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      <MissionDesc>THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER ("THE HEALTH CENTER") IS A HEALING CENTER THAT PROVIDES ACCESSIBLE AND AFFORDABLE MEDICAL AND TRADITIONAL HEALING SERVICES WITH ALOHA. THE HEALTH CENTER IS A LEARNING CENTER THAT OFFERS HEALTH CAREER TRAINING TO ENSURE A BETTER FUTURE FOR OUR COMMUNITY. THE HEALTH CENTER IS ALSO AN INNOVATOR, USING LEADING EDGE TECHNOLOGY TO DELIVER THE HIGHEST QUALITY OF HEALTH CARE SERVICES.</MissionDesc>
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      <Desc>MEDICAL CARE: PRIMARY CARE MEDICAL SERVICES (PEDIATRICS, WOMEN'S, ADULT MEDICINE AND INTERNAL MEDICINE) ARE PROVIDED THROUGH A MAIN CLINIC SITE, FIVE ADDITIONAL SATELLITE CLINICS, AND SIX SCHOOL-BASED HEALTH CENTERS SERVING THE LEEWARD AREA ON THE ISLAND OF OAHU. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.</Desc>
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        <Desc>EMERGENCY MEDICAL SERVICES: TWENTY-FOUR HOUR EMERGENCY MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY THROUGH THE HEALTH CENTER'S MAIN CLINIC SITE ON THE WAIANAE COAST. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.</Desc>
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        <Desc>PHARMACY: THE HEALTH CENTER OPERATES THREE 340B PHARMACIES ON SITE WHICH REDUCES THE BARRIERS FOR PATIENTS WITHOUT DRUG COVERAGE BENEFITS OR HAVING TO MAKE AN ADDITIONAL STOP AT AN OFF-SITE PHARMACY TO PICK UP A PRESCRIPTION. THE PHARMACIES ARE LOCATED AT THE MAIN HEALTH CENTER IN WAIANAE, KAPOLEI CLINIC, AND THE JAMES AND ABIGAIL CAMPBELL CLINIC IN NANAKULI. THE HEALTH CENTER HAS A FOURTH PHARMACY LOCATED INSIDE A SUPERMARKET IN WAIANAE, AS WELL AS A CONTRACT PHARMACY.</Desc>
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        <Desc>THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER SERVES THE MEDICALLY UNDERSERVED AND ECONOMICALLY DISADVANTAGED COMMUNITY OF WAIANAE AND SURROUNDING COMMUNITIES IN THE WEST OAHU AREA ON THE ISLAND OF OAHU IN THE STATE OF HAWAII. FROM ITS START AS A ONE DOCTOR OFFICE, THE HEALTH CENTER IS THE SECOND LARGEST, AND OLDEST, OF THE FOURTEEN COMMUNITY HEALTH CENTERS IN THE STATE OF HAWAII. THE STRENGTH OF THE HEALTH CENTER LIES IN THE STRONG FOUNDATION SET BY ITS FOUNDERS, THE VISION AND EXPERTISE OF ITS BOARD OF DIRECTORS, THE SENSE OF OWNERSHIP BY ITS STAFF, PATIENTS AND COMMUNITY, THE YEARS OF SERVICE AND COMMITMENT OF ITS MANAGEMENT TEAM, AND THE RELATIONSHIPS FORGED AT THE COMMUNITY, STATE AND NATIONAL LEVEL. TELEHEALTH IMPLEMENTATION WAS A MAJOR TRANSFORMATION FOR THE HEALTH CENTER IN 2020 TO ADDRESS PATIENT CARE DURING A PANDEMIC. PATIENTS HAVE RETURNED FOR FACE-TO-FACE VISITS BUT TELEHEALTH REMAINS AN OPTION FOR MANY PATIENTS. IN 2024, THE HEALTH CENTER SERVED OVER 36,000 PATIENTS, WHICH IS STILL SLIGHTLY BELOW OUR PRE-COVID ANNUAL PATIENT LEVEL. THE MAJORITY OF PATIENTS SERVED ARE NATIVE HAWAIIAN (49%), FOLLOWED BY ASIAN &amp; OTHER PACIFIC ISLANDERS (29%), AND CAUCASIANS (12%). DATA SHOWS 65% OF PATIENTS ARE AT 100% OF THE FEDERAL POVERTY LEVEL OR BELOW (4% ARE UNINSURED, AND 57% ARE RECEIVING COVERAGE UNDER QUEST, THE STATE OF HAWAII'S MEDICAID PROGRAM). THE WAIANAE COAST IS AN ECONOMICALLY DISTRESSED COMMUNITY WITH A POPULATION OF 50,000. OVER 34% OF WAIANAE COAST HOUSEHOLDS ARE RECEIVING SNAP/CASH OR OTHER FORMS OF PUBLIC ASSISTANCE. THE AVERAGE PER CAPITA INCOME IS VERY LOW AND THE UNEMPLOYED RATE IS HIGH FOR THE WAIANAE RESIDENTS COMPARED TO OTHER REGIONS IN THE CITY AND COUNTY OF HONOLULU AND THE STATE OF HAWAII.THE HEALTH STATISTICS OF THE WAIANAE COAST PARALLELS THE ECONOMIC SITUATION IN THE COMMUNITY RELATED TO THE INFANT MORTALITY RATE, BIRTHS TO MOTHERS UNDER AGE 18, OBESITY, ADULTS WHO SMOKE AND DIABETES. THE HEALTH CENTER ACHIEVES ITS MISSION BY NOT ONLY SERVING PATIENTS WHO SEEK SERVICES, BUT ALSO BY INCORPORATING THE GOAL OF IMPROVING THE OVERALL HEALTH STATUS OF THE COMMUNITY IT SERVES. THE VISION OF THE FOUNDERS TO OFFER COMPREHENSIVE HEALTH SERVICES HAS GUIDED THE DEVELOPMENT OF SERVICES AND ACTIVITIES OF OUR PATIENT CENTERED HEALTH CARE HOME, WHICH INCLUDES PRIMARY CARE CLINICS, SPECIALTY SERVICES, SCHOOL-BASED CENTERS, COMMUNITY