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      <NoncashContributionsAmt>716491</NoncashContributionsAmt>
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      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Pt III Ln 12</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Income Part III, Line 12 Description: Other income 2012: 73208. 2013: 41479. 2014: 112933. 2015: 141773. 2016: 115270.</ExplanationTxt>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <BaseCompensationFilingOrgAmt>130498</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2616</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>7651</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7042</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6305</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>154112</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR LINDA BEAN</PersonNm>
        <BaseCompensationFilingOrgAmt>188956</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2672</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10784</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10175</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6919</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>219506</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR GLEN SINGER</PersonNm>
        <BaseCompensationFilingOrgAmt>173360</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1015</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>19298</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9721</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6829</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>210223</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR BETHANY ENOCH</PersonNm>
        <BaseCompensationFilingOrgAmt>167118</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1015</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>24355</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9649</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6305</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>208442</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR BRIAN WOLFE</PersonNm>
        <BaseCompensationFilingOrgAmt>173695</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1015</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>15218</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9517</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6919</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>206364</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DR JULIE STEWART</PersonNm>
        <BaseCompensationFilingOrgAmt>170419</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>1015</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>10081</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9131</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7978</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>198624</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual, end-of-year bonuses were provided to selected staff. Board approves CEO's bonus, CEO determines other staff bonuses.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="00000006">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>44828</NoncashContributionsRptF990Amt>
      </SecuritiesPubliclyTradedGrp>
      <RealEstateCommercialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>451380</NoncashContributionsRptF990Amt>
      </RealEstateCommercialGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>6</ContributionCnt>
        <NoncashContributionsRptF990Amt>212324</NoncashContributionsRptF990Amt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>CVille Drs Eqmt</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>7959</NoncashContributionsRptF990Amt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I col(b)</FormAndLineReferenceDesc>
        <ExplanationTxt>Column b represents number of donors contributing product, stock, tangible equipment and real estate.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="00000007" softwareId="16000371">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>CHCSEK prepares and circulates proposed Form 990 to Finance Committee for detailed analysis, and then reviews proposed Form 990 with full board before submission. A copy of the filed return is made available to the full board after filing with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>CHCSEK board members and leadership staff complete annual compliance questionnaires to disclose possible conflicts of interest at any point during the tax year, and then reviewed by the compliance officer and shared with financial auditors. No significant conflicts were disclosed in the financial statements.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>CEO compensation determined solely by the board of directors, assisted by industry-specific salary surveys, comparable local nonprofit compensation, and other Form 990 schedules of comparable nonprofit organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Staff compensation is limited to salary ranges approved by the board of directors, as determined by the CEO and VP of Human Resources, assisted by industry-specific salary surveys and comparable local nonprofit compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, Conflict of Interest policy and financials available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>There have been no changes in the audit oversight or selection process during the tax year. Finance Committee selects, affirmed by the full board, on selection of independent auditor. Finance Committee and full board reviews all audit work product.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Direct patient support 229976. 229976. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Immunizations 439436. 439436. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Education 106107. 92108. 13979. 20.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Dues 37825. 0. 37825. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Licenses 43186. 0. 43186. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Meals 22957. 0. 22957. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Laboratory 485747. 485747. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Dental supplies 320561. 320561. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Electronic Medical record 829642. 590868. 238774. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Recruitment 117665. 0. 117665. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Mobile van 20840. 8300. 12540. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24e</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debts 1778158. 1778158. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>