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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT A KEANE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA R FOX</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLA BELCHER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUE VEER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIMBERLY MITROKA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BETH A WROBEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM BRENT III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANTOS CAMARILLO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENISE CYZMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DENNIS W KRUSE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUCY W LOOMIS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH O HORWOOD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD P BETTINI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER KREIDLER-MOSS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERESITA BATAYOLA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J VAN COVERDEN</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>1015175</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>71675</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>L DAVID TAYLOR</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>553120</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41846</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY L HAWBECKER</PersonNm>
        <TitleTxt>SVP, OPERATIONS &amp; CFO</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>550550</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53039</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHEN CAREY</PersonNm>
        <TitleTxt>CHIEF STRATEGY OFFICER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>425962</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56102</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GINA CAPRA</PersonNm>
        <TitleTxt>SVP, TRAINING &amp; TA</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>302738</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53925</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAUDIA GIBSON</PersonNm>
        <TitleTxt>EVP, COMMUNICATIONS</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>449340</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>51144</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENDA WHITE</PersonNm>
        <TitleTxt>SVP, CHIEF OF STAFF</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>379510</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30151</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RON YEE</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>372000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>56111</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>4048395</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>413993</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>45</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FELDESMAN TUCKER LEIFER FIDEL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1129 20 STREET NW 400</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20036</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL &amp; TECHNICAL ASSISTANCE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALIANCE OF CHICAGO COMMUNITY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>225 W ILLINOIS ST 5TH FL</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60654</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CDC GRANT DELIVERABLES</ServicesDesc>
        <CompensationAmt>590726</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OCHIN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SERVICES RELATED TO CDC DELIV</ServicesDesc>
        <CompensationAmt>486000</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>LEAVITT PARTNERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>299 SOUTH MAIN ST SUITE 2300</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84111</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING &amp; ADVOCACY</ServicesDesc>
        <CompensationAmt>430500</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTH CHOICE NETWORK INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9064 NW 13 TERRACE</AddressLine1Txt>
            <CityNm>MIAMI</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>33172</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SERVICES RELATED TO CDC DELIV</ServicesDesc>
        <CompensationAmt>366000</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>28</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>15347276</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3169330</AllOtherContributionsAmt>