HEALTH SERVICES, HOMELESS OUTREACH, NATIVE HAWAIIAN TRADITIONAL HEALING, NUTRITION AND MORE.THE HEALTH CENTER IS A MAJOR ECONOMIC PROVIDER IN THE COMMUNITY, EMPLOYING OVER 700 INDIVIDUALS, THE MAJORITY OF WHOM RESIDE ON THE WAIANAE COAST. THE HEALTH CENTER IS GOVERNED AND GUIDED BY A BOARD OF DIRECTORS THAT INCLUDES UP TO 10 MEMBERS ELECTED FROM THE SERVICE AREA WHO ARE PATIENTS OF THE HEALTH CENTER, AND UP TO 10 MEMBERS APPOINTED FOR EXPERTISE IN BUSINESS, MEDICINE, LAW, OR COMMUNITY AFFAIRS. THE HEALTH CENTER HAS MAINTAINED A POSITIVE FINANCIAL POSITION BY CONTINUOUSLY INCREASING PRODUCTIVITY, DEVELOPING REVENUE GENERATING SERVICES, INITIATING TECHNOLOGICAL INNOVATIONS AND PROMOTING COMMUNITY INVOLVEMENT. A KEY INITIATIVE FOR THE HEALTH CENTER CONTINUES TO BE DEVELOPING A "PRIMARY CARE HEALTH CARE HOME" THAT FITS THE MODEL OF CARE THAT MEETS THE BROAD HEALTH CARE NEEDS OF OUR PATIENTS. THE HEALTH CENTER CONTINUES TO GROW ITS PARTNERSHIP THROUGH AHARO HAWAII, A VIRTUAL ACCOUNTABLE CARE ORGANIZATION WHICH CURRENTLY INCLUDES HEALTH CENTERS ON OAHU, MOLOKAI, MAUI AND HAWAII ISLAND WHOSE MISSION IS "PROMOTING ACCESS, QUALITY, AND COST EFFECTIVENESS IN HEALTHCARE BY EMPOWERING CONSUMERS TO EVALUATE THE PERFORMANCE OF HEALTHCARE AGENCIES THAT SERVE THEM."</Desc>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JERALD KIMO ALAMA KEAULANA</PersonNm>
        <TitleTxt>BOARD DIRECTOR (UNTIL 04/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENICE KELIIKOA</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FLORENE PELL</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RENEE REGO</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDITH BABSON</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GENEVIEVE AKEN</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY MAKANA PARIS</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY KAIPO GUERRERO</PersonNm>
        <TitleTxt>BOARD DIRECTOR (UNTIL 01/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TESHA MALAMA</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DESIRE DE SOTO</PersonNm>
        <TitleTxt>BOARD DIRECTOR (FROM 5/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE GLUSHENKO</PersonNm>
        <TitleTxt>BOARD DIRECTOR (FROM 5/2024)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEROY LAVATAI</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD NITTA</PersonNm>
        <TitleTxt>BOARD DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD P BETTINI</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>445116</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61866</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICHOLAS HUGHEY</PersonNm>
        <TitleTxt>EXECUTIVE VICE PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>450694</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31613</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN P BRADLEY</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER / MD-INTERNIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>320329</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44017</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTELLE AUB OMPAD</PersonNm>
        <TitleTxt>CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>352916</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48629</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VIJA M SEHGAL</PersonNm>
        <TitleTxt>CHIEF QUALITY OFFICER/MD-PED</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>261239</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>25163</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CINDY YEE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>340144</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28910</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT T PADAVAN</PersonNm>
        <TitleTxt>MD-EMERGENCY MEDICINE</TitleTxt>
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        <ReportableCompFromOrgAmt>303154</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL C O'HARA</PersonNm>
        <TitleTxt>MD-EMERGENCY MEDICINE</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>26946</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NESTOR JR C HERANA</PersonNm>
