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        <PersonNm>SUZANNE PRITCHARD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD PARKER</PersonNm>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA FITZSIMMONS</PersonNm>
        <TitleTxt>SR. MANAGER, CORPORATE COM</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROMMIE JOHNSON</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEANNA SCATENA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERESA HOOSIER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA PROVINI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY RESES</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LISA MEADOWS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ENIKO SKINTEJ</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT GARDNER</PersonNm>
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        <OtherCompensationAmt>19501</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT ALAN STOWELL</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22230</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID LEETE</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14785</OtherCompensationAmt>
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      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>ATIBA SOFTWARE LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1310 CLINTON STREET SUITE 200</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CELOKS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SCOTT T WHALEY</PersonNm>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
        <Desc>SURVEY REVENUES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2023440</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>750308</ExclusionAmt>
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        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>47493</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>47493</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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        <ManagementAndGeneralAmt>658129</ManagementAndGeneralAmt>
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        <DeferredCompensationFlngOrgAmt>7935</DeferredCompensationFlngOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICHARD PARKER</PersonNm>
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        <TotalCompensationFilingOrgAmt>205664</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY RESES</PersonNm>
        <TitleTxt>SR. PHARMACY SURVEYOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>171370</BaseCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUZANNE PRITCHARD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA FITZSIMMONS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERESA HOOSIER</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROMMIE JOHNSON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEANNA SCATENA</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA MEADOWS</PersonNm>
        <TitleTxt>CLINICAL COMPLIANCE MANAGE</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID LEETE</PersonNm>
        <TitleTxt>VP FINANCE &amp; OPERATIONS</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BARBARA PROVINI</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>6084</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>173969</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ENIKO SKINTEJ</PersonNm>
        <TitleTxt>SR. MARKETING AND CORPORATE COMMUNIC</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>172841</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SCOTT ALAN STOWELL</PersonNm>
        <TitleTxt>SENIOR SALES MANAGER</TitleTxt>
        <BaseCompensationFilingOrgAmt>120441</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5661</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>16569</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>164338</TotalCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT GARDNER</PersonNm>
        <TitleTxt>MANAGER CORPORATE STRATEGY</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21571</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>5742</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>163495</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ACCRUED BONUSES ON THE BOOKS AS OF JUNE 30, 2025 THAT RELATE TO BONUSES PAYABLE BASED ON ACHIEVING FINANCIAL TARGETS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS ACCRUED BONUSES ON THE BOOKS AS OF JUNE 30, 2025 THAT RELATE TO BONUSES PAYABLE BASED ON ACHIEVING FINANCIAL TARGETS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED AND APPROVED BY ACHC MANAGEMENT AND THE FINANCE COMMITTEE OF ACHC'S BOARD OF COMMISSIONERS. THE ENTIRE BOARD OF COMMISSIONERS IS PROVIDED WITH A COPY OF FORM 990 FOR REVIEW PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH COMMISSIONER IS REQUIRED TO SIGN AND DATE THE CONFLICT OF INTEREST POLICY AND HAS A CONTINUING OBLIGATION TO SELF REPORT ANY MATERIAL CHANGES IN FACTS AND CIRCUMSTANCES. THE BOARD CHAIR AND EXECUTIVE COMMITTEE SHALL MAKE FINAL DETERMINATIONS REGARDING CONFLICT OF INTEREST MATTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF COMMISSIONERS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO ON AN ANNUAL BASIS, BASED ON COMPARABILITY DATA WITH SIMILAR SIZED NON-PROFITS AND ORGANIZATIONS. THE CEO OF THE ORGANIZATION REVIEWS AND DETERMINES THE SALARIES OF ALL OTHER KEY PERSONNEL ON AN ANNUAL BASIS, BASED ON COMPARABILITY DATA WITH SIMILAR SIZED ORGANIZATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ALL GOVERNING DOCUMENTS AND TAX RETURNS AVAILABLE UPON REQUEST AT THE ORGANIZATIONS MAIN OFFICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>SURVEYOR FEES: PROGRAM SERVICE EXPENSES 9,981,099. MANAGEMENT AND GENERAL EXPENSES 1,620. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,982,719. TEMPORARY STAFF: PROGRAM SERVICE EXPENSES 145,518. MANAGEMENT AND GENERAL EXPENSES 180,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 326,190. CONSULTING FEES: PROGRAM SERVICE EXPENSES 315. MANAGEMENT AND GENERAL EXPENSES 4,834. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,149. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 95,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,346.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ACCREDITATION COMMISSION FOR HEALTH CARE INTERNATIONAL LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>139 WESTON OAKS COURT</AddressLine1Txt>
          <CityNm>CARY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27513</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <TotalIncomeAmt>33500</TotalIncomeAmt>
        <EndOfYearAssetsAmt>453107</EndOfYearAssetsAmt>
      </IdDisregardedEntitiesGrp>
      <IdDisregardedEntitiesGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>LAB UNIVERSITY LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>139 WESTON OAKS COURT</AddressLine1Txt>
          <CityNm>CARY</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27513</ZIPCd>
        </USAddress>
        <PrimaryActivitiesTxt>HEALTH EDUCATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NC</LegalDomicileStateCd>
        <TotalIncomeAmt>198001</TotalIncomeAmt>
        <EndOfYearAssetsAmt>265634</EndOfYearAssetsAmt>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>ACCREDITATION COMMISSION FOR HEALTH CARE INTERNATIONAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <ForeignAddress>
          <AddressLine1Txt>160 ELGIN STREET</AddressLine1Txt>
          <CityNm>OTTAWA</CityNm>
          <CountryCd>CA</CountryCd>
          <ForeignPostalCd>K2P 2P7</ForeignPostalCd>
        </ForeignAddress>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CA</LegalDomicileForeignCountryCd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>