      <TotalContributionsAmt>18516606</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>14796155</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14796155</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONF./CONVENTIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>2812585</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2812585</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CENTER FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>245997</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>245997</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>45788</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45788</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>ADVERTISING (SCH. O)</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>39769</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>39769</RelatedOrExemptFuncIncomeAmt>
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      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>20235</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20235</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>17960529</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>126304</TotalRevenueColumnAmt>
        <ExclusionAmt>126304</ExclusionAmt>
      </InvestmentIncomeGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>45108</TotalRevenueColumnAmt>
        <ExclusionAmt>45108</ExclusionAmt>
      </RoyaltiesRevenueGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>8463149</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>8485116</SecuritiesAmt>
        <OtherAmt>2622</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-21967</SecuritiesAmt>
        <OtherAmt>-2622</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-24589</TotalRevenueColumnAmt>
        <ExclusionAmt>-24589</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>24410</TotalRevenueColumnAmt>
        <ExclusionAmt>24410</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>24410</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>36648368</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>17960529</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>171233</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2305468</TotalAmt>
        <ProgramServicesAmt>580939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1724529</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>12703029</TotalAmt>
        <ProgramServicesAmt>12203633</ProgramServicesAmt>
        <ManagementAndGeneralAmt>187064</ManagementAndGeneralAmt>
        <FundraisingAmt>312332</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>467106</TotalAmt>
        <ProgramServicesAmt>438866</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12623</ManagementAndGeneralAmt>
        <FundraisingAmt>15617</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2232044</TotalAmt>
        <ProgramServicesAmt>2130650</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46514</ManagementAndGeneralAmt>
        <FundraisingAmt>54880</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>970909</TotalAmt>
        <ProgramServicesAmt>833627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116861</ManagementAndGeneralAmt>
        <FundraisingAmt>20421</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>872254</TotalAmt>
        <ProgramServicesAmt>851452</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17795</ManagementAndGeneralAmt>
        <FundraisingAmt>3007</FundraisingAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>75200</TotalAmt>
        <ProgramServicesAmt>68334</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5873</ManagementAndGeneralAmt>
        <FundraisingAmt>993</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>660000</TotalAmt>
        <ProgramServicesAmt>660000</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>17204</TotalAmt>
        <ManagementAndGeneralAmt>17204</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>10361675</TotalAmt>
        <ProgramServicesAmt>10361394</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240</ManagementAndGeneralAmt>
        <FundraisingAmt>41</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>366562</TotalAmt>
        <ProgramServicesAmt>352998</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9971</ManagementAndGeneralAmt>
        <FundraisingAmt>3593</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>379497</TotalAmt>
        <ProgramServicesAmt>344849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29639</ManagementAndGeneralAmt>
        <FundraisingAmt>5009</FundraisingAmt>
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      <OccupancyGrp>
        <TotalAmt>1689409</TotalAmt>
        <ProgramServicesAmt>1535166</ProgramServicesAmt>
        <ManagementAndGeneralAmt>131943</ManagementAndGeneralAmt>
        <FundraisingAmt>22300</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>110207</TotalAmt>
