MEETS PATIENTS WHERE THEY ARE BY OFFERING FREE, CONFIDENTIAL FULL-PANEL STI TESTING, WELLNESS EXAMS, AND SAME-DAY ACCESS TO PREVENTIVE SERVICES. THE OUTREACH PROGRAM ALSO PROVIDES COMMUNITY EDUCATION TO ENSURE UNDERSERVED POPULATIONS HAVE ACCESS TO ACCURATE INFORMATION AND AVAILABLE RESOURCES TO SUPPORT INFORMED HEALTH DECISIONS. USING A STATUS-NEUTRAL APPROACH, SMCC PROVIDES HIV TREATMENT (U=U) AND PREVENTION SERVICES (PREP AND PEP) IN A STIGMA-FREE ENVIRONMENT FOR ALL INDIVIDUALS, REGARDLESS OF RACE, GENDER, GENDER IDENTITY, OR SEXUAL ORIENTATION. IN 2025, SMCC CONTINUED EXPANDING COMMUNITY OUTREACH SERVICES TO INCREASE ACCESS TO CARE, INCLUDING FREE WELLNESS EXAMS, HIV/STI/HCV TESTING, AND INTEGRATION OF SEXUAL HEALTH INTO PRIMARY CARE. OUR MOBILE CLINIC PROGRAM FURTHER ENHANCED ACCESS BY OFFERING SAME-DAY PREP CONSULTATIONS AND LINKAGE TO ONGOING MEDICAL CARE. THROUGH THESE EFFORTS, SMCC ENGAGED MORE THAN 4,200 INDIVIDUALS AND PROVIDED HIV TESTING TO 1,069 ARIZONANS. LOOKING AHEAD TO 2026, SMCC AIMS TO EXPAND SERVICES TO WOMEN WHO IDENTIFY AS PART OF THE LGBTQ+ COMMUNITY TO ADDRESS HEALTH DISPARITIES AND TO CONTINUE INCREASING PREP UPTAKE IN COMMUNITIES DISPROPORTIONATELY AFFECTED BY HIV IN ORDER TO REDUCE NEW HIV INFECTIONS IN ARIZONA. IN 2026, SMCC WILL TRANSITION INTO A NEW FACILITY WITH INCREASED CAPACITY TO SERVE LGBTQ+ INDIVIDUALS AND THOSE AFFECTED BY HIV/AIDS. THE ORGANIZATION WILL CONTINUE TO FOSTER TRUST IN VULNERABLE COMMUNITIES, REDUCE STIGMA RELATED TO SEXUAL HEALTH, AND PROMOTE CULTURALLY RESPONSIVE MESSAGING. ADDITIONALLY, THE GLEN SPENCER ENDING THE EPIDEMIC FUND, SMCC'S PHILANTHROPIC INITIATIVE, CONCLUDED ITS FOUR-YEAR GRANT CYCLE, DURING WHICH $1 MILLION IN GRANTS WAS AWARDED TO LOCAL NONPROFITS TO SUPPORT HIV PREVENTION EDUCATION AND OUTREACH EFFORTS FOR YOUTH, COMMUNITIES OF COLOR, AND OTHER PRIORITY POPULATIONS, PROMOTING PREP AS PART OF ROUTINE HEALTHCARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE ALL OF THE BOARD'S POWERS IN THE MANAGEMENT OF THE ORGANIZATION'S BUSINESS AND AFFAIRS WHEN THE BOARD IS NOT IN SESSION, EXCEPT THAT THE EXECUTIVE COMMITTEE MAY NOT (A} FILL VACANCIES ON THE BOARD OR ANY COMMITTEE WITH BOARD-DELEGATED POWERS, (B} ADOPT, AMEND OR REPEAL THE BYLAWS, (C} FIX DIRECTOR COMPENSATION; (D} AMEND OR REPEAL ANY BOARD RESOLUTION, OR (E} TAKE ACTION ON A MATTER COMMITTED BY THE BYLAWS OR BY BOARD RESOLUTION TO ANOTHER COMMITTEE. ALL ACTIONS OF THE EXECUTIVE COMMITTEE ARE PRESENTED AT THE NEXT BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE CFO AND THE CEO, THEN IT WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, (B) HAS READ AND UNDERSTANDS THE POLICY, (C) AGREES TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. WHEN A CONFLICT OF INTEREST ARISES, THE INDIVIDUAL IS REQUIRED TO DISCLOSE THE CONFLICT TO THE BOARD OF DIRECTORS. THE CONFLICTED INDIVIDUAL IS PROHIBITED FROM VOTING ON THE MATTER, ASSIGNING A PROXY, OR USING PERSONAL INFLUENCE TO AFFECT THE DECISION. ALL CONFLICTS OF INTEREST ARE RECORDED IN THE BOARD MEETING MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ANNUALLY REVIEWS ALL EXECUTIVE COMPENSATION BASED ON THE FORMS 990 OF PEER ORGANIZATIONS IN THE REGION. THE BOARD APPROVES THE CEO'S COMPENSATION. THE CEO APPROVES THE OTHER EXECUTIVES' COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUTHORITY AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>