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            <CityNm>WATERTOWN</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>02472</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>150293</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REBNORD TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>210 SALE BARN ROAD</AddressLine1Txt>
            <CityNm>STORM LAKE</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>50588</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>132443</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GREENWAYEHS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 203658</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75320</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>122873</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>2837434</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>10000</AllOtherContributionsAmt>
      <TotalContributionsAmt>2847434</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CLINIC PROGRAMS</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>3830106</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3830106</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>3830106</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>36986</TotalRevenueColumnAmt>
        <ExclusionAmt>36986</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>18723</TotalRevenueColumnAmt>
        <ExclusionAmt>18723</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>18723</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>3830106</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>55709</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>298011</TotalAmt>
        <ManagementAndGeneralAmt>298011</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>2416638</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>515255</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197359</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>229363</TotalAmt>
        <ProgramServicesAmt>172841</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56522</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>3355</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48719</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>1022717</TotalAmt>
        <ProgramServicesAmt>506089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>516628</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>33603</TotalAmt>
        <ProgramServicesAmt>7214</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26389</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>110938</TotalAmt>
        <ProgramServicesAmt>52822</ProgramServicesAmt>
        <ManagementAndGeneralAmt>58116</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InterestGrp>
        <TotalAmt>35956</TotalAmt>
        <ProgramServicesAmt>22652</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13304</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>367400</TotalAmt>
        <ProgramServicesAmt>236526</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130874</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>26649</TotalAmt>
        <ProgramServicesAmt>16789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9860</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL EXPENSES</Desc>
        <TotalAmt>318355</TotalAmt>
        <ProgramServicesAmt>318355</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>LICENSES AND DUES</Desc>
        <TotalAmt>92789</TotalAmt>
        <ProgramServicesAmt>47944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44845</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
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        <ProgramServicesAmt>29642</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14301</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS</Desc>
        <TotalAmt>3890</TotalAmt>
        <ProgramServicesAmt>1985</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1905</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>1332</TotalAmt>
        <ManagementAndGeneralAmt>1332</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1328929</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>842045</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
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      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>252494</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>87096</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>8842398</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3061295</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3818620</BOYAmt>
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        <EOYAmt>8579082</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>212392</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1584900</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>2638289</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>5940793</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>5413447</BOYAmt>
        <EOYAmt>5940793</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>8579082</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>516807</ReconcilationRevenueExpnssAmt>
      <DonatedServicesAndUseFcltsAmt>10539</DonatedServicesAndUseFcltsAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1768014</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2575186</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2906868</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1912224</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2847434</CurrentTaxYearAmt>
        <TotalAmt>12009726</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2575186</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2906868</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1912224</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2847434</CurrentTaxYearAmt>
        <TotalAmt>12009726</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>12009726</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>887</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>754</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>801</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3244</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>36986</CurrentTaxYearAmt>
        <TotalAmt>42672</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>240</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>43693</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>378823</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25896</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>18723</CurrentTaxYearAmt>
        <TotalAmt>467375</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>12519773</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>15754613</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95930</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95850</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>1</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>0</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS DUES TO THE IOWA PRIMARY CARE ASSOCIATION. A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>551278</OtherCostOrOtherBasisAmt>
        <BookValueAmt>551278</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>4325926</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1859032</DepreciationAmt>
        <BookValueAmt>2466894</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>3965194</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1202263</DepreciationAmt>
        <BookValueAmt>2762931</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>5781103</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>6743788</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>10539</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>10539</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>6733249</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>6733249</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6216442</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>6216442</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>6216442</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN SMITH DDS</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>191011</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>6509</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>18225</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9557</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225302</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NATALIE SCHALLER DO</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>25181</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>14191</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28627</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>215212</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RICH GEHRIG</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12868</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20970</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>162543</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL DIRECTORS CAN EARN BONUS FOR HITTING PRODUCTIVITY MARKS AS SPECIFIED IN EMPLOYMENT CONTRACT</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterested>
          <PersonNm>EMILY WILLIAMS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF RICH GEHRIG, OFFICER OF ORGANIZATION</RelationshipDescriptionTxt>
        <TransactionAmt>24846</TransactionAmt>
        <TransactionDesc>COMPENSATION AS AN EMPLOYEE OF THE ORGANIZATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LINDA RICKLEFS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF MATT RICKLEFS, OFFICER OF ORGANIZATION</RelationshipDescriptionTxt>
        <TransactionAmt>17100</TransactionAmt>
        <TransactionDesc>CONTRACT LABOR FOR SOCIAL MEDIA POSTINGS</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>MATT RICKLEFS AND RENATO JIMINEZ HAVE A FAMILY RELATIONSHIP, THOSE BOARD MEMBERS ARE FAMILY MEMBERS. RICH IS EMILY WILLIAMS'S DAD, EMILY IS THE QA DIRECTOR UNDER THE MEDICAL DIRECTOR, ALONG WITH BOARD CHAIR M RICKLEFS'S WIFE WHO IS CONTRACTED TO DO UCHC'S SOCIAL MEDIA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. ONCE A DRAFT IS PREPARED, THE 990 IS INTERNALLY REVIEWED BY THE CEO AND CFO. AFTER THIS REVIEW, THE 990 IS PRESENTED AT THE BOARD MEETING AND TIME IS GIVEN AFTER THE MEETING TO ALLOW FOR BOARD MEMBERS TO ASK QUESTIONS OR MAKE CHANGES TO THE 990 BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EMPLOYEES, BOARD, AND OFFICERS ("BOARD MEMBERS") ARE TO AVOID EVEN THE APPEARANCE OF A CONFLICT OF INTEREST. ALL BOARD MEMBERS SHALL DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST AT THE EARLIEST PRACTICABLE TIME. NO BOARD MEMBER SHALL VOTE ON ANY MATTER UNDER CONSIDERATION AT A BOARD OR COMMITTEE MEETING IN WHICH SUCH A BOARD MEMBER HAS A CONFLICT OF INTEREST. THE MINUTES OF SUCH MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THAT THE BOARD MEMBER HAVING A CONFLICT OF INTEREST ABSTAINED FROM VOTING. ANY DISCLOSURE OF A PERSON'S INTEREST SHALL APPEAR IN THE MINUTES OF THE MEETING OF THE BOARD OF DIRECTORS OR COMMITTEE THEREOF. THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE CEO, ADDRESSED ANNUALLY AT THE JANUARY BOARD MEETING AND WHEN ALL NEW BOARD MEMBERS JOIN. A BOARD MEMBER WHO HAS A CONFLICT OF INTEREST SHALL NOT TAKE PART IN THE DISCUSSION OF SUCH MATTERS UNLESS ALL PERSONS INTEREST IN SUCH CONTRACT OR TRANSACTION SHALL ALSO HAVE THE RIGHT TO TAKE PART IN THE SAME DISCUSSION OF SUCH MATTER. THE BOARD MEMBERS' PARTICIPATION IN THE DISCUSSION SHALL BE LIMITED TO STATEMENTS CONCERNING THE FAIRNESS AND REASONABLENESS OF SUCH CONTRACT OR TRANSACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER COMPENSATION AND BENEFITS REPORT FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE COMPENSATION AND BENEFITS SURVEY FROM THE IOWA PRIMARY CARE ASSOCIATION ARE THE RESOURCES USED FOR COMPARABILITY DATA AND SUBSTANTIATION OF THE DELIBERATION AND DECISION. THIS PROCESS IS USED FOR ALL OFFICERS AND KEY EMPLOYEES. THE FINANCE COMMITTEE AND BOARD REVIEWS THE COMPENSATION FOR THE CEO EACH YEAR, INCLUDING 2023. THE CFO'S SALARY WAS APPROVED IN 2009 AS PART OF THE INITIAL CONTRACT. THESE SALARIES ARE ALL APPROVED AS PART OF THE ANNUAL BUDGET BY THE BOARD OF DIRECTORS WITHIN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE VIEWED AT THE ADMINISTRATIVE OFFICE AT 715 WEST MILWAUKEE AVE UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACT SERVICES - BILLING: PROGRAM SERVICE EXPENSