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        <ExplanationTxt>CEO JANIA ARNOLDI RECEIVED A BONUS DURING THE 2023 CALENDAR YEAR AT THE DISCRETION OF THE BOARD.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTINUED:THE MISSION OF THE ORGANIZATION DIRECTS VALLEY-WIDE'S SCOPE OF SERVICES WHICH IS TO PROVIDE QUALITY, COMPREHENSIVE HEALTHCARE SERVICES IN A RESPECTFUL AND INCLUSIVE MANNER, WITH SPECIAL CONSIDERATION FOR MEDICALLY UNDERSERVED POPULATIONS. SPECIFICALLY INCLUDED ARE PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR WHO HAVE LIMITED ACCESS TO PRIMARY HEALTH AND DENTAL CARE SERVICES. VALLEY-WIDE PROVIDES SAFE AND EFFECTIVE COMPREHENSIVE PRIMARY AND ORAL HEALTH CARE SERVICES TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS, this includes A FARMWORKER HEALTH SERVICE PROGRAM THAT PROVIDES SERVICES THROUGH VOUCHERS IN AREAS OF THE STATE THAT DO NOT HOUSE C/MHCS. DURING FISCAL YEAR 2023/2024 VALLEY-WIDE PROVIDED 168,647 PATIENT SERVICES VISITS.</ExplanationTxt>
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        <ExplanationTxt>THE 990 IS REVIEWED AT THE MONTHLY BOARD OF DIRECTORS MEETING PRIOR TO THE SUBMISSION OF THE 990 TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
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        <ExplanationTxt>ANNUALLY, THE ORGANIZATION REVIEWS AND DISCUSSES THE CONFLICT OF INTEREST POLICY AND REQUESTS THAT EACH BOARD MEMBER LIST AND ACKNOWLEDGE ANY KNOWN CONFLICTS. ALL MEMBERS OF THE BOARD OF DIRECTORS AND STAFF ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. AT EACH BOARD AND COMMITTEE MEETING, IF THERE IS A DISCUSSION OF SELECTING OR ENGAGING A VENDOR OR SERVICE PROVIDER, ALL IN ATTENDANCE ARE ASKED TO RECUSE THEMSELVES FROM THIS DISCUSSION IF THERE COULD BE A PERCEIVED CONFLICT.</ExplanationTxt>
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        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER BY COMPARING HER COMPENSATION TO THE COMPENSATION OF INDIVIDUALS IN LIKE POSITIONS, IN COMPARABLE ORGANIZATIONS USING FORMS 990, COMPENSATION STUDIES, AND OTHER AVAILABLE DATA INCLUDING, BUT LIMITED TO: CCHN, BOFL AND MOUNTAIN STATE EMPLOYEE COMPENSATION SURVEYS. THE BOARD THEN APPROVES ANY CHANGES IN COMPENSATION BASED ON THIS INFORMATION. THE CHIEF EXECUTIVE OFFICER IS RESPONSIBLE FOR EVALUATING PAY RATES OF OTHER KEY EMPLOYEES USING THE SAME COMPENSATION STUDIES AND DATA.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION WILL PROVIDE IN A TIMELY MANNER, COPIES OF ALL GOVERNING DOCUMENTS INCLUDING ITS CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS WHEN REQUESTED IN WRITING OR IN PERSON.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>other changes in net assets: $19,670,715. During the fiscal year ending 6-30-2024, related organizations Southeast Behavioral Health Group and Southeast Mental health Group dissolved and all assets and operations were contributed to Valley-wide Health Systems, Inc as part of a merger agreement. Additionally, all the operations and assets of the following related organizations were contributed to Valley-wide Health Systems, Inc as part of a merger agreement: Southeast Wellness Works LLC, Partnership in Progress, and Family guidance Institute. OTHER CHANGES IN NET ASSETS FROM MERGER FAMILY GUIDANCE INSTITUTE: $8,965,979 PARNTERSHIP FOR PROGRESS: $571,253 SOUTHEAST BEHAVIORAL HEALTH GROUP: $625,993 SOUTHEAST MENTAL HEALTH SERVICES: $5,360,676 Inherent Contribution Step Up in Assets: $4,146,814 ----------------------------------------------------- TOTAL OTHER CHANGES IN NET ASSETS: $19,670,715</ExplanationTxt>
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          <BusinessNameLine1Txt>Partnership for Progress</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>128 MARKET STREET</AddressLine1Txt>
          <CityNm>ALAMOSA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81101</ZIPCd>
        </USAddress>
        <EIN>571238587</EIN>
        <PrimaryActivitiesTxt>Counseling</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VWHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Southeast Behavioral Health Group</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>128 MARKET STREET</AddressLine1Txt>
          <CityNm>ALAMOSA</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81101</ZIPCd>
        </USAddress>
        <EIN>271388543</EIN>
        <PrimaryActivitiesTxt>MGMT SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 12b,II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VWHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FAMILY GUIDANCE INSTITUTE</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>128 Market Street</AddressLine1Txt>
          <CityNm>Alamosa</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>81101</ZIPCd>
        </USAddress>
        <EIN>742188315</EIN>
        <PrimaryActivitiesTxt>PROP MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>VWHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Southeast Mental Health Services</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>5360676</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Net Book Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Southeast Behavioral Health Group</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>625993</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Net Book Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PARTNERSHIP FOR PROGRESS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>571253</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Net Book Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FAMILY GUIDANCE INSTITUTE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>8965979</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>Net Book Value</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>FAMILY GUIDANCE INSTITUTE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>4408500</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part II, Line 1 and 3</FormAndLineReferenceDesc>
        <ExplanationTxt>During the fiscal year ending 6-30-2024, related organizations Southeast Behavioral Health Group and Southeast Mental health Group dissolved and all assets and operations were contributed to Valley-wide Health Systems, Inc as part of a merger agreement.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>