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      <Desc>COMMUNITY HEALTH CENTERS (CHCS): OUR COMMUNITY HEALTH CENTERS IN MOFFAT AND ROUTT COUNTIES PROVIDE A FULL RANGE OF HIGH-QUALITY, AFFORDABLE PHYSICAL, BEHAVIORAL, AND ORAL HEALTH SERVICES TO PEOPLE WHO ARE FINANCIALLY STRUGGLING TO GET BY. WE RECENTLY ADDED BOTH BEHAVIORAL HEALTH AND ORAL HEALTH CARE TO OUR CHCS. IN 2024, THE CHC PROGRAM SERVED 6,038 CLIENTS, WITH MORE THAN 22,000 MEDICAL, BEHAVIORAL HEALTH AND DENTAL ENCOUNTERS.</Desc>
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        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>false</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>false</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <PrivateBusConcerningUBIPct>0</PrivateBusConcerningUBIPct>
        <TotalPrivateBusinessUsePct>0.0</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ChangeInUseBondFinancedPropPct>0</ChangeInUseBondFinancedPropPct>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <TermOfHedgePct>0</TermOfHedgePct>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <TermOfGICPct>0</TermOfGICPct>
        <RegulatorySafeHarborStsfdInd>false</RegulatorySafeHarborStsfdInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="IRS990ScheduleM" softwareId="24020961" softwareVersionNum="2024v5.1">
      <WorksOfArtGrp>
        <ContributionCnt>4</ContributionCnt>
        <NoncashContributionsRptF990Amt>620</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>1130</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>NONE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <FoodInventoryGrp>
        <ContributionCnt>9</ContributionCnt>
        <NoncashContributionsRptF990Amt>10480</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <DrugsAndMedicalSuppliesGrp>
        <ContributionCnt>1562</ContributionCnt>
        <NoncashContributionsRptF990Amt>107744</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Replacement cost</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Certificate</Desc>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>2310</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Gift Basket/Package</Desc>
        <ContributionCnt>7</ContributionCnt>
        <NoncashContributionsRptF990Amt>620</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Event Tickets</Desc>
        <ContributionCnt>3</ContributionCnt>
        <NoncashContributionsRptF990Amt>888</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I EXPLANATIONS OF REPORTING METHOD FOR NUMBER OF CONTRIBUTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NUMBER IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED EXCEPT FOR LINE 20, WHICH REPRESENTS THE NUMBER OF DOSES OF VACCINES RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 2 New program services</FormAndLineReferenceDesc>
        <ExplanationTxt>ON OCTOBER 1, 2024, THE ORGANIZATION PURCHASED CASEY'S POND SENIOR LIVING. THIS FACILITY INCORPORATES ASSISTED LIVING, INDEPENDENT LIVING AND SKILLED NURSING. INDEPENDENT LIVING AND SKILLED NURSING ARE NEW PROGRAM SERVICES THAT THE ORGANIZATION HAS NOT PREVIOUSLY PROVIDED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ including grants of $) THE ORGANIZATION ALSO PROVIDES A RESIDENTIAL ASSISTED LIVING FACILITY WITH LIMITED HEALTH CARE SERVICES FOR UP TO 20 SENIOR CITIZENS. THIS ALSO INCLUDES COMMUNITY OUTREACH IN THE FORM WELLNESS, PREVENTION AND PUBLIC ENGAGEMENT IN AGING WELL ACTIVITIES. THE FACILITY PROVIDED MEALS TO SENIORS AND HAD A TOTAL OF APPROXIMATELY 7,100 RESIDENT DAYS, A 97% OCCUPANCY RATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d Description of other program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ including grants of $) IN 2024 THE ORGANIZATION ADDED CASEY'S POND SENIOR LIVING TO ITS OPERATIONS. THIS FACILITY PROVIDES INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING SERVICES. THE SKILLED NURSING FACILITY PROVIDES VITAL SERVICES TO MEDICAID, MEDICARE AND PRIVIATE PAY PATIENTS THAT WOULD HAVE NO LONGER BEEN AVAILABLE TO THE RESIDENTS OF NORTHWEST COLORADO DUE TO RECEIVERSHIP PROCEEDINGS. THROUGH