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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LIZ BLAKELY</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEANNA LAMB</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9474</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TINA HARRIS</PersonNm>
        <TitleTxt>DIRECTOR OF FINANCE</TitleTxt>
        <AverageHoursPerWeekRt>50.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>101150</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14923</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRIKOR PARTAMIAN</PersonNm>
        <TitleTxt>CMO/PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>16.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>255876</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>252</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE WHITE</PersonNm>
        <TitleTxt>CHIEF DENTAL OFFICER/DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>195292</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8644</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MEHNAZ KHAN</PersonNm>
        <TitleTxt>PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>245965</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANCISCO ALEMAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36508</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN BRUSHWOOD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34644</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MERLIN BROWN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>197728</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8516</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN DAVIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>133217</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14919</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1693413</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>136476</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>24</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>NEXTGEN</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 511449</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90051</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMR SYSTEM ADMINISTR</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MCCOY SAMPLES DENTAL CLINIC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>850 FAIRWAY ST</AddressLine1Txt>
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            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64601</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DENTIST</ServicesDesc>
        <CompensationAmt>782101</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>RXSTRATEGIES</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1900 GLADES RD-STE 350</AddressLine1Txt>
            <CityNm>BOCA RATON</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33431</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>340B ADMINISTRATION</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>TRIGGERFISH</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3815 FARAON ST-STE E</AddressLine1Txt>
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            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64506</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>267112</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MOSAIC LIFECARE</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5325 FARAON ST</AddressLine1Txt>
            <CityNm>ST JOSEPH</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>64506</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
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      <FederatedCampaignsAmt>50000</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>4849294</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>329190</AllOtherContributionsAmt>
      <TotalContributionsAmt>5228484</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>15338521</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>15338521</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT CENTERED MEDICAL HOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>966007</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>966007</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>82788</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>82788</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16387316</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
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        <ExclusionAmt>27444</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <GrossRentsGrp>
        <RealAmt>21953</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <ExclusionAmt>21953</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <CostOfGoodsSoldAmt>2648667</CostOfGoodsSoldAmt>
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      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>GAIN ON INVESTMENT IN EQUITY INVESTEE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>23603</TotalRevenueColumnAmt>
        <ExclusionAmt>23603</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>23603</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>26377112</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21075628</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>73000</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>735211</TotalAmt>
