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        </ContractorAddress>
        <ServicesDesc>ADMIN AND MGMT SERVICES</ServicesDesc>
        <CompensationAmt>751754</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALAMEDA ALLIANCE FOR HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1240 SOUTH LOOP ROAD</AddressLine1Txt>
            <CityNm>ALAMEDA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94502</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEMBER SERVICES</ServicesDesc>
        <CompensationAmt>453458</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DOCUSTREAM INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2950 MERCED STREET STE 101</AddressLine1Txt>
            <CityNm>SAN LEANDRO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94577</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE AND SCANNING SERVICES</ServicesDesc>
        <CompensationAmt>264000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CITRA HEALTH SOULTIONS (ORANGE HEALTH)</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1360 POST OAK BLVD STE 900</AddressLine1Txt>
            <CityNm>HOUSTON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>77056</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT, HARDWARE, SOFTWARE</ServicesDesc>
        <CompensationAmt>227216</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICUS IT LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 66936</AddressLine1Txt>
            <CityNm>ST LOUIS</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>63166</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT, HARDWARE, SOFTWARE</ServicesDesc>
        <CompensationAmt>201060</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>16</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2654908</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4534988</AllOtherContributionsAmt>
      <TotalContributionsAmt>7189896</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MANAGEMENT SERVICE FEE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>19066702</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19066702</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>19066702</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>532544</TotalRevenueColumnAmt>
        <ExclusionAmt>532544</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>58131</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-58131</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-58131</TotalRevenueColumnAmt>
        <ExclusionAmt>-58131</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>409187</TotalRevenueColumnAmt>
        <ExclusionAmt>409187</ExclusionAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>409187</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>27140198</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19066702</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>883600</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>248056</TotalAmt>
        <ManagementAndGeneralAmt>248056</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>13545050</TotalAmt>
        <ProgramServicesAmt>10459231</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3085819</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>496074</TotalAmt>
        <ProgramServicesAmt>380909</ProgramServicesAmt>
        <ManagementAndGeneralAmt>115165</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2294782</TotalAmt>
        <ProgramServicesAmt>1742478</ProgramServicesAmt>
        <ManagementAndGeneralAmt>552304</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1083917</TotalAmt>
        <ProgramServicesAmt>822392</ProgramServicesAmt>
        <ManagementAndGeneralAmt>261525</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>494828</TotalAmt>
        <ProgramServicesAmt>380262</ProgramServicesAmt>
        <ManagementAndGeneralAmt>114566</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>26824</TotalAmt>
        <ProgramServicesAmt>23472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3352</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>59594</TotalAmt>
        <ProgramServicesAmt>52148</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7446</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>119520</TotalAmt>
        <ManagementAndGeneralAmt>119520</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4759063</TotalAmt>
        <ProgramServicesAmt>4269009</ProgramServicesAmt>
        <ManagementAndGeneralAmt>490054</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>163</TotalAmt>
        <ProgramServicesAmt>97</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>148429</TotalAmt>
        <ProgramServicesAmt>129773</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18656</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>810682</TotalAmt>
        <ProgramServicesAmt>58591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>752091</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>767212</TotalAmt>
        <ProgramServicesAmt>561202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>206010</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>46192</TotalAmt>
        <ProgramServicesAmt>27352</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18840</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>55370</TotalAmt>
        <ProgramServicesAmt>32787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22583</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>2502</TotalAmt>
        <ManagementAndGeneralAmt>2502</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>423589</TotalAmt>
        <ManagementAndGeneralAmt>423589</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>129876</TotalAmt>
        <ManagementAndGeneralAmt>129876</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>330200</TotalAmt>
        <ProgramServicesAmt>195527</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134673</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
        <TotalAmt>25538</TotalAmt>
        <ProgramServicesAmt>15122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10416</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>FRAUD</Desc>
        <TotalAmt>12852</TotalAmt>
        <ProgramServicesAmt>7610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5242</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>101598</TotalAmt>
        <ProgramServicesAmt>60161</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41437</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>25981911</TotalAmt>
        <ProgramServicesAmt>19218123</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6763788</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>14105698</BOYAmt>
        <EOYAmt>13910788</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>976</BOYAmt>
        <EOYAmt>976</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>404686</BOYAmt>
        <EOYAmt>520573</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>24517</BOYAmt>
        <EOYAmt>673491</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>588258</BOYAmt>
        <EOYAmt>880957</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>1114890</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>752311</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>806708</BOYAmt>
        <EOYAmt>362579</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>56041741</BOYAmt>
        <EOYAmt>60632829</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>71972584</BOYAmt>
        <EOYAmt>76982193</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>2719644</BOYAmt>
        <EOYAmt>2222653</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>54180232</BOYAmt>
        <EOYAmt>59150806</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>2002782</BOYAmt>
        <EOYAmt>1380521</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>58902658</BOYAmt>
        <EOYAmt>62753980</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>12176441</BOYAmt>
        <EOYAmt>12132266</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>893485</BOYAmt>
        <EOYAmt>2095947</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13069926</BOYAmt>
        <EOYAmt>14228213</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>71972584</BOYAmt>
        <EOYAmt>76982193</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1158287</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <SupportingOrganization509a3Ind>X</SupportingOrganization509a3Ind>
      <SupportingOrgType1Ind>X</SupportingOrgType1Ind>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>ALAMEDA HEALTH CONSORTIUM</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>510185907</EIN>
        <OrganizationTypeCd>7</OrganizationTypeCd>
        <GoverningDocumentListedInd>1</GoverningDocumentListedInd>
        <SupportAmt>0</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>0</SupportSumAmt>
      <OtherSupportSumAmt>0</OtherSupportSumAmt>
      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>1</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>0</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>0</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>0</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>0</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>0</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>0</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>0</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>0</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>0</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>0</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>0</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>0</ContributionControllerInd>
        <ContributionFamilyInd>0</ContributionFamilyInd>
        <Contribution35ControlledInd>0</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType1SuprtOrgGrp>
        <PowerAppointMajorityDirTrstInd>1</PowerAppointMajorityDirTrstInd>
        <OperateBenefitNonSuprtOrgInd>0</OperateBenefitNonSuprtOrgInd>
      </Form990SchAType1SuprtOrgGrp>
    </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">
      <OrganizationBelongsAffltGrpInd referenceDocumentId="RetDoc2137600001">X</OrganizationBelongsAffltGrpInd>
      <TotalGrassrootsLobbyingGrp>
        <FilingOrganizationsTotalAmt>6527</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>6527</AffiliatedGroupTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>91409</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>91409</AffiliatedGroupTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>97936</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>97936</AffiliatedGroupTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>25883975</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>33478815</AffiliatedGroupTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>25981911</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>33576751</AffiliatedGroupTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>1000000</AffiliatedGroupTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>250000</AffiliatedGroupTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
        <AffiliatedGroupTotalAmt>0</AffiliatedGroupTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>2000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>3000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus1Amt>922303</CurrentYearMinus1Amt>
        <CurrentYearAmt>97936</CurrentYearAmt>
        <TotalAmt>1020239</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>500000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>750000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus1Amt>6339</CurrentYearMinus1Amt>
        <CurrentYearAmt>6527</CurrentYearAmt>
        <TotalAmt>12866</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH CENTER NETWORK EMPLOYEES SPENT TIME RELATING TO GRASSROOTS LOBBYING. THE TOTAL AMOUNT SPENT ON GRASSROOTS LOBBYING EXPENSES DURING FISCAL YEAR 2025 WAS $6,527. THE ORGANIZATION PAID FOURTH STREET BRIDGE STRATEGIES, LLC $90,000 FOR A DIRECT MAIL CAMPAIGN (DEVELOPMENT AND COORDINATION) TO DEVELOP A NON-PARTISAN VOTER OUTREACH AND EDUCATION DIRECT MAIL CAMPAIGN TARGETING CERTAIN VOTERS IN ALAMEDA COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH CENTER NETWORK EMPLOYEES SPENT TIME RELATING TO DIRECT LOBBYING. THE TOTAL AMOUNT SPENT ON DIRECT LOBBYING EXPENSES DURING FISCAL YEAR 2025 WAS $1,409.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>23000</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21905</DepreciationAmt>
