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        <PersonNm>DR ANNE MARIE REED</PersonNm>
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        <PersonNm>CHRISTINE KEMP</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>18558</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>DR DEBORAH RALSTON</PersonNm>
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        <TotalCompensationFilingOrgAmt>183640</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MISTY VANMILLIGAN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>141692</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5506</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16067</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>163265</TotalCompensationFilingOrgAmt>
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    <IRS990ScheduleM documentId="RetDoc7">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>9396</ContributionCnt>
        <NoncashContributionsRptF990Amt>744224</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>340B PRICING</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO BEING FILED THE FORM 990 IS PRESENTED TO THE FULL BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH DIRECTORS, OFFICERS AND KEY EMPLOYEES. WRITTEN CERTIFICATION IS REQUESTED AT THE TIME OF REVIEW. MEMBERS ARE ALSO ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST BASED ON THE AGENDA FOR EACH MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS COMPARATIVE SALARY INFORMATION COLLECTED THROUGH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA PRIMARY CARE ASSOCIATION THEN DETERMINES COMPENSATION FOR THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR REVIEWS COMPARATIVE SALARY INFORMATION COLLECTED THROUGH THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE IOWA PRIMARY HEALTH CARE ASSOCIATION THEN RECOMMENDS COMPENSATION FOR KEY EMPLOYEES THROUGH THE ANNUAL BUDGETING PROCESS. THE BOARD OF DIRECTORS ANNUALLY APPROVES THE BUDGET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT THE ORGANIZATION'S MAIN OFFICE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>