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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER KREIDLER-MOSS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BROOKE LATTIMORE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN K LINGEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
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        <PersonNm>LUCY W LOOMIS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <PersonNm>STAN MCKEE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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        <PersonNm>DANIEL MILLER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>STEVEN MIRACLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <PersonNm>JERON L RAVIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS SPEGMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FELIX M VALBUENA JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH WOOLFORD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ANN ZELAZNY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL GONZALES-HANSON INT</PersonNm>
        <TitleTxt>PRES.&amp;CEO, THEN COO (TRANS. 8/16/23)</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARY HAWBECKER</PersonNm>
        <TitleTxt>SVP, CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OtherCompensationAmt>43739</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KYU B RHEE</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (FROM 8/16/23)</TitleTxt>
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        <OtherCompensationAmt>15769</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS J VAN COVERDEN</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (THRU 7/1/23)</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>110514</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SEAN RODDY</PersonNm>
        <TitleTxt>CFO (FROM 6/17/24)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD YEE</PersonNm>
        <TitleTxt>SVP, CHIEF MED. OFF. (THRU 5/7/24)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GINA L CAPRA</PersonNm>
        <TitleTxt>SVP, CHIEF EDUCATION OFFICER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD B MONEY</PersonNm>
        <TitleTxt>SVP, POPULATION HEALTH</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIA L SKAPIK</PersonNm>
        <TitleTxt>CHIEF MEDICAL INFORMATION OFFICER</TitleTxt>
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        <OtherCompensationAmt>62752</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH W DUNN</PersonNm>
        <TitleTxt>SVP, CHIEF POLICY OFFICER</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>18273</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3695456</TotalReportableCompFromOrgAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NATIONAL HEALTHCARE FOR THE HOMELESS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>604 GALLATIN AVENUE 106</AddressLine1Txt>
            <CityNm>NASHVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONS. SVCS REL. TO CDC DELIVERABLES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALLIANCE OF CHICAGO COMMUNITY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>225 W ILLINOIS STREET FL 5</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60654</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIVERSIFIED SEARCH LLC</BusinessNameLine1Txt>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2005 MARKET STREET 33RD FLOOR</AddressLine1Txt>
            <CityNm>PHILADELPHIA</CityNm>
            <StateAbbreviationCd>PA</StateAbbreviationCd>
            <ZIPCd>19103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>RECRUITMENT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALPINE ADVISORS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 N CAPITOL STREET NW SUITE 210</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STRATEGIC CONSULTING AND ADVOCACY</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CLINOVATIONS GOVERMENT HEALTH</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1325 G STREET NW SUITE 900</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONS. SVCS REL. TO CDC DELIVERABLES</ServicesDesc>
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      <GovernmentGrantsAmt>20382540</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>6376973</AllOtherContributionsAmt>
      <TotalContributionsAmt>26759513</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEMBERSHIP DUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>15281055</TotalRevenueColumnAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONF./CONVENTIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>10953013</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10953013</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CENTER FEES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1051848</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1051848</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PUBLICATIONS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>44035</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44035</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>ADVERTISING (SCH. O)</Desc>
        <BusinessCd>541800</BusinessCd>
        <TotalRevenueColumnAmt>597</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>597</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>27330548</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>950160</TotalRevenueColumnAmt>
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        <ExclusionAmt>195908</ExclusionAmt>
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        <SecuritiesAmt>48781817</SecuritiesAmt>
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        <SecuritiesAmt>48806961</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-25144</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-25144</TotalRevenueColumnAmt>
        <ExclusionAmt>-25144</ExclusionAmt>
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      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>55210985</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>27330548</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1120924</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>50000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2193979</TotalAmt>
        <ManagementAndGeneralAmt>2193979</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>17553296</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1207693</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>626960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69421</ManagementAndGeneralAmt>
