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        <OtherCompensationAmt>63627</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AMANDA VALERIO</PersonNm>
        <TitleTxt>VP OPERATIONS</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>187917</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>68312</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE WILLIAMS</PersonNm>
        <TitleTxt>OPTOMETRIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>170193</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>59126</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE EASTHAM</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>229448</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50110</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2470873</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>582054</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>31</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <StateAbbreviationCd>GA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALOYSIUS BUTLER &amp; CLARK</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>29 E MAIN STREET SUITE R</AddressLine1Txt>
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            <ZIPCd>17815</ZIPCd>
          </USAddress>
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        <ServicesDesc>CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>103229</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>25000</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>1397183</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1748792</AllOtherContributionsAmt>
      <TotalContributionsAmt>3170975</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>56068107</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56068107</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>56068107</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>148216</TotalRevenueColumnAmt>
        <ExclusionAmt>148216</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>340B REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3925689</TotalRevenueColumnAmt>
        <ExclusionAmt>3925689</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>RECOVERY OF BAD DEBT</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2432129</TotalRevenueColumnAmt>
        <ExclusionAmt>2432129</ExclusionAmt>
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      <OtherRevenueTotalAmt>6357818</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>65745116</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>56068107</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>6506034</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>19890765</TotalAmt>
        <ProgramServicesAmt>13373351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6517414</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>484347</ProgramServicesAmt>
        <ManagementAndGeneralAmt>236044</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>4972170</TotalAmt>
        <ProgramServicesAmt>3342987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1629183</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
        <TotalAmt>1626254</TotalAmt>
        <ProgramServicesAmt>1093395</ProgramServicesAmt>
        <ManagementAndGeneralAmt>532859</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>61572</TotalAmt>
        <ManagementAndGeneralAmt>61572</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>110110</TotalAmt>
        <ManagementAndGeneralAmt>110110</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>25505416</TotalAmt>
        <ProgramServicesAmt>22992802</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2512614</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>96602</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22660</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>16791</TotalAmt>
        <ProgramServicesAmt>13601</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3190</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>2864194</TotalAmt>
        <ProgramServicesAmt>2858446</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5748</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>50335</TotalAmt>
        <ProgramServicesAmt>40771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9564</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>73086</TotalAmt>
        <ProgramServicesAmt>59200</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13886</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>318783</TotalAmt>
        <ProgramServicesAmt>155</ProgramServicesAmt>
        <ManagementAndGeneralAmt>318628</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>999402</TotalAmt>
        <ProgramServicesAmt>675503</ProgramServicesAmt>
        <ManagementAndGeneralAmt>323899</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>601621</TotalAmt>
        <ProgramServicesAmt>379329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>222292</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>5693984</TotalAmt>
        <ProgramServicesAmt>5693984</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>1938699</TotalAmt>
        <ProgramServicesAmt>1938699</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>934036</TotalAmt>
        <ProgramServicesAmt>756569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>177467</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>216783</TotalAmt>
        <ProgramServicesAmt>175594</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41189</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>378443</TotalAmt>
        <ProgramServicesAmt>310685</ProgramServicesAmt>
        <ManagementAndGeneralAmt>67758</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>67092097</TotalAmt>
        <ProgramServicesAmt>54286020</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12806077</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>5838141</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>2434193</BOYAmt>
        <EOYAmt>1811085</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>109179</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>8277223</EOYAmt>
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        <EOYAmt>184915</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>64939</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>4757439</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>224018</EOYAmt>
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        <EOYAmt>41705620</EOYAmt>
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        <EOYAmt>14399040</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>60504660</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>-20876507</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1188714</BOYAmt>
        <EOYAmt>1108242</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>-19768265</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>40736395</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-1346981</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>2087270</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>1134755</DepreciationAmt>
        <BookValueAmt>4666402</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>91037</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>CAPITAL LEASE ASSETS</Desc>
        <BookValueAmt>14068691</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY SETTLEMENTS</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATIONS</Desc>
        <Amt>171927</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>14227113</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>65745116</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>65745116</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
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      <ExpensesNotRptFinclStmtAmt>1938699</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>67092097</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2025 AND 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOAN FORGIVENESS 2,087,270. RECLASS OF BAD DEBT -1,938,699.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>RECLASS OF BAD DEBT 1,938,699.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VERONICA GONZALEZ</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>366849</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>82259</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>47072</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17677</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>513857</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PHILIP DOMAN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <TotalCompensationFilingOrgAmt>353608</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALYSSA BENNETT</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>33640</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23794</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>351751</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICOLE EASTHAM</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>194220</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35228</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>26555</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23555</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>279558</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER CICCONETTI</PersonNm>
        <TitleTxt>CHIEF OF PHARMACY</TitleTxt>
        <BaseCompensationFilingOrgAmt>190688</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>21054</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>37005</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21617</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>270364</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ATYSHA MOHINDROO</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>166428</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28597</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>35280</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28347</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>258652</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AMANDA VALERIO</PersonNm>
        <TitleTxt>VP OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>161299</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>26618</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>39219</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>29093</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>256229</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICOLE WILLIAMS</PersonNm>
        <TitleTxt>OPTOMETRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>144640</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25553</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>32518</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26608</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229319</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIM WITTNER</PersonNm>
        <TitleTxt>CHIEF COMPLIANCE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>146495</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24278</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>31304</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19590</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>221667</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CAROL MICHAELS</PersonNm>
        <TitleTxt>CHIEF TRANSFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>139755</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>22807</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12174</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>174736</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>CHIEF EXECUTIVE OFFICER'S HAS WRITTEN CONTRACT WITH BONUS IN IT. ALL OTHER EMPLOYEES RECEIVE BONUS BASED ON GOALS AND ACHIEVEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REVIEWED THE FORM 990 IN DETAIL AND ALL MEMBERS OF THE BOARD WERE GIVEN A COPY OF THE FORM 990 PRIOR TO FILING WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER IS COMMITTED TO THE HIGHEST LEVELS OF INTEGRITY. ALL LEASED EMPLOYEES, BOARD MEMBERS, OFFICERS, EMPLOYEES, CONTRACTORS AND AGENTS OF VHPCHC ARE EXPECTED TO CONDUCT THEIR RELATIONSHIPS WITH EACH OTHER, THE HEALTH CENTER AND OUTSIDE ORGANIZATIONS WITH OBJECTIVITY AND HONESTY. THE GENERAL RULE IS THAT: ALL LEASED EMPLOYEES, BOARD MEMBERS, OFFICERS, EMPLOYEES, CONTRACTORS AND AGENTS OF VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER ARE OBLIGATED TO AVOID AND DISCLOSE ETHICAL, LEGAL, FINANCIAL, OR OTHER CONFLICTS OF INTEREST-REAL OR APPARENT- INVOLVING VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER AND REMOVE THEMSELVES FROM A POSITION OF DECISION-MAKING AUTHORITY WITH RESPECT TO ANY CONFLICT SITUATION INVOLVING VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER. VHPCHC REQUIRES THAT ALL BOARD MEMBERS, OFFICERS, EMPLOYEES, CONTRACTORS OR AGENTS, AS WELL AS CANDIDATES FOR BOARD MEMBERSHIP, DISCLOSE IN WRITING (AND UPDATE AT LEAST ANNUALLY): (1) ALL INTERESTS WHICH MAY CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AND (2) WHERE APPLICABLE, PROVIDE A STATEMENT SUGGESTING HOW SUCH CONFLICT COULD BE AVOIDED OR MITIGATED. ANNUAL DISCLOSURES ARE REVIEWED BY THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD APPROVES THE SALARY OF THE CHIEF EXECUTIVE OFFICER. SURVEYS FROM PROFESSIONAL ASSOCIATIONS, TRADE ASSOCIATIONS, AND SALARY SURVEYS FROM CONSULTING FIRMS ARE USED AS WELL AS REVIEW OF SIMILAR ORGANIZATIONS 990S. SALARY/WAGE INFORMATION IS PART OF THE CENTER'S BUDGET PROCESS, WHICH IS APPROVED BY THE FINANCE COMMITTEE AND THE BOARD. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND TAX RETURNS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,218,669. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,218,669. STORAGE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 49. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 170,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,105. OTHER CONTRACTED STAFF: PROGRAM SERVICE EXPENSES 20,167,697. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,167,697. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,655,000. MANAGEMENT AND GENERAL EXPENSES 1,293,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,948,896.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>REALATED PARTY LOAN FORGIVENESS 2,087,270.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>