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      <Description>Valley-Wide Health Systems, Inc. is a private, non-profit, Community/Migrant Health Center, serving 17 counties in southern rural Colorado since 1976, with full Joint Commission accreditation since 1997. The mission of the organization directs Valley-Wide's scope of service, which is to provide quality, comprehensive health care services in a respectful and inclusive manner, with special consideration for medically underserved populations. This specifically includes patients who are uninsured, underinsured, or who have limited or no access to primary health and/or dental care services.Valley-Wide provides safe and effective comprehensive primary and oral health care services, in addition to a Farmworker Health Service Program that provides services through vouchers in areas of the state that do not house C/MHCs, and to improve the health status of underserved and vulnerable populations. Counties served are all geographically unique and isolated - designated as rural or sparsely populated, and Medically Underserved Areas or Populations - immersed in poverty and include 9 of the 11 poorest counties of Colorado's 64 counties, where significant populations live less than or equal to 200% of the federal poverty level. Other characteristics of VWHS's geographically rugged and diverse service areas include populations with higher averages than the state for residents who are uninsured and underinsured, of Hispanic origin, 65 years and older, and Farmworkers who constitute a significant special population. These populations have no other point of regular access into primary or oral health care, other than through Valley-Wide clinics. A Governing Board, representative of each region and population, directs service delivery. Creating a comprehensive system of care, inclusive of 13 primary care clinics, five oral health clinics, a new primary and oral health mobile unit, and multiple outreach programs, to address complex and varied health conditions, primary care clinics (or primary care services in voucher sites) are strategically located throughout 18 counties that define Valley-Wide's geographic service area, each designed to be close to home. Further expanding access, a Convenient Care access model was implemented January 2008 extending hours of primary health care availability. With a family practice focus, intended to address the unique needs of each lifecycle, a mix of 31.25 medical doctor and mid-level providers, and 6.95 dentists (including 2 Residents) work extended weekday and weekend hours to ensure that services are available to vulnerable target populations when needed, with nurse-on-call after-hour service coverage. In 2009, VWHS served 39,249 patients (including Farmworkers) through 162,187 patient visits and outreach services. A milieu of organizational ancillary services, such as rehabilitative, nutrition, and casemanagement services, help meet the needs of complex patients reducing barriers such as cost, culture, language, literacy, and transportation, with referrals completed by health center staff for the provision of appropriate ancillary care outside Valley-Wide clinics (i.e. laboratory, radiology, etc.), mental health, or specialty care. An integral aspect of care focuses on offering financial assistance, with participation through a full continuum of state and federal financial assistance programs.</Description>
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          <NameBusiness>
            <BusinessNameLine1>Alan Edward Schwartz</BusinessNameLine1>
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          <AddressUS>
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            <State>CO</State>
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          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Consultant</DescriptionOfServices>
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      </ContractorCompensation>
      <NumberOfContractorsGT100K>2</NumberOfContractorsGT100K>
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      <GovernmentGrants>6183587</GovernmentGrants>
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      <TotalContributions>6235072</TotalContributions>
      <ProgramServiceRevenue>
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        <TotalRevenueColumn>19469922</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>19469922</RelatedOrExemptFunctionIncome>
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      <TotalProgramServiceRevenue>19469922</TotalProgramServiceRevenue>
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      <IncomeFromInvestBondProceeds>
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      <RoyaltiesRevenue>
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      <GrossRents>
        <Real>51411</Real>
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      </RentalIncomeOrLoss>
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      <NetIncomeFromGaming>
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      <NetIncomeOrLoss>
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        <RelatedOrExemptFunctionIncome>121981</RelatedOrExemptFunctionIncome>
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      <OtherRevenueMisc>
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        <RelatedOrExemptFunctionIncome>76791</RelatedOrExemptFunctionIncome>
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      <TotalRevenue>
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      <GrantsToDomesticOrgs>
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      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>27719</Total>
        <ProgramServices>27719</ProgramServices>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
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      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
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      <CompDisqualPersons>
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      <PayrollTaxes>
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        <ProgramServices>803237</ProgramServices>
        <ManagementAndGeneral>201288</ManagementAndGeneral>
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        <ProgramServices>15487</ProgramServices>
        <ManagementAndGeneral>186203</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
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        <ManagementAndGeneral>15179</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
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        <ManagementAndGeneral>165610</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>25000</ManagementAndGeneral>
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      <FeesForServicesProfFundraising>
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      <FeesForServicesInvstMgmntFees>
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        <ProgramServices>779205</ProgramServices>
        <ManagementAndGeneral>81732</ManagementAndGeneral>
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      <Advertising>
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        <ManagementAndGeneral>36471</ManagementAndGeneral>
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      <OfficeExpenses>
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        <ProgramServices>1096579</ProgramServices>
        <ManagementAndGeneral>144037</ManagementAndGeneral>
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      <InformationTechnology>
        <Total>721592</Total>
        <ProgramServices>340792</ProgramServices>
        <ManagementAndGeneral>380800</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>813889</Total>
        <ProgramServices>656482</ProgramServices>
        <ManagementAndGeneral>155783</ManagementAndGeneral>
        <Fundraising>1624</Fundraising>
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      <Travel>
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        <ProgramServices>187965</ProgramServices>
        <ManagementAndGeneral>44776</ManagementAndGeneral>
        <Fundraising>780</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>40042</Total>
        <ProgramServices>24166</ProgramServices>
        <ManagementAndGeneral>15876</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
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        <ProgramServices>155404</ProgramServices>
        <ManagementAndGeneral>117546</ManagementAndGeneral>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>551802</Total>
        <ProgramServices>288273</ProgramServices>
        <ManagementAndGeneral>263529</ManagementAndGeneral>
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      <Insurance>
        <Total>68848</Total>
        <ProgramServices>44374</ProgramServices>
        <ManagementAndGeneral>24474</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Professional Fees</Description>
        <Total>660614</Total>
        <ProgramServices>618659</ProgramServices>
        <ManagementAndGeneral>41955</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Postage and Shipping</Description>
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        <ProgramServices>117683</ProgramServices>
        <ManagementAndGeneral>32312</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Equipment Rent &amp; Maintenance</Description>
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      <OtherExpenses>
        <Description>Dues &amp; Memberships</Description>
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        <ProgramServices>16926</ProgramServices>
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      <OtherExpenses>
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        <ProgramServices>851233</ProgramServices>
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      <AllOtherExpenses>
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        <ProgramServices>72573</ProgramServices>
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      <ReceivablesFromOfficersEtc>
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      <ReceivablesFromDisqualPersons>
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      <InvestmentsProgramRelated>
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      <TotalLiabilities>
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        <EOY>8613216</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
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      <TotalLiabNetAssetsFundBalances>
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        <EOY>17894164</EOY>
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      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
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      <TaxRevLeviedForOrgBenefit170>
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      <ValueSrvcFcltsFurnishedByGovt>
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      <AmountsSubstContributorsTotal>0</AmountsSubstContributorsTotal>
      <PublicSupportTotal170>27693130</PublicSupportTotal170>
      <GrossInvestmentIncome170>
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      <NetUBI>
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      <TotalSupport>29424679</TotalSupport>
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      <LobbyingNontaxableAmount>
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      <GrassrootsNontaxableAmount>
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      <Form4720Filed>false</Form4720Filed>
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      <GrassrootsLobbyingExpenditures>
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    </IRS990ScheduleI>
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        <DeferredCompFilingOrg>7001</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11200</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>235216</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>202793</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Ricardo Velasquez</NamePerson>
        <BaseCompensationFilingOrg>184529</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>27298</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>6298</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12871</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>230996</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>207573</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Nancy Goodare Rosenthal</NamePerson>
        <BaseCompensationFilingOrg>180686</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>6295</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13193</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>200174</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>205340</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Marguerite Salazar</NamePerson>
        <BaseCompensationFilingOrg>170249</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>40934</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5856</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11457</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>228496</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>244925</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Marc Rosenthal</NamePerson>
        <BaseCompensationFilingOrg>161078</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>5674</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8477</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>175229</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>182031</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Luke Casias</NamePerson>
        <BaseCompensationFilingOrg>154615</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>3085</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15439</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>173139</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Konnie Martin</NamePerson>
        <BaseCompensationFilingOrg>148285</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>5465</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15899</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>169649</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>171059</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Justin Wheeler</NamePerson>
        <BaseCompensationFilingOrg>146344</BaseCompensationFilingOrg>
        <BonusFilingOrg>12102</BonusFilingOrg>
        <OtherCompensationFilingOrg>1650</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4344</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>8034</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>172474</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Jason Morgenson</NamePerson>
        <BaseCompensationFilingOrg>138724</BaseCompensationFilingOrg>
        <BonusFilingOrg>9975</BonusFilingOrg>
        <OtherCompensationFilingOrg>2750</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>3546</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>154995</TotalCompensationFilingOrg>
        <CompReportPrior990FilingOrg>164603</CompReportPrior990FilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="09000047" softwareVersion="2009v1.3">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Documents are made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Market survey information is obtained from numerous sources including Mountain State Employers, Colorado Community Health Network, and the Bureau of Labor statistics to determine salary rates.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The conflict of interest policy is reviewed by the Board of Directors annually. Conflicts of interest are declared at the beginning of each Board of Directors meeting if any exist.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>The 990 is reviewed at the monthly Board of Directors' meeting prior to submission.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Nancy Rosenthal-Goodare is the Dental Director. She is married to an employee (one of the five highest paid employees) Dentist Marc Rosenthal.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>