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        <ExplanationTxt>OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS (TACHC). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.</ExplanationTxt>
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      <RevenueNotReportedFinclStmtAmt>1990483</RevenueNotReportedFinclStmtAmt>
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      <ExpensesSubtotalAmt>10704127</ExpensesSubtotalAmt>
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        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH RETURN: CONTRIBUTIONS WITH DONOR RESTRICTIONS $1,995,319 LOSS ON DISPOSAL OF ASSETS (4,836) ---------------------------------------------------------------- TOTAL $1,990,483</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RECONCILIATION OF EXPENSES PER AUDITED FINANCIAL STATEMENTS WITH RETURN: BAD DEBT EXPENSES $992,399</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ASC 740 FOOTNOTE: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART II, COLUMN C</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER DEFERRED COMPENSATION: THE AMOUNT IN THIS COLUMN IS DUE TO THE BONUS DEFERRED IN TAX YEAR 2022. THE DEFERRED BONUS WILL BE REPORTED IN COLUMN B(II) AND COLUMN F WHEN IT IS PAID IN TAX YEAR 2023.</ExplanationTxt>
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        <ContributionCnt>60480</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
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        <ExplanationTxt>NUMBER OF CONTRIBUTIONS: THE AMOUNT REPORTED IN COLUMN B FOR THE DRUGS AND MEDICAL SUPPLIES REFLECTS THE NUMBER OF ITEMS RECEIVED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE RETURN IS REVIEWED IN DETAIL BY THE CFO AND CEO. IT IS THEN REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, THEN PRESENTED TO THE BOARD FOR APPROVAL, AND THEN TO BE FILED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: A CONFLICT OF INTEREST FORM IS COMPLETED WHEN BOARD MEMBERS ARE NOMINATED FOR THE BOARD. THE BOARD MEMBER SHALL DECLARE HIS/HER INTEREST IN A MATTER OR TRANSACTION BEFORE IT IS CONSIDERED BY THE BOARD, DESCRIBE THE NATURE OF THE INTEREST AND ANY SIGNIFICANT REASONS AS TO WHY THE TRANSACTION MAY NOT BE IN THE BOARD'S BEST INTERESTS, AND REFRAIN FROM VOTING OR INFLUENCING THE BOARD'S DELIBERATIONS IN THE MATTER. A CONFLICT OF INTEREST QUESTIONNAIRE IS ALSO GIVEN TO THE BOARD ANNUALLY. A CONFLICT OF INTEREST POLICY FOR OTHER EMPLOYEES OF THE ORGANIZATION IS DISCUSSED IN THE EMPLOYEE MANUAL. WHEN THEY ARE HIRED, EMPLOYEES SIGN A STATEMENT STATING THAT THEY HAVE READ AND UNDERSTOOD THE DOCUMENTATION THEY RECEIVED. CORPORATE OFFICERS AND KEY EMPLOYEES ANNUALLY REVIEW ANY POTENTIAL CONFLICTS OF INTEREST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO COMPENSATION REVIEW: A REVIEW OF THE CEO'S COMPENSATION IS CONDUCTED EACH YEAR. THE BOARD'S REVIEW OF 2022 COMPENSATION INCLUDED USING THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) SALARY SURVEY, IN ADDITION TO, A SURVEY OF VARIOUS CENTERS IN TEXAS PRIMARILY COLLECTED BY TEXAS ASSOCIATION OF COMMUNITY HEALTH CENTERS (TACHC). BOARD APPROVAL WAS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER OFFICER AND KEY EMPLOYEE COMPENSATION REVIEW: A REVIEW OF THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS COMPLETED BY HUMAN RESOURCES AND CEO USING SALARY DATA FROM THE TEXAS ASSOCIATION OF HEALTH CENTERS (TACHC), NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC), ASSOCIATION OF FAMILY MEDICINE RESIDENCY DIRECTORS AND OTHER WEBSITES SUCH AS INDEED, SALARY.COM AND PAYSCALE. THE CEO APPROVES COMPENSATION FOR OFFICERS AND KEY EMPLOYEES. DOCUMENTATION OF THE REVIEW IS KEPT IN THE EMPLOYEE'S HR FILES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>AVAILABILITY OF DOCUMENTS: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO BE MAILED OR EMAILED TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CHANGES IN NET ASSETS OR FUND BALANCE: NET ASSETS RELEASED FROM RESTRICTIONS $(1,074,506)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DELEGATION OF AUTHORITY: The Board may, by resolution passed by the majority of the Board, designate an Executive Committee. The Executive Committee shall act for the Board only during interim periods between meetings of the Board and shall act consistent with established policies of the Board. The Executive Committee, to the extent provided in such resolution, shall have and may exercise all of the authority of the Board in the management of the business and affairs of this corporation, but the designation of such committee and the delegation thereto of authority shall not operate to relieve the Board, or any individual director, of any responsibility imposed upon it, or any individual director by law. The Executive Committee shall keep regular minutes of its proceedings, which shall be approved by the full Board at the regularly scheduled meeting of the Board following the proceedings and placed in the minute book of this corporation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
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      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>VECINO CENTERS FOR HEALTH SERVICES</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>140548</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