        <FundraisingAmt>19403</FundraisingAmt>
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        <ProgramServicesAmt>4296329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>736915</ManagementAndGeneralAmt>
        <FundraisingAmt>132965</FundraisingAmt>
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        <ProgramServicesAmt>1272026</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238145</ManagementAndGeneralAmt>
        <FundraisingAmt>39368</FundraisingAmt>
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        <ProgramServicesAmt>360365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2782</ManagementAndGeneralAmt>
        <FundraisingAmt>598</FundraisingAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>87199</TotalAmt>
        <ProgramServicesAmt>86389</ProgramServicesAmt>
        <ManagementAndGeneralAmt>667</ManagementAndGeneralAmt>
        <FundraisingAmt>143</FundraisingAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>785766</TotalAmt>
        <ProgramServicesAmt>785766</ProgramServicesAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>46446</TotalAmt>
        <ManagementAndGeneralAmt>46446</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>11632800</TotalAmt>
        <ProgramServicesAmt>11517396</ProgramServicesAmt>
        <ManagementAndGeneralAmt>94984</ManagementAndGeneralAmt>
        <FundraisingAmt>20420</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>963204</TotalAmt>
        <ProgramServicesAmt>930365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24638</ManagementAndGeneralAmt>
        <FundraisingAmt>8201</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>704643</TotalAmt>
        <ProgramServicesAmt>643558</ProgramServicesAmt>
        <ManagementAndGeneralAmt>55807</ManagementAndGeneralAmt>
        <FundraisingAmt>5278</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>2075811</TotalAmt>
        <ProgramServicesAmt>1862185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182675</ManagementAndGeneralAmt>
        <FundraisingAmt>30951</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>1793550</TotalAmt>
        <ProgramServicesAmt>1709823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58915</ManagementAndGeneralAmt>
        <FundraisingAmt>24812</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>5084245</TotalAmt>
        <ProgramServicesAmt>5059512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19547</ManagementAndGeneralAmt>
        <FundraisingAmt>5186</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>141550</TotalAmt>
        <ProgramServicesAmt>126983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12456</ManagementAndGeneralAmt>
        <FundraisingAmt>2111</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>63586</TotalAmt>
        <ProgramServicesAmt>58074</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5036</ManagementAndGeneralAmt>
        <FundraisingAmt>476</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>1220892</TotalAmt>
        <ProgramServicesAmt>1206196</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12336</ManagementAndGeneralAmt>
        <FundraisingAmt>2360</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>SUBCONTRACTS</Desc>
        <TotalAmt>1154073</TotalAmt>
        <ProgramServicesAmt>1154073</ProgramServicesAmt>
      </OtherExpensesGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDWARD B MONEY</PersonNm>
        <TitleTxt>SVP, POPULATION HEALTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>330953</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>32445</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>-1328</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17223</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30878</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>410171</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JULIA L SKAPIK</PersonNm>
        <TitleTxt>CHIEF MEDICAL INFORMATION OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>310339</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30056</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>-2155</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>16143</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>46609</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>400992</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH W DUNN</PersonNm>
        <TitleTxt>SVP, CHIEF POLICY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>332653</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>48600</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>90</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>17308</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>965</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>399616</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KYU B RHEE</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (FROM 8/16/23)</TitleTxt>
        <BaseCompensationFilingOrgAmt>337512</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>289</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15769</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>353570</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 (C).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS COMPENSATION HAS BEEN REFLECTED IN SCHEDULE J, PART II, COLUMN (B)(II). ALL BONUSES WERE PERFORMANCE-BASED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <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. A COPY OF THE FORM 990 WILL BE SENT TO THE FULL BOARD FOR A VOTE PRIOR TO FILING.</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 AUGUST 2024.</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>CONSULTING: PROGRAM SERVICE EXPENSES 10,327,490. MANAGEMENT AND GENERAL EXPENSES 85,797. FUNDRAISING EXPENSES 18,446. TOTAL EXPENSES 10,431,733. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 1,056,467. MANAGEMENT AND GENERAL EXPENSES 8,156. FUNDRAISING EXPENSES 1,754. TOTAL EXPENSES 1,066,377. SPEAKER FEES: PROGRAM SERVICE EXPENSES 100,111. MANAGEMENT AND GENERAL EXPENSES 773. FUNDRAISING EXPENSES 166. TOTAL EXPENSES 101,050. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 29,241. MANAGEMENT AND GENERAL EXPENSES 226. FUNDRAISING EXPENSES 48. TOTAL EXPENSES 29,515. HONORARIA: PROGRAM SERVICE EXPENSES 4,087. MANAGEMENT AND GENERAL EXPENSES 32. FUNDRAISING EXPENSES 6. TOTAL EXPENSES 4,125.</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>