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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL KELLEY</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW BENCH</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1235208</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>90852</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>16</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
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      <ContractorCompensationGrp>
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        <ContractorAddress>
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            <CityNm>Burlington</CityNm>
            <StateAbbreviationCd>NC</StateAbbreviationCd>
            <ZIPCd>272162140</ZIPCd>
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        <ServicesDesc>Contract Lab</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Nextgen Healthcare Information</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
        <ServicesDesc>Medical Records</ServicesDesc>
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      <ProgramServiceRevenueGrp>
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      <FeesForServicesLobbyingGrp>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>736568</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>628144</DepreciationAmt>
        <BookValueAmt>108424</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>4535366</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>13977490</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>13977490</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>13977490</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>14943767</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>14943767</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>14943767</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY ADOPTED THE PROVISIONS OF FASB ASC TOPIC 740-10, INCOME TAXES (PREVIOUSLY KNOW AS FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES). MANAGEMENT BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS, AND ACCORDINGLY THERE IS NO LIABILITY RECORDED FOR UNRECOGNIZED TAX BENEFITS AT JANUARY 31, 2019 AND 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="19009920" softwareVersionNum="2019v5.0">
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>false</AgrmtProfFundraisingActyInd>
      <LicensedStatesCd>TX</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>Bicycle Race</Event1Nm>
        <GrossReceiptsEvent1Amt>35230</GrossReceiptsEvent1Amt>
        <GrossRevenueEvent1Amt>35230</GrossRevenueEvent1Amt>
        <OtherDirectExpensesEvent1Amt>35230</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>35230</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>35230</GrossRevenueTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>35230</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>35230</DirectExpenseSummaryEventsAmt>
      </FundraisingEventInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2b - Fundraiser Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Carevide is a partner hosting "The Cotton Patch Challenge" with Greenville Rotary Club and net proceeds after expenses are split equally.The Cotton Patch Challenge caters to beginner to expert cyclists and everyone in between. Cyclists enjoy a unique biking experience that features six routes to choose from. Fundraising funds include entry fees for cyclist participants and sponsorships from various local organizations and businesses.The net proceeds are used to enhance services at the Pediactric Center, such as new equipment.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>STM02</FormAndLineReferenceDesc>
        <ExplanationTxt>Funds are intended solely for Pediatric Center to purchase equipment and other necessary items for the Pediatric Center.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="19009920" softwareVersionNum="2019v5.0">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Fry</PersonNm>
        <TitleTxt>PEDIATRICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>163819</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>3250</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6918</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>173987</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE CARTER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>188264</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5458</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10364</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204086</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ronald Peron</PersonNm>
        <TitleTxt>Chief Med Direc</TitleTxt>
        <BaseCompensationFilingOrgAmt>181495</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5820</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11414</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>198729</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19009920" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND CFO OF THE AGENCY WILL PARTICIPATE IN COMPLETING THE FORM 990 AS WELL AS REVIEWING THE 990 BEFORE SUBMISSION. THE AGENCY'S CFO WILL REVIEW THE FORM 990 WITH THE BOARD OF DIRECTORS BEFORE SUBMISSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS POLICY IS PART OF A CODE OF CONDUCT THAT ALL EMPLOYEES AND THE BOARD OF DIRECTORS SIGN. IT IS ALSO PART OF THE BYLAWS OF THE AGENCY AND INCLUDED IN THE BOARD OF DIRECTORS ORIENTATION. THIS POLICY IS REVIEWED AT ANNUAL BOARD TRAININGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR KEY MANAGEMENT, INCLUDING THE CEO AND CFO, IS COMPARED TO REGIONAL &amp; STATE SALARY SURVEYS BASED ON BUDGET, ANNUAL ENCOUNTERS, AND YEARS OF SERVICE. THIS SALARY SURVEY IS SPECIFIC TO COMMUNITY HEALTH CENTERS. SALARY COMPARISONS FOR KEY EMPLOYEES ARE ALSO COMPARED TO LOCAL SERVICE AREA PAY RATES IN ORDER TO REMAIN COMPETITIVE. THE CEO'S COMPENSATION PACKAGE IS DETERMINED, REVIEWED, AND APPROVED BY THE BOARD OF DIRECTORS. ALL OTHER KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>SALARY COMPARISONS FOR KEY EMPLOYEES ARE COMPARED TO LOCAL SERVICE AREA PAY RATES IN ORDER TO REMAIN COMPETITIVE. KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE CEO AND REVIEWED WITH THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Increases</FormAndLineReferenceDesc>
        <ExplanationTxt>Donor restricted contributions = $15209</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>