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      <FeesForServicesLegal>
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        <ManagementAndGeneral>37902</ManagementAndGeneral>
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        <ManagementAndGeneral>20000</ManagementAndGeneral>
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        <ManagementAndGeneral>29912</ManagementAndGeneral>
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      <OtherExpenses>
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        <ProgramServices>229117</ProgramServices>
        <ManagementAndGeneral>34357</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>STAFF TRAINING</Description>
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        <ProgramServices>31675</ProgramServices>
        <ManagementAndGeneral>2410</ManagementAndGeneral>
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        <Description>DUES AND SUBSCRIPTIONS</Description>
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        <ProgramServices>27879</ProgramServices>
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      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
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        <ProgramServices>22069</ProgramServices>
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      <AllOtherExpenses>
        <Total>4304</Total>
        <ProgramServices>4000</ProgramServices>
        <ManagementAndGeneral>304</ManagementAndGeneral>
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      <TotalFunctionalExpenses>
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        <ManagementAndGeneral>760507</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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        <EOY>100</EOY>
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      <SavingsAndTempCashInvestments>
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        <EOY>348682</EOY>
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      <AccountsReceivable>
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      <OtherNotesLoansReceivableNet>
        <BOY>23383</BOY>
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        <EOY>1461534</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>422702</BOY>
        <EOY>1402284</EOY>
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      <DeferredRevenue>
        <BOY>549010</BOY>
        <EOY>27641</EOY>
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      <UnsecuredNotesLoansPayable>
        <EOY>15317</EOY>
      </UnsecuredNotesLoansPayable>
      <TotalLiabilities>
        <BOY>971712</BOY>
        <EOY>1445242</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>53238</BOY>
        <EOY>-1170</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>17462</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>53238</BOY>
        <EOY>16292</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>1024950</BOY>
        <EOY>1461534</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
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        <CurrentTaxYearMinus1Year>3920750</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>5731522</CurrentTaxYear>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <Form990ScheduleDPartXIV>
        <Explanation>On January 1, 2009, the Center adopted the accounting standard on accounting for uncertainty in income taxes codified in Accounting Standards Codification ("ASC") 740, which addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under this guidance, the Center may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The guidance on accounting for uncertainty in income taxes also addresses derecognition, classification, interest and penalties on income taxes, and accounting in interim periods. Management evaluated the Center's tax positions and concluded that the Center had taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. With few exceptions, the Center is no longer subject to income tax examinations by U.S. federal, state or local tax authorities for years before 2007, which is the standard statute of limitations look-back period.</Explanation>
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    </IRS990ScheduleD>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>The Organizational Members of the GAPHC Board are determined by virtue of 2 criteria - their organization being and Federally Qualified Health Centers ("FQHC") and paying dues to GAPHC. There is an additional class of GAPHC Board Member, ie - At-Large Member. These Board poitions are individuals coming from other non-FQHC type health care organizations. The names of interested individuals are submitted to the Nominating Committee who in turn prepares the actual slate of At-Large Members for a 2 year term and that slate is presented to the Organizational members. That slate is then voted on by the Organizational Board Members. There are a total of 4 At-Large Board Members elected for 2 year terms.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>The Organizational Members of the GAPHC Board are determined by virtue of 2 criteria - their organization being and Federally Qualified Health Centers ("FQHC") and paying dues to GAPHC. There is an additional class of GAPHC Board Member, ie - At-Large Member. These Board poitions are individuals coming from other non-FQHC type health care organizations. The names of interested individuals are submitted to the Nominating Committee who in turn prepares the actual slate of At-Large Members for a 2 year term and that slate is presented to the Organizational members. That slate is then voted on by the Organizational Board Members. There are a total of 4 At-Large Board Members elected for 2 year terms.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>THE 990 RETURN IS REVIEWED BY THE EXECUTIVE DIRECTOR AND THE CHIEF FINANCIAL OFFICER. THE FORM 990 IS PRESENTED TO THE BOARD AFTER THE FILING OF THE DOCUMENT AS PART OF THE REGULAR FINANCIAL REPORTS IN CONJUNCTION WITH OUR BOARD MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy with the Board of Directors on an as needed basis.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>GAPHC uses salary data prepared by the National Association for Community Health Centers for similar organizations (Primary Care Associations) around the country. This data is used by both the Board for the CEO and by the CEO for the remainder of staff regarding salary comparability for specific types of positions. Additionally, an annual evaluation is prepared for each employee. For the CEO the evaluation is done by the Executive Committee of the Board of Directors, who is charged via the organizational By-Laws with this task. For the remainder of the staff- all other employees- the evaluation is completed by the CEO as the supervisor for all such staff. All decisions regarding compensation are appropriately documented.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization annual report which includes the financial statements is available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART XI LINE 2C</Identifier>
        <Explanation>THE PROCESS HAS NOT CHANGED SINCE PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>