        <ProgramServicesAmt>110079</ProgramServicesAmt>
        <ManagementAndGeneralAmt>109</ManagementAndGeneralAmt>
        <FundraisingAmt>19</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>497811</TotalAmt>
        <ProgramServicesAmt>497782</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25</ManagementAndGeneralAmt>
        <FundraisingAmt>4</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>344354</TotalAmt>
        <ProgramServicesAmt>312914</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26895</ManagementAndGeneralAmt>
        <FundraisingAmt>4545</FundraisingAmt>
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        <EOYAmt>24157281</EOYAmt>
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        <EOYAmt>764843</EOYAmt>
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        <EOYAmt>15120210</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>39277491</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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      <PublicOrganization170Ind>X</PublicOrganization170Ind>
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        <CurrentTaxYearMinus2YearsAmt>15779019</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16417406</CurrentTaxYearMinus1YearAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>14214800</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15779019</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16417406</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18516606</CurrentTaxYearAmt>
        <TotalAmt>78254316</TotalAmt>
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      <PublicSupportTotal170Amt>75202491</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>303684</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>182802</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>338029</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>171412</CurrentTaxYearAmt>
        <TotalAmt>1248184</TotalAmt>
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      <OtherIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>-4497</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>24410</CurrentTaxYearAmt>
        <TotalAmt>26917</TotalAmt>
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      <GrossReceiptsRltdActivitiesAmt>107595725</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.94560</PublicSupportCY170Pct>
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      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <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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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <FilingOrganizationsTotalAmt>4768</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
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      <TotalLobbyingExpendGrp>
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      <OtherExemptPurposeExpendGrp>
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      <TotalExemptPurposeExpendGrp>
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      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>250000</FilingOrganizationsTotalAmt>
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      <TotLbbyngGrassrootMnsNonTxGrp>
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      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
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        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>4000000</TotalAmt>
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      <AvgTotalLobbyingExpendGrp>
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        <CurrentYearMinus2Amt>720649</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>870000</CurrentYearMinus1Amt>
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      <AvgGrassrootsNontaxableGrp>
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        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
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        <CurrentYearAmt>4768</CurrentYearAmt>
        <TotalAmt>12823</TotalAmt>
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      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
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      <RevenueNotReportedFinclStmtAmt>17204</RevenueNotReportedFinclStmtAmt>
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      <ExpensesNotReportedAmt>2622</ExpensesNotReportedAmt>
