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      <GovernmentGrantsAmt>3019008</GovernmentGrantsAmt>
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      <GrossRentsGrp>
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      <NetRentalIncomeOrLossGrp>
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      </NetIncmFromFundraisingEvtGrp>
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        <Desc>Miscellaneous Income</Desc>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <BenefitsToMembersGrp>
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      <PensionPlanContributionsGrp>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesProfFundraising>
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        <ManagementAndGeneralAmt>45481</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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        <ProgramServicesAmt>4670</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1241</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>165472</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>72090</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1330444</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Supplies</Desc>
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        <ProgramServicesAmt>214701</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Billing Fees</Desc>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>5972829</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1063508</ManagementAndGeneralAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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      <ReconcilationRevenueExpnssAmt>-422692</ReconcilationRevenueExpnssAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <CurrentTaxYearMinus3YearsAmt>2883486</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>2327327</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3022308</CurrentTaxYearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2883486</CurrentTaxYearMinus3YearsAmt>
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      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
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        <CurrentTaxYearMinus1YearAmt>93562</CurrentTaxYearMinus1YearAmt>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Clinic is exempt from federal income taxes under Section 501 (c)(3) of the Internal Revenue Code. The Clinic is exempt from State income taxes under the Alaska Nonprofit Corporation Act. Therefore, the accompanying statements do not reflect a provision for income taxes. Although the Clinic is exempt from federal income taxes, any income derived from unrelated business activities is subject to the requirement of filing U.S. Federal Income Tax Form 990-T and a tax liability may bedetermined on these activities.The Clinics policy is to report interest and penalties associated with uncertain tax positions as other expense. There is no interest or penalties accrued at June 30, 2023 and 2022. With few exceptions, the Clinic is not subject to audit of its tax returns prior to 2020. Management has taken no uncertain tax positions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ann Nora Ehret</PersonNm>
        <TitleTxt>DO</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>6500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>25662</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>152117</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Beatriz Dietrick</PersonNm>
        <TitleTxt>FNP</TitleTxt>
        <BaseCompensationFilingOrgAmt>118712</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35392</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>154104</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Noel Rea</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>226028</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>226028</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Megan Sarnecki MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>229751</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>20500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1316</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>251567</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>William Buttner MD</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>213365</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>26000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34056</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>273421</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22015553" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The officers of the board serve as an executive committee. Their function is to approve operational requirements on which action may be required between regular meetings of the board of directors, and other related duties as determined by the board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to filing, the form 990 was reviewed by the organization's administration, then presented to the finance committee, and then to the entire board of directors for approval.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The board of directors performs internal monitoring of each member's associations and relationships on an annual basis so that no member is in a decision making process that can be unduly influenced through a prior relationship. A Member of the board who has a financial, fiduciary or other direct interest in any specific issue before the board abstains from voting on that issue. Board members are required to declare any suspected or actual conflict of interest for purposes of determination by the board. Any board member may ask the board to resolve any question of conflicts.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>For the CEO, the board of directors gathers various pieces of information in determining compensation. They utilize the Alaska state salary surveys and salary information provided by the northwest regional primary care association. Other factors involved in the determination are as follows: Job description, compensation history, performance goals achieved, and overall performance of the organization. The board meets in an executive session to finalize the compensation piece of the CEO's contract. This process is completed annually.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents, board code of ethics, and grievance policy are available to the public upon request. The organization's monthly financial statements are available to the public at the board of directors' monthly meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>During the audit, it was discovered that the accrued leave in FY22 had been calculated incorrectly according to the Clinics policies. This caused a significant variance in the 2022 accrued leave balance and beginning net assets.As a result of the error, the Clinic has recorded an opening balance adjustment to decrease the accrued leave balance and the net assets as follows:Opening net assets, as originally presented $ 6,373,855Prior period adjustment 176,887Opening net assets, as restated $ 6,550,742</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