THE PURCHASE OF THIS FACILITY, THE ORGANIZATION WAS ABLE TO STABILIZE A DECLINING POPULATION DUE TO IMMINENT CLOSURE, AND THUS RESIDENTS WERE NOT FORCED TO LOOK ELSEWHERE FOR THESE SERVICES. DUE TO OUR RURAL LOCATION, RESIDENTS WOULD HAVE NEEDED TO MOVE MANY HOURS AWAY FOR THESE SERVICES, OFTEN FAR FROM THEIR FAMILIES AND OTHER SUPPORT SYSTEMS. THE SKILLED NURSING FACILITY HAS 66 LICENSED BEDS, USUALLY 60%-70% OCCUPIED BY MEDICAID PATIENTS. THE ASSISTED LIVING FACILITY HAS 50 LICENSED SUITES, WITH THE REMAINING 22 APARTMENTS FOR INDEPENDENT LIVING RESIDENTS. TOTAL OCCUPANCY REBOUNDED TO 83% OCCUPANY BY THE END OF 2024 AFTER FALLING TO 68% DURING THE RECEIVERSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS TO REVIEW THE FORM 990: THE CFO AND FINANCE COMMITTEE REVIEW THE FORM AS AN AGENDA ITEM OF ITS MONTHLY MEETING PRIOR TO FILING. A COPY OF THE 990 IS PROVIDED TO ALL BOARD MEMBER PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL MEMBERS OF THE BOARD COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THESE ARE REVIEWED BY THE BOARD PRESIDENT AND THE CHIEF EXECUTIVE. IF A CONFLICT ARISES, THE MEMBER'S PARTICIPATION IN FUTURE DELIBERATIONS AND DECISIONS IS REVIEWED IN LIGHT OF THE CORPORATE BYLAWS. OFFICERS OF THE ORGANIZATION ARE REQUIRED TO REPORT RELATED EMPLOYMENT TO THEIR SUPERVISORS TO DETERMINE POTENTIAL CONFLICTS OF INTEREST AND RESOLVE SCHEDULING CONFLICTS WHICH MAY ARISE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: A COMPENSATION REVIEW WAS PERFORMED IN 2023 FOR THE CEO BY THE BOARD OF DIRECTORS. COMPARATIVE INFORMATION CONSISTING OF COMPENSATION STUDIES, REPORTS BY AGENCIES, AND TELEPHONE INTERVIEWS OF LIKE ENTITIES ARE GATHERED AND REVIEWED. COMPENSATION DECISIONS ARE DOCUMENTED ON THE CEO'S NOTICE OF PERSONNEL ACTION. THIS FORM IS COMPLETED AND SIGNED BY THE BOARD PRESIDENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF OTHER OFFICER OR KEY EMPLOYEES COMPENSATION: A COMPENSATION REVIEW WAS PERFORMED IN 2024 FOR ALL EMPLOYEES INCLUDING OFFICERS AND KEY PERSONNEL. COMPARATIVE INFORMATION CONSISTING OF COMPENSATION STUDIES, REPORTS BY AGENCIES, AND TELEPHONE INTERVIEWS OF LIKE ENTITIES ARE GATHERED AND REVIEWED. COMPENSATION DECISIONS ARE DOCUMENTED ON THE EMPLOYEE'S NOTICE OF PERSONNEL ACTION. THIS FORM IS COMPLETED AND SIGNED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: A REQUEST MAY BE MADE TO THE CEO FOR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR INTERIM FINANCIAL STATEMENTS. AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE ORGANIZATION'S WEBSITE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 1e GOVERNMENT CONTRIBUTIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A CONTRACT WITH VARIOUS GOVERNMENT AGENCIES TO PROVIDE HEALTHCARE SERVICES TO THE GENERAL PUBLIC. FOR 990 PURPOSES, THESE PAYMENTS TO THE ORGANIZATION ARE REPORTED AS CONTRIBUTIONS FROM GOVERNMENT AGENCIES ON PART VIII, LINE 1E.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTOR SERVICES - Total Expense: 2639198, Program Service Expense: 2364721, Management and General Expenses: 274477, Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN BENEFICIAL INTEREST IN NET ASSETS HELD BY YAMPA COMMUNITY FOUNDATION - 179477; Total - 179477;</ExplanationTxt>
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    </IRS990ScheduleO>
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      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northwest Colorado Health LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>940 Cental Park Drive Suite 101</AddressLine1Txt>
          <CityNm>Steamboat Springs</CityNm>
          <StateAbbreviationCd>CO</StateAbbreviationCd>
          <ZIPCd>80487</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>Formed to acquire real estate - Senior Living Facility</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>CO</LegalDomicileStateCd>
        <TotalIncomeAmt>17600000</TotalIncomeAmt>
        <EndOfYearAssetsAmt>27600000</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwest Colorado Visiting Nurse Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>