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        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>NACHC RECEIVED FUNDS RESULTING FROM CLASS ACTION SETTLEMENTS BETWEEN MAJOR MANUFACTURERS OF BRAND NAME PRESCRIPTION DRUGS AND PURCHASERS OF THOSE DRUGS, WHICH WERE DESIGNATED FOR USE BY FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). AS PART OF THE SETTLEMENT AGREEMENTS, IT WAS AGREED THAT NACHC WOULD ACT AS THE ADMINISTRATOR OF THE FUNDS AND DISTRIBUTE THE SETTLEMENT FUNDS TO APPROVED FQHC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE YEARS ENDED JUNE 30, 2021 AND 2020, NACHC HAS DOCUMENTED ITS CONSIDERATION OF FASB ASC 740-10, INCOME TAXES, THAT PROVIDES GUIDANCE FOR REPORTING UNCERTAINTY IN INCOME TAXES AND HAS DETERMINED THAT NO MATERIAL UNCERTAIN TAX POSITIONS QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
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        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSETS REPORTED AS AN EXPENSE 2,622. ON THE FINANCIAL STATEMENTS AND NETTED AGAINST REVENUE ON FORM 990, PART VIII, LINE 7D.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF FIXED ASSETS REPORTED AS AN EXPENSE 2,622. ON THE FINANCIAL STATEMENTS AND NETTED AGAINST REVENUE ON FORM 990, PART VIII, LINE 7D.</ExplanationTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>16719</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20474</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35628</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>482064</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RON YEE</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>317624</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>54376</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>15516</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>40595</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>428111</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GLENDA WHITE</PersonNm>
        <TitleTxt>SVP, CHIEF OF STAFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>295491</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>84019</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14795</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15356</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>409661</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINA CAPRA</PersonNm>
        <TitleTxt>SVP, TRAINING &amp; TA</TitleTxt>
        <BaseCompensationFilingOrgAmt>262668</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>40070</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13138</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>40787</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>356663</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>FIRST CLASS AIRFARE MUST BE APPROVED IN ADVANCE BY THE AUTHORIZING BODY AND WILL BE CONSIDERED UNDER THE FOLLOWING CONDITIONS: - NO LESS THAN FIRST CLASS SERVICE IS REASONABLY AVAILABLE OR THE FARE FOR COACH IS THE SAME OR HIGHER. DOCUMENTATION SUPPORTING THAT THIS IS THE CASE IS REQUIRED. - WHEN USE OF FIRST-CLASS IS NECESSARY TO ACCOMMODATE A DISABILITY OR OTHER SPECIAL NEED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>457F COMPENSATION HAS BEEN REFLECTED IN PART II, COLUMN (B)(III).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS COMPENSATION HAS BEEN REFLECTED IN PART II, COLUMN (B)(II).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MERIDIAN COMMUNICATIONS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MERIDIAN COMMUNICATIONS IS OWNED BY STEPHEN CAREY, CHIEF STRATEGY OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>100000</TransactionAmt>
        <TransactionDesc>MERIDIAN COMMUNICATIONS PROVIDES CONSULTING SERVICES TO NACHC. SERVICES WERE PROVIDED AT OR BELOW FAIR MARKET VALUE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>POTOMAC STRATEGIC DEVELOPMENT</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>POTOMAC STRATEGIC DEV. IS OWNED BY STEPHEN CAREY, CHIEF STRATEGY OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>100000</TransactionAmt>
        <TransactionDesc>POTOMAC STRATEGIC DEVELOPMENT PROVIDES CONSULTING SERVICES TO NACHC. SERVICES WERE PROVIDED AT OR BELOW FAIR MARKET VALUE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LORI RITI</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>LORI RITI HAS A FAMILY RELATIONSHIP WITH THOMAS J. VAN COVERDEN, CEO</RelationshipDescriptionTxt>
        <TransactionAmt>132007</TransactionAmt>