        <ProgramServicesAmt>460063</ProgramServicesAmt>
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      <CompDisqualPersonsGrp>
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      </CompDisqualPersonsGrp>
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        <ProgramServicesAmt>9442523</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1945343</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>273099</ProgramServicesAmt>
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        <ProgramServicesAmt>976991</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>714362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>165974</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>168148</TotalAmt>
        <ManagementAndGeneralAmt>168148</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>96138</TotalAmt>
        <ManagementAndGeneralAmt>96138</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4123794</TotalAmt>
        <ProgramServicesAmt>3813423</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>240751</TotalAmt>
        <ProgramServicesAmt>213681</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27070</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>497465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>245450</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>723576</ProgramServicesAmt>
        <ManagementAndGeneralAmt>279423</ManagementAndGeneralAmt>
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      </RoyaltiesGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>1446869</ProgramServicesAmt>
        <ManagementAndGeneralAmt>150367</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>162942</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37223</ManagementAndGeneralAmt>
      </TravelGrp>
      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>149254</TotalAmt>
        <ProgramServicesAmt>125923</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23331</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
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        <ProgramServicesAmt>7513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3750</ManagementAndGeneralAmt>
      </InterestGrp>
      <PaymentsToAffiliatesGrp>
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      </PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>472629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>92546</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>31143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6860</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>1986139</TotalAmt>
        <ProgramServicesAmt>1986139</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUGS</Desc>
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        <ProgramServicesAmt>629013</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITING &amp; RETENTION</Desc>
        <TotalAmt>106528</TotalAmt>
        <ProgramServicesAmt>71059</ProgramServicesAmt>
        <ManagementAndGeneralAmt>35469</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
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        <ProgramServicesAmt>60615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18165</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>26910079</TotalAmt>
        <ProgramServicesAmt>22109028</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4801051</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>447975</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>2970266</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1747197</BOYAmt>
        <EOYAmt>1296614</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1862767</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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        <EOYAmt>0</EOYAmt>
      </ReceivablesFromOfficersEtcGrp>
      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>432650</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>121151</BOYAmt>
        <EOYAmt>72617</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9637558</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5599219</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3214047</BOYAmt>
        <EOYAmt>4038339</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsOtherSecuritiesGrp>
        <BOYAmt>250950</BOYAmt>
        <EOYAmt>114319</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>0</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
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        <EOYAmt>545341</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>153744</BOYAmt>
        <EOYAmt>473334</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>13291721</BOYAmt>
        <EOYAmt>12254222</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2360095</EOYAmt>
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      <GrantsPayableGrp>
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        <EOYAmt>0</EOYAmt>
      </GrantsPayableGrp>