        <BookValueAmt>1095</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1091890</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>730406</DepreciationAmt>
        <BookValueAmt>361484</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>362579</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM RELATED PARTIES</Desc>
        <BookValueAmt>274211</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>ROU ASSETS - OPERATING LEASES</Desc>
        <BookValueAmt>1207812</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CLINIC TRUST ACCOUNT</Desc>
        <BookValueAmt>59150806</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>60632829</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCE LEASE OBLIGATIONS</Desc>
        <Amt>62129</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE OBLIGATIONS</Desc>
        <Amt>1146936</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>171456</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1380521</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>27198329</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>27198329</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-58131</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-58131</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>27140198</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>26040042</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>58131</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>58131</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>25981911</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>25981911</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY HEALTH CENTER NETWORK CLINIC TRUST ACCOUNT (THE "TRUST") IS THE RESULT OF MANAGED CARE CONTRACTS, PURSUANT TO PARTICIPATION AGREEMENTS, BETWEEN EIGHT COMMUNITY CLINICS ("NETWORK MEMBERS") AND COMMUNITY HEALTH CENTER NETWORK, INC. ("CHC"). THE NETWORK MEMBERS ARE JOINTLY AND SEVERALLY LIABLE FOR THE RISK SHARED IN THE PARTICIPATION AGREEMENT. CHCN REPRESENTS THE RELATIONSHIP BETWEEN THE NETWORK MEMBERS. CHCN ARRANGES FOR THE PROVISION OF HEALTHCARE SERVICES UNDER CAPITATION OR MODIFIED FEE-FOR-SERVICES PAYMENT ARRANGEMENTS PURSUANT TO CONTRACTS WITH INSURERS, HEALTHCARE SERVICE PLANS, MEDICAL GROUPS, INDEPENDENT PRACTICE ASSOCIATIONS, AND OTHER THIRD-PARTY PAYORS. CHCN NEGOTIATES CONTRACTS, PROCESSES CLAIMS, AND PROVIDES OTHER ADMINISTRATIVE SERVICES TO THE TRUST. CHCN CONTRACTS WITH HE NETWORK MEMBERS TO PROVIDE THE HEALTHCARE SERVICES. THE TRUST HOLDS FUNDS THAT HAVE BEEN ACCUMULATED FROM PERFORMANCE INCENTIVES AND OTHER SOURCES AS RESERVE FUNDS. THE TRUST HOLDS THESE FUNDS IN INVESTMENTS AND HAS RECORDED A LIABILITY AS THE FUNDS ARE ULTIMATELY DUE TO NETWORK MEMBERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AND, AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE TAXING AUTHORITIES FOR THREE YEARS AFTER THEY ARE FILED.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF FIXED ASSETS RECORDED AS EXPENSE PER FS -58,131.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON SALE OF FIXED ASSETS RECORDED AS EXPENSE PER FS 58,131.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF THIS ENTITY IS ALAMEDA HEALTH CONSORTIUM, A TAX-EXEMPT NON-PROFIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE CORPORATE MEMBER RESERVES THE POWER TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>NEITHER THE BOARD OF DIRECTORS OF THIS CORPORATION NOR ANY OFFICER OR EMPLOYEE OF THE CORPORATION MAY TAKE ANY OF THE FOLLOWING ACTIONS WITHOUT THE PRIOR APPROVAL OF THE MEMBER: (A) MERGE, CONSOLIDATE, DISSOLVE, OR LIQUIDATE THE CORPORATION; (B) TO SELL, LEASE, EXCHANGE OR OTHERWISE DISPOSE OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE CORPORATION; (C) AMEND OR RESTATE THE ARTICLE OF INCORPORATION OR THE BYLAWS OF THE CORPORATION; (D) CONSUMMATE ANY TRANSACTION OF THIS CORPORATION IN WHICH A DIRECTOR OR OFFICER OF THIS CORPORATION HAS A MATERIAL FINANCIAL INTEREST; (E) TO REMOVE DIRECTORS AND FILL VACANCIES ON THE BOARD OF DIRECTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>QUESTIONS ARE TO BE ADDRESSED BY THE PREPARER AND RESOLVED TIMELY PRIOR TO FORWARDING THE RETURN TO THE AUDIT COMMITTEE FOR REVIEW. ALSO, A DRAFT COPY OF THE RETURN WILL BE PROVIDED TO THE FULL BOARD FOR REVIEW. THE AUDIT COMMITTEE WILL ADDRESS BOARD QUESTIONS AND MAKE ITS RECOMMENDATION WHETHER OR NOT TO FILE THE RETURN AS IS AT THE EARLIEST BOARD MEETING AFTER FISCAL YEAR-END.</ExplanationTxt>
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        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK AND EMPLOYEES ARE REQUIRED TO SIGN A CONFIDENTIALITY AGREEMENT AT DATE OF HIRE. BOARD MEMBERS ANNUALLY REVIEW AND SIGN-OFF ON THE CODE OF CONDUCT AND CONFLICT OF INTEREST POLICY.</ExplanationTxt>
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        <ExplanationTxt>PAYGRADES ARE DETERMINED BASED ON EXTERNAL, INCLUDING CPCA, SALARY SURVEYS. THE SALARY SURVEY DATA IS ACCUMULATED EACH YEAR. THE BOARD OF DIRECTORS REVIEWS AND APPROVES ONLY THE CEO SALARY.</ExplanationTxt>
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        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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        <ExplanationTxt>CONSULTANT SERVICES: PROGRAM SERVICE EXPENSES 3,082,409. MANAGEMENT AND GENERAL EXPENSES 440,139. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,522,548. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,186,600. MANAGEMENT AND GENERAL EXPENSES 49,915. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,236,515.</ExplanationTxt>
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