        <TransactionDesc>LORI IS AN EMPLOYEE AT NACHC. SHE IS PAID AT MARKET RATE.</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NACHC'S MEMBERS HAVE THE RIGHT TO ELECT MEMBERS TO NACHC'S GOVERNING BOARD. THERE ARE NOT DIFFERENT CLASSES OF MEMBERS. NACHC HAS THE FOLLOWING MEMBERSHIP CATEGORIES: - ORGANIZATIONAL MEMBERS: FEDERALLY QUALIFIED HEALTH CENTERS OR FQHC LOOK-A-LIKES (ONLY MEMBERSHIP CATEGORY WITH VOTING RIGHTS); ASSOCIATE MEMBERS: NOT-FOR-PROFIT ORGANIZATIONS SUPPORTING FQHCS WITH A SIMILAR MISSION; NETWORK MEMBERS; HEALTH CENTER LED NETWORKS; AND INDIVIDUAL MEMBERSHIP - OPEN TO ALL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOUSE OF DELEGATES ELECTS THE OFFICERS OF THE ASSOCIATION, REVIEWS AND APPROVES AN ANNUAL REPORT FROM THE BOARD, AND TAKES OTHER ACTIONS AND ACTIVITIES AS MAY BE REQUIRED BY THE BYLAWS. ALL ELECTIONS AND ALL MATTERS BROUGHT BEFORE THE HOUSE OF DELEGATES, EXCEPT BYLAWS AND AMENDMENTS AND DISSOLUTION, ARE DECIDED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS PRESENT AT THE HOUSE OF DELEGATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL ELECTIONS AND ALL MATTERS BROUGHT BEFORE THE HOUSE OF DELEGATES, EXCEPT BYLAWS, AMENDMENTS AND DISSOLUTION, ARE DECIDED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS PRESENT AT THE HOUSE OF DELEGATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NACHC BOARD HAS APPOINTED THE AUDIT COMMITTEE TO REVIEW THE 990 PRIOR TO ITS FILING WITH THE IRS. THE AUDIT COMMITTEE CHAIR PRESENTED A SUMMARY OF THE 990 TO THE EXECUTIVE COMMITTEE AND THE BOARD. BOARD MEMBERS MAY REQUEST A COPY OF THE 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>NACHC HAS A CONFLICT OF INTEREST POLICY, THE PRIMARY PURPOSE OF WHICH IS TO PROVIDE GUIDANCE TO EMPLOYEES, AGENTS, OFFICERS AND MEMBERS OF THE BOARD OF DIRECTORS OF NACHC TO AVOID: (1) USING THEIR POSITIONS FOR PURPOSES THAT ARE MOTIVATED BY A DESIRE FOR PRIVATE FINANCIAL OR OTHER GAIN FOR THEMSELVES OR OTHERS SUCH AS THOSE WITH WHOM THEY HAVE FAMILY, BUSINESS, OR OTHER TIES; AND (2) VIOLATING THEIR DUTY TO NACHC BY INAPPROPRIATELY DISCLOSING CONFIDENTIAL INFORMATION ABOUT NACHC. THE POLICY IS SIGNED BY THE INDIVIDUAL AND UPDATED EVERY TWO YEARS. THE POLICY REQUIRES THAT ANY CONFLICT OF INTEREST BE DISCLOSED IMMEDIATELY UPON ITS IDENTIFICATION. IN ADDITION, EMPLOYEES DISCLOSE TO THE COO (AND IF THE COO DETERMINES THAT A POTENTIALLY SERIOUS CONFLICT COULD ARISE, MUST DISCLOSE TO THE CHAIR OF THE BOARD), IN WRITING, THE SPECIFICS OF ANY PLANS TO ACCEPT SUPPLEMENTAL OUTSIDE EMPLOYMENT SO THAT NACHC MAY DETERMINE WHETHER SUCH OUTSIDE EMPLOYMENT OR CONSULTANCY HAS THE POTENTIAL FOR CONFLICTING WITH THE INTERESTS OF NACHC. NACHC'S PRIOR APPROVAL OF SUCH OUTSIDE EMPLOYMENT OR CONSULTANCY IS REQUIRED. NO MEMBER OF THE BOARD OF DIRECTORS VOTES ON ANY MATTER WHICH MAY DIRECTLY OR INDIRECTLY RESULT IN FINANCIAL GAIN TO THAT MEMBER, OR WHICH CONFLICTS WITH THAT MEMBER'S OBLIGATIONS TO ANOTHER ORGANIZATION'S BOARD OF DIRECTORS OR TO HIS/HER EMPLOYER. PROVIDED THAT THE MEMBER OF THE BOARD OF DIRECTORS HAS FIRST DISCLOSED A CONFLICT OR POTENTIAL CONFLICT, AND ABSTAINS FROM VOTING IN THAT REGARD, HE/SHE MAY PARTICIPATE IN DISCUSSIONS RELATING TO THAT MATTER. HOWEVER, UPON MOTION MADE, SECONDED, AND ADOPTED BY A MAJORITY OF THE MEMBERS PRESENT, THE BOARD OF DIRECTORS MAY EXCLUDE A MEMBER WITH A CONFLICT OR POTENTIAL CONFLICT FROM DISCUSSIONS OF MATTERS INVOLVING NACHC'S PROPRIETARY INFORMATION OR SIMILARLY SENSITIVE MATTERS THE DISCLOSURE OF WHICH WOULD NOT BE IN NACHC'S BEST INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NACHC BOARD HAS ADOPTED A "COMPENSATION PHILOSOPHY AND HAS APPOINTED A "COMPENSATION COMMITTEE" TO OVERSEE THE CEO'S AND EXECUTIVE TEAM'S COMPENSATION. EVERY THREE TO FIVE YEARS, THE COMPENSATION COMMITTEE CHAIR CONTRACTS WITH A COMPENSATION SPECIALIST TO PERFORM AN IN-DEPTH REVIEW OF EXECUTIVE COMPENSATION AND DETERMINE THAT COMPENSATION IS REASONABLE AND CONSISTENT WITH THE "COMPENSATION PHILOSOPHY". ON AN ANNUAL BASIS, PRIOR TO ADJUSTMENTS OR BONUSES, THE CHAIR RECEIVES AN UPDATE OF THE REPORT TO ENSURE THAT OVERALL COMPENSATION IS REASONABLE. THE COMPENSATION COMMITTEE REPORTS TO THE EXECUTIVE COMMITTEE AND THE EXECUTIVE COMMITTEE GIVES A SUMMARY TO THE FULL BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE APPROVES THE CEO'S AND CFO'S COMPENSATION ON AN ANNUAL BASIS. THE CEO APPROVES THE COMPENSATION FOR THE EXECUTIVE TEAM. THE LAST COMPENSATION REVIEW TOOK PLACE IN JUNE 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BYLAWS AND ANNUAL REPORT ARE INCLUDED ON THE NACHC WEBSITE AT WWW.NACHC.COM. ALL OTHER DOCUMENTS ARE MADE AVAILABLE UPON REQUEST THROUGH OUR COMMUNICATIONS DIVISION OR BY CONTACTING THE CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 7,763,476. MANAGEMENT AND GENERAL EXPENSES 240. FUNDRAISING EXPENSES 41. TOTAL EXPENSES 7,763,757. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 2,597,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,597,918.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VIII, LINE 2E:</FormAndLineReferenceDesc>
        <ExplanationTxt>ADVERTISING INCOME IS GENERATED FROM EMPLOYMENT ADS PLACED BY COMMUNITY HEALTH CENTERS OR SUPPORT ORGANIZATIONS FOR ALL STAFFING NEEDS INCLUDING MEDICAL, EXECUTIVE AND ADMINISTRATIVE. COMMUNITY HEALTH CENTERS ARE LOCATED IN UNDERPRIVILEDGED COMMUNITIES; IDENTIFYING QUALIFIED PERSONNEL TO SERVE THESE COMMUNITIES IS DIRECTLY RELATED TO NACHC'S EXEMPT PURPOSE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
