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        <PersonNm>SCOTT CLAIR</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1183285</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>109304</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>InConcert Care Inc</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>9943 Hickman Rd Ste 103</AddressLine1>
            <City>Urbandale</City>
            <State>IA</State>
            <ZIPCode>50322</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT Network Mgmt; Communications</ServicesDesc>
        <CompensationAmt>364098</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Quest Diagnostics</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>1299 Collections Center</AddressLine1>
            <City>Chicago</City>
            <State>IL</State>
            <ZIPCode>60693</ZIPCode>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Professional medical lab services</ServicesDesc>
        <CompensationAmt>113983</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Marshalltown Medical and Surgical Center</BusinessNameLine1>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>3 S 4th Ave</AddressLine1>
            <City>Marshalltown</City>
            <State>IA</State>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Prof lab and bldg rents</ServicesDesc>
        <CompensationAmt>315686</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>32915</FundraisingAmt>
      <GovernmentGrantsAmt>9635911</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>1530933</AllOtherContributionsAmt>
      <TotalContributionsAmt>11199759</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>10659272</TotalRevenueColumnAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621110</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Capitation revenue</Desc>
        <BusinessCd>621110</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Quality incentives</Desc>
        <BusinessCd>621110</BusinessCd>
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      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>11047918</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>5798</TotalRevenueColumnAmt>
      </InvestmentIncomeGrp>
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      </GrossAmountSalesAssetsGrp>
      <GainOrLossGrp>
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      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
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      </NetGainOrLossInvestmentsGrp>
      <ContriRptFundraisingEventAmt>32915</ContriRptFundraisingEventAmt>
      <GrossSalesOfInventoryAmt>680401</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>349788</CostOfGoodsSoldAmt>
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        <RelatedOrExemptFuncIncomeAmt>330613</RelatedOrExemptFuncIncomeAmt>
      </NetIncomeOrLossGrp>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>11384429</RelatedOrExemptFuncIncomeAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>543914</TotalAmt>
        <ProgramServicesAmt>543914</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>566544</TotalAmt>
        <ProgramServicesAmt>51809</ProgramServicesAmt>
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        <FundraisingAmt>35445</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
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        <TotalAmt>9535616</TotalAmt>
        <ProgramServicesAmt>8435113</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1059526</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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      <AdvertisingGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>104232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14878</ManagementAndGeneralAmt>
        <FundraisingAmt>452</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>32280</TotalAmt>
        <ProgramServicesAmt>21492</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10282</ManagementAndGeneralAmt>
        <FundraisingAmt>506</FundraisingAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>19237</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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        <ManagementAndGeneralAmt>122158</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <Desc>Bad Debt</Desc>
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        <ProgramServicesAmt>1265245</ProgramServicesAmt>
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        <FundraisingAmt>0</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>Dues/Subs/Lic/Fees</Desc>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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      <GrossReceiptsRltdActivitiesAmt>52683375</GrossReceiptsRltdActivitiesAmt>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
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      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
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      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt II-B Line 1</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad Debt allowance</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Grants for P&amp;E; gain on sale of asset; investment income; cost of goods sold</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Gain on sale of asset; cost of goods sold</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XII Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt allowance</ExplanationTxt>
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        <NameOfEvent2Amt>AIDS Walk/Run</NameOfEvent2Amt>
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        <DirectExpenseSummaryEventsAmt>2698</DirectExpenseSummaryEventsAmt>
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          <BusinessNameLine1>Iowa Medical Education Collaborative</BusinessNameLine1>
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          <AddressLine1>1111 6th Avenue</AddressLine1>
          <City>Des Moines</City>
          <State>IA</State>
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        <RecipientEIN>460867190</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>1308565</CashGrantAmt>
        <PurposeOfGrantTxt>Operate medical residency program</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Travel/Food/Fees/Rent/Misc/Ins Assist</GrantTypeTxt>
        <RecipientCnt>4153</RecipientCnt>
        <CashGrantAmt>415341</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Pharmacy costs/vouchers</GrantTypeTxt>
        <RecipientCnt>4200</RecipientCnt>
        <CashGrantAmt>41997</CashGrantAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>0</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Clothing/Household goods</GrantTypeTxt>
        <RecipientCnt>685</RecipientCnt>
        <NonCashAssistanceAmt>71212</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Clothing/furniture/household goods</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PHC monitors the use of these funds through reports from the recipient</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>detailing staff time and effort information on those who provided the</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>services, and the number of patients seen, and the costs of those svcs</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, col (b)</FormAndLineReferenceDesc>
        <ExplanationTxt>PHC staff keeps detailed records of clients assisted with cash payments</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, col (b)</FormAndLineReferenceDesc>
        <ExplanationTxt>and household goods. The split between those two items was estimated using a</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, col (b)</FormAndLineReferenceDesc>
        <ExplanationTxt>$25 cash average per client. Pharmacy vouchers were estimated using an</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, col (b)</FormAndLineReferenceDesc>
        <ExplanationTxt>approximate value of $100 per patient.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="00000008">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>true</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERY ENGEBRETSEN</PersonNm>
        <BaseCompensationFilingOrgAmt>161283</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6694</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11167</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>179144</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICK HOOKER</PersonNm>
        <BaseCompensationFilingOrgAmt>174107</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7107</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8667</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>189881</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSE AGUILAR</PersonNm>
        <BaseCompensationFilingOrgAmt>139673</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5717</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9210</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>154600</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY SWINTON</PersonNm>
        <BaseCompensationFilingOrgAmt>145862</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5967</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8092</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>159921</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEFANIE DONNELL</PersonNm>
        <BaseCompensationFilingOrgAmt>137380</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5751</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15664</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>158795</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LILANGANIE WEERASINGHE</PersonNm>
        <BaseCompensationFilingOrgAmt>145649</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5821</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>151470</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt I Line 5a</FormAndLineReferenceDesc>
        <ExplanationTxt>PHC provides a gain-sharing incentive program for clinical providers</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="00000009" softwareId="13000178">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KELLY HUNTSMAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Executive Director</RelationshipDescriptionTxt>
        <TransactionAmt>364098</TransactionAmt>
        <TransactionDesc>IT Network management</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="00000010">
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>50710</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>30440</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Average wholesale</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="00000011" softwareId="13000178">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The finance director distributes a copy of the return</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>to all board members, and presents a summary at a</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>full board meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 8a</FormAndLineReferenceDesc>
        <ExplanationTxt>Minutes are taken during each full board meeting</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>Minutes are taken during each board committee meeting</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members annually complete a conflict of interest statement</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Board compensation committee reviews Exec Director</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>salary annually</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, conflict of interest policy,</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>and financial statements are available to the public</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>upon request to the administrative offices.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt XI</FormAndLineReferenceDesc>
        <ExplanationTxt>Increase in temporarily restricted net assets</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>PHC began operating a Family Practice residency clinic in 2013,</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>with the help of a local hospital and a new HRSA grant.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt III, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>See Pt III, Line 4c.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAMS 422269. 0. 1963076.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 24f</FormAndLineReferenceDesc>
        <ExplanationTxt>MISC/EMPLOYEE EVENTS 10891. 1637. 9254. 0. BOARD EXPENSES 639. 0. 639. 0. CREDENTIALLING 3998. 0. 3998. 0. OTHER CONTRACTED STAFF 1374500. 1363060. 11440. 0. FRONT DESK COLLECTION 192. 192. 0. 0. POSTAGE 23192. 8308. 11907. 2977. STUDENT HOUSING 2057. 2057. 0. 0.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>