      <DeferredRevenueGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>0</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6563</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2081</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203936</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>NON-FIXED PAYMENTS: NICOLE WHITE IS ELIGIBLE TO RECEIVE, AT THE EMPLOYER'S DISCRETION, A QUARTERLY INCENTIVE BONUS. THIS BONUS IS BASED ON ACHIEVING MORE DENTAL ENCOUNTERS THAN THE QUARTERLY BUDGETED GOAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S MISSION: OUR MISSION IS SUPPORTED BY OUR VALUES WHICH ARE: PATIENT CENTERED - THE PATIENTS WE SERVE ARE THE REASON WE EXIST AND ARE THE CENTER OF ALL THAT WE DO. WE RECOGNIZE AND RESPOND TO THE NEEDS OF WHOLE PERSON AND FOSTER A SPIRIT OF COMMUNITY. PROVIDING OUR PATIENTS AND THEIR FAMILIES WITH THE HIGHEST QUALITY CARE IN AN ENVIRONMENT THAT IS SAFE AND COMPASSIONATE IS OUR PRIORITY. PURSUIT OF EXCELLENCE - AS INDIVIDUALS AND COLLECTIVELY WE STRIVE FOR EXCELLENCE. WE PROMOTE INNOVATION, DEVELOP PROGRAMS AND PROCESSES TO MEASURE AND CONTINUALLY IMPROVE QUALITY, ENCOURAGE CONTINUOUS LEARNING AND EMPOWERMENT BOTH FOR STAFF AND THE PATIENTS WE SERVE. COLLABORATION - WE PROVIDE AN ENVIRONMENT THAT PROMOTES TEAMWORK AND MUTUAL RESPECT BY RECOGNIZING THAT TOGETHER WE ARE STRONGER THAN WE ARE ALONE, BY BOTH FORMALLY AND INFORMALLY RECOGNIZING CONTRIBUTIONS OF INDIVIDUALS, TEAMS, AND PARTNERING AGENCIES AND BY CREATING AN INCLUSIVE WORK ENVIRONMENT THAT ENABLES THE DELIVERY OR RESPECTFUL AND CULTURALLY-APPROPRIATE CARE. COMMUNITY DRIVEN - WE ARE COMMITTED TO UNDERSTANDING AND REACHING OUT TO THE COMMUNITIES WE SERVE. THROUGH THE CONSIDERATION OF CULTURE, ECONOMIC AND EDUCATIONAL STATUS, TRADITIONS, AND OTHER SOCIO-CULTURAL NEEDS WE PROVIDE SERVICES THAT POSITIVELY IMPACT COMMUNITY HEALTH. CONTINUITY OF CARE - IT IS THROUGH COORDINATION AND INTEGRATION THAT WE SUPPORT OUR PATIENTS AND THEIR FAMILIES AS THEY NAVIGATE THE MULTIPLE SYSTEMS OF CARE. CARING HAND-OFFS BETWEEN DIFFERENT PROVIDERS AND ENTITIES THROUGHOUT THE COMMUNITY CREATE A SHARED ENVIRONMENT OF RESPONSIBILITY AND ACCOUNTABILITY FOR THE HEALTHCARE TEAM AND THE PATIENTS BEING SERVED. DEMONSTRATING THAT THE TRUST EXTENDED TO US BY OUR PATIENTS, FUNDERS AND PARTNERS IS WELL PLACED. WE PROVE THE EFFECTIVENESS OF OUR WORK THROUGH MEASURABLE RESULTS. PROVIDING ACCESS TO QUALITY MEDICAL, DENTAL, BEHAVIORAL HEALTH, PHARMACEUTICAL, AND HEALTH EDUCATION IS HOW NORTHWEST HEALTH SERVICES ACHIEVES THIS MISSION. COMMUNITY OUTREACH AND EDUCATION ARE ALSO A MEANS TO ACCOMPLISH THE MISSION. OUR COMMUNITY-LED BOARD OF DIRECTORS REPRESENTS THE AREAS WE SERVE AND GUIDES THE ORGANIZATION TO PROVIDING THE BEST CARE POSSIBLE BASED ON THE NEEDS OF THE COMMUNITIES. AS A COMMUNITY HEALTH CENTER, NORTHWEST HEALTH SERVICES IS PROUD TO MEET THE NEEDS OF THE COMMUNITIES WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A COMMUNITY VOLUNTEER BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL SERVICES: PEDIATRIC SERVICES INCLUDE WELL-CHILD HEALTH MAINTENANCE EXAMS, TREATMENT OF ACUTE &amp; CHRONIC PROBLEMS, REFERRAL, WHEN NEEDED, TO SPECIALISTS, &amp; HEALTH SCREENING ASSESSMENTS &amp; LAB TESTS FOR REFUGEE CHILDREN WHO ARE NEW ARRIVALS TO THE UNITED STATES. THE ORGANIZATION'S WOMEN'S HEALTH SERVICES INCLUDE: COMPREHENSIVE GYNECOLOGICAL EXAMS; BREAST, CERVICAL, &amp; COLON CANCER SCREENINGS; MENOPAUSAL MANAGEMENT; &amp; CONTRACEPTIVE CHOICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION OF OTHER PROGRAM SERVICES: THE ORGANIZATION INTEGRATES BEHAVIORAL HEALTH SERVICES INTO DISEASE MANAGEMENT, PRIMARY, AND PREVENTIVE CARE. BEHAVIORAL HEALTH SERVICES INCLUDE ASSESSMENT AND PRIVATE CONSULTATION, GROUP THERAPY, PHARMACOLOGICAL SUPPORTS, FAMILY COUNSELING, AND REFERRALS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW 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. A TENTATIVE DRAFT IS INITIALLY REVIEWED BY MANAGEMENT. AFTER THIS REVIEW, THE FINANCE COMMITTEE THEN REVIEWS THE FORM 990 AT THEIR MEETING BEFORE PRESENTING IT TO THE FULL BOARD AT THEIR MONTHLY MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION REGULARLY MONITORS COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY BY REQUESTING MANAGERS AND STAFF TO REPORT ANY CHANGES IN THEIR CONFLICT OF INTEREST. ANY CONFLICTS ARE SENT TO THE CORPORATE COMPLIANCE COMMITTEE. IF A CONFLICT OF INTEREST IS IDENTIFIED WITH A BOARD MEMBER, THEY ABSTAIN FORM VOTING ON ANY MATTERS RELATED TO THE CONFLICT OR MAY BE REMOVED FROM THE BOARD OF DIRECTORS, DEPENDING ON THE NATURE OF THE CONFLICT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>DOCUMENT AVAILABILITY: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL AVAILABLE UPON REQUEST FOR VIEWING AT THE ADMINISTRATIVE OFFICES OF NORTHWEST HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PHARMACY FEES TOTAL FEES:1778527</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1215457</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:BILLING SERVICES TOTAL FEES:555384</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:ADMINISTRATION SERVICES TOTAL FEES:285140</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:DENTAL CONTRACT FEES TOTAL FEES:201295</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:COLLECTION SERVICES TOTAL FEES:87991</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>