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        <PersonNm>Kris McCracken</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>182553</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Janet Langlois</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>1225</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle Croteau</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>68008</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>J Gavin Muir MD</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32724</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Laura Fry</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10170</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Cullen</PersonNm>
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        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <ReportableCompFromOrgAmt>201443</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Kiprop</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32094</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lisa DiBrigida</PersonNm>
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        <ReportableCompFromOrgAmt>144249</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>5674</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rachel Franchi-Winters</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>169160</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24984</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>1490262</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>139643</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Hutter Construction Corp</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>810 Turnpike Road</AddressLine1Txt>
            <CityNm>New Ipswich</CityNm>
            <StateAbbreviationCd>NH</StateAbbreviationCd>
            <ZIPCd>03071</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>933084</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Community Health Access Network</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>207 South Main Street</AddressLine1Txt>
            <CityNm>Newmarket</CityNm>
            <StateAbbreviationCd>NH</StateAbbreviationCd>
            <ZIPCd>03857</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Bedford Commons OBGYN</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Bedford</CityNm>
            <StateAbbreviationCd>NH</StateAbbreviationCd>
            <ZIPCd>03110</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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            <CityNm>Manchester</CityNm>
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            <ZIPCd>03105</ZIPCd>
          </USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Easter Seals Society of NH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
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          <USAddress>
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            <CityNm>Manchester</CityNm>
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            <ZIPCd>03101</ZIPCd>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
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        <RelatedOrExemptFuncIncomeAmt>9148960</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>50807</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>295431</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ManagementAndGeneralAmt>48158</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>168182</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>14990</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>90009</ProgramServicesAmt>
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        <ProgramServicesAmt>501734</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Other Expenses</Desc>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <EOYAmt>598833</EOYAmt>
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        <EOYAmt>465850</EOYAmt>
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        <EOYAmt>22589</EOYAmt>
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        <EOYAmt>2392001</EOYAmt>
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        <EOYAmt>101358</EOYAmt>
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        <EOYAmt>4097547</EOYAmt>
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        <EOYAmt>8189415</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleB documentId="RetDoc1234500001" />
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      <TotalLobbyingExpendituresAmt>6506</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>A portion of membership dues goes to lobbying.</ExplanationTxt>
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      </OtherLandBuildingsGrp>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>18220246</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueSubtotalAmt>18176985</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements.</ExplanationTxt>
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    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>Morning Matters Annual Breakfast</Event1Nm>
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        <GrossRevenueEvent1Amt>62447</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>11640</FoodAndBeverageEvent1Amt>
        <GrossReceiptsTotalAmt>62447</GrossReceiptsTotalAmt>
        <GrossRevenueTotalEventsAmt>62447</GrossRevenueTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>11640</FoodAndBeverageTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>11640</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>50807</NetIncomeSummaryAmt>
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    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Child and Family Services of New Hampshire</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>99 Hanover Street</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03101</ZIPCd>
        </USAddress>
        <RecipientEIN>020222164</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>108223</CashGrantAmt>
        <PurposeOfGrantTxt>Coordinate and promote training, technical assistance, and other resources to deliver high quality services that effectively meet the needs of children and families in the Manchester community.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Manchester Health Department</BusinessNameLine1Txt>
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          <AddressLine1Txt>1528 Elm St</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03101</ZIPCd>
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        <CashGrantAmt>25000</CashGrantAmt>
        <PurposeOfGrantTxt>Coordinate and promote training, technical assistance, and other resources to deliver high quality services that effectively meet the needs of children and families in the Manchester community.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Easter Seals</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>555 Auburn Street</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03103</ZIPCd>
        </USAddress>
        <RecipientEIN>020272825</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>102375</CashGrantAmt>
        <PurposeOfGrantTxt>Coordinate and promote training, technical assistance, and other resources to deliver high quality services that effectively meet the needs of children and families in the Manchester community.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Southern New Hampshire Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>40 Pine Street</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03103</ZIPCd>
        </USAddress>
        <RecipientEIN>020268285</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>27897</CashGrantAmt>
        <PurposeOfGrantTxt>Coordinate and promote training, technical assistance, and other resources to deliver high quality services that effectively meet the needs of children and families in the Manchester community.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YWCA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1020 19th Street NW Suite 750</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20036</ZIPCd>
        </USAddress>
        <RecipientEIN>131624103</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8844</CashGrantAmt>
        <PurposeOfGrantTxt>Coordinate and promote training, technical assistance, and other resources to deliver high quality services that effectively meet the needs of children and families in the Manchester community.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MPD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>405 Valley ST</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03103</ZIPCd>
        </USAddress>
        <IRCSectionDesc>Government</IRCSectionDesc>
        <CashGrantAmt>23091</CashGrantAmt>
        <PurposeOfGrantTxt>Coordinate and promote training, technical assistance, and other resources to deliver high quality services that effectively meet the needs of children and families in the Manchester community.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization does a periodic audit of each subrecipient's invoices, seeking detail behind each line item for at least two of the invoices per year. For the invoices not specifically tested like this, the Organization scans them and seeks support behind any purchases over $1,000 and looks for any unanticipated changes in staffing for that invoice. The Organization also reviews invoices to ensure there are no line item overages. All invoices get approved by the Project Launch director, who has a great pulse on the activities that each entity is running for the overall Project Launch program. The Organization also reviews the recipients' audits annually and determines if there are any issues related to internal control or compliance over the grants.</ExplanationTxt>
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    </IRS990ScheduleI>
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        <PersonNm>Kris McCracken</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
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        <PersonNm>J Gavin Muir MD</PersonNm>
        <TitleTxt>Chief Medical Officer</TitleTxt>
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        <PersonNm>Laura Fry</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>10170</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>245175</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Cullen</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>Peter Kiprop</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rachel Franchi-Winters</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>111852</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>PO's/Negotiated</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Opened an Optometry Clinic in mid-May.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Initial review is conducted by the CEO and CFO, and then the (revised, if necessary) document would be distributed to the finance committee for review, and then distributed to the full board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy covers both Board and staff members. Board members annually complete a survey disclosing any potential related party transactions. If a vote comes before the board, directors who may have a perceived conflict are to abstain from voting. For staff, they are not to be a participant in any decision-making process regarding employing a relative or contracting/purchasing goods from a relative, or leveraging their position to persuade others to engage in potential conflicts. Staff are expected to inform of any potential conflicts as well.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Executive Director compensation is reviewed and approved by the Executive Committee of board of directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Providers: Program service expenses 570,108. Management and general expenses 0. Fundraising expenses 0. Total expenses 570,108. Interpretation: Program service expenses 123,743. Management and general expenses 0. Fundraising expenses 0. Total expenses 123,743. Transportation: Program service expenses 24,477. Management and general expenses 0. Fundraising expenses 0. Total expenses 24,477. Contracted 340B Pharmacy: Program service expenses 313,746. Management and general expenses 0. Fundraising expenses 0. Total expenses 313,746. Contracted Information Systems: Program service expenses 489,095. Management and general expenses 0. Fundraising expenses 0. Total expenses 489,095. Other Contracted Services: Program service expenses 299,592. Management and general expenses 49,176. Fundraising expenses 0. Total expenses 348,768.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Schedule A, Part I:</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization is exempt under 170(b)(1)(a)(iii), as a hospital. The organization operates a federally qualified health center. The Health Center is not registered with the state of New Hampshire as a hospital. Accordingly no schedule H is attached.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>