        <TitleTxt>MD-INTERNAL MEDICINE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17320</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL S STRAIT</PersonNm>
        <TitleTxt>MD-EMERGENCY MEDICINE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>324611</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28644</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONALD W SIMPSON</PersonNm>
        <TitleTxt>MD-SR. BEH HLTH CLINICAL DIRECTOR</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>319536</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28424</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>397919</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>136</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSAL PROTECTION SERVICE LP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 277469</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303847469</ZIPCd>
          </USAddress>
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        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>1333893</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HAWAIIAN DREDGING CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 511449</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90051</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>1067109</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHG COMPANIES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 972651</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>753972651</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROFESSIONAL SERVICES</ServicesDesc>
        <CompensationAmt>990819</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEXTGEN HEALTHCARE INFORMATION SYSTEMS L</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 31001-0422</AddressLine1Txt>
            <CityNm>PASADENA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>911100422</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>987305</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FORESIGHT HEALTH SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3284</AddressLine1Txt>
            <CityNm>LA JOLLA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92038</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACTOR</ServicesDesc>
        <CompensationAmt>660080</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>27</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>10452715</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3380915</AllOtherContributionsAmt>
      <TotalContributionsAmt>13833630</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>74788699</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>74788699</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>SETTLEMENT INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>5027438</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5027438</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>475190</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>475190</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MOB-RENTAL MENTAL HEALTH CENTER</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>304342</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>304342</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>80595669</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1748985</TotalRevenueColumnAmt>
        <ExclusionAmt>1748985</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INCENTIVE PAYMENTS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>853900</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>853900</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>PATIENT CENTERED MEDICAL HOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>764012</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>764012</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>TRAINING PROGRAMS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>482211</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>482211</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <MiscellaneousRevenueGrp>
        <TotalRevenueColumnAmt>1370927</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1316583</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>54344</UnrelatedBusinessRevenueAmt>
      </MiscellaneousRevenueGrp>
      <OtherRevenueTotalAmt>3471050</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>99649334</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>84012375</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>54344</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1748985</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>325253</TotalAmt>
        <ProgramServicesAmt>325253</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2410634</TotalAmt>
        <ManagementAndGeneralAmt>2410634</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>45313829</TotalAmt>
        <ProgramServicesAmt>41231505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4082324</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1837067</TotalAmt>
        <ProgramServicesAmt>1652249</ProgramServicesAmt>
        <ManagementAndGeneralAmt>184818</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>5690642</TotalAmt>
        <ProgramServicesAmt>5085443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>605199</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>3483905</TotalAmt>
        <ProgramServicesAmt>3005492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>478413</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>522131</TotalAmt>
        <ProgramServicesAmt>15583</ProgramServicesAmt>
        <ManagementAndGeneralAmt>506548</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>226191</TotalAmt>
        <ProgramServicesAmt>12000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>214191</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>45567</TotalAmt>
        <ManagementAndGeneralAmt>45567</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4806705</TotalAmt>
        <ProgramServicesAmt>3769603</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1037102</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>70256</TotalAmt>
        <ProgramServicesAmt>45031</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25225</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>13019419</TotalAmt>
        <ProgramServicesAmt>12217528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>801891</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>3291617</TotalAmt>
        <ProgramServicesAmt>2094771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1196846</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>7666250</TotalAmt>
        <ProgramServicesAmt>6586067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1080183</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>544962</TotalAmt>
        <ProgramServicesAmt>359489</ProgramServicesAmt>
        <ManagementAndGeneralAmt>185473</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>184452</TotalAmt>
        <ProgramServicesAmt>161301</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23151</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>120305</TotalAmt>
        <ProgramServicesAmt>110705</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9600</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3204646</TotalAmt>
        <ProgramServicesAmt>2913955</ProgramServicesAmt>
        <ManagementAndGeneralAmt>290691</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12410</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>347960</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL C O'HARA</PersonNm>
        <TitleTxt>MD-EMERGENCY MEDICINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>271817</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28747</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15053</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>327510</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIJA M SEHGAL</PersonNm>
        <TitleTxt>CHIEF QUALITY OFFICER/MD-PED</TitleTxt>
        <BaseCompensationFilingOrgAmt>237391</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2125</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>21723</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11982</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13181</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>286402</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER HAS POLICIES AND PROCEDURES COVERING CELL PHONE ALLOWANCE. ALL EMPLOYEES COMPLETE A CELLULAR PHONE ALLOWANCE REQUEST FORM, WHICH IS REVIEWED AND APPROVED BY A SUPERVISOR, LEADERSHIP MEMBER, AND THEN BY THE PAYROLL DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE HEALTH CENTER PARTICIPATES IN THE NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) HEALTH CENTER COMPENSATION &amp; BENEFIT STUDY EACH YEAR. THE HEALTH CENTER ANNUALLY REVIEWS ITS COMPENSATION TO DETERMINE IF ANY ADJUSTMENTS NEED TO BE MADE TO ITS PAY SCALE UTILIZING CURRENT COMPENSATION SURVEYS. THIS PROCESS WAS LAST REVIEWED MAY 2023 AND THE ONGOING PROCESS FOR VARIOUS KEY MANAGEMENT/PROVIDER POSITIONS WAS LAST REVIEWED DECEMBER 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER HAS A CORPORATE MEMBERSHIP. CORPORATE MEMBERS ARE DEFINED AS AN INDIVIDUAL, 18 YEARS OR OLDER, WHO RESIDES IN THE SERVICE AREA AND USES THE HEALTH CENTER AS A PRIMARY CARE FACILITY OR WHO HAS AN INTEREST IN THE FIELD OF HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS WHO ARE ELIGIBLE TO VOTE PARTICIPATE IN CONTRIBUTING NAMES TO BE ON THE BALLOT AND VOTING IN THE ANNUAL BOARD ELECTION. THIS PROCESS TAKES PLACE ANNUALLY BETWEEN FEBRUARY - APRIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ARE PROVIDED THE COMPLETED FORM 990 AND, IF APPLICABLE, FORM 990-T AND RELATED STATE FORMS TO REVIEW IN ADVANCE OF THE FILING DEADLINE. AFTER ALL QUESTIONS AND CONCERNS HAVE BEEN ADDRESSED AND ANY CHANGES INCORPORATED INTO THE TAX RETURNS, SENIOR MANAGEMENT FILES THE FINAL TAX RETURNS AS REQUIRED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY MEMBER OF THE BOARD IS REQUIRED TO RECUSE THEMSELVES FROM MAKING A DECISION RELATED TO WCCHC BUSINESS WHEN THEY ARE AWARE OF CIRCUMSTANCES THAT MIGHT REASONABLY CAUSE THEIR IMPARTIALITY TO BE QUESTIONED. COVERED UNDER THE HEALTH CENTER'S CONFLICT OF INTEREST POLICY ARE THE BOARD OF DIRECTORS AND ANY NON MEMBER OF THE BOARD OF DIRECTORS THAT SERVES ON A BOARD COMMITTEE. DETERMINATIONS ON WHETHER A CONFLICT OF INTEREST EXISTS IS MADE BY 1) REVIEWING ANNUAL DISCLOSURE FORMS COMPLETED BY BOARD MEMBERS AND NON BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE; AND 2) CONDUCTING A DISCUSSION AND HOLDING A VOTE BY BOARD MEMBERS WHEN A BOARD MEMBER/OTHER MEMBER DISCLOSES A CONFLICT DURING A BOARD AND OR BOARD COMMITTEE MEETING. CONFLICTS OF INTEREST ARE REVIEWED AT THE FOLLOWING LEVELS: 1) AN ANNUAL STATEMENT IS COMPLETED BY BOARD MEMBERS AND/OR NON BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE. 2) DISCLOSURE IS MADE AT A BOARD AND/OR BOARD COMMITTEE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE VISIONLINK ADVISORY GROUP CONDUCTS A REVIEW OF KEY EMPLOYEE COMPENSATION. THIS PROCESS WAS LAST COMPLETED MAY 2023. THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD ESTABLISHES A CEO EVALUATION COMMITTEE TO REVIEW HIS PERFORMANCE, COMPLETED OBJECTIVES AND ANY COMPENSATION STUDIES. ONCE COMPLETED THE COMMITTEE PREPARES THEIR RECOMMENDATIONS ON COMPENSATION AND BONUSES AND PRESENTS IT TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS PROCESS WAS LAST COMPLETED FEBRUARY 2023. FORM 990, PART VI, LINE 15B: THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE HEALTH CENTER PARTICIPATES IN THE NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) HEALTH CENTER COMPENSATION &amp; BENEFIT STUDY EACH YEAR. THE HEALTH CENTER ANNUALLY REVIEWS ITS COMPENSATION TO DETERMINE IF ANY ADJUSTMENTS NEED TO BE MADE TO ITS PAY SCALE UTILIZING CURRENT COMPENSATION SURVEYS. THIS PROCESS WAS LAST REVIEWED MAY 2023 AND THE ONGOING PROCESS FOR VARIOUS KEY MANAGEMENT/PROVIDER POSITIONS WAS LAST REVIEWED DECEMBER 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ALTHOUGH NOT PUBLICIZED, IS MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>MAILI COMMUNITY DEVELOPMENT LLC</BusinessNameLine1Txt>
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      <IdDisregardedEntitiesGrp>
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      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
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        <MethodOfAmountDeterminationTxt>ACCRUAL</MethodOfAmountDeterminationTxt>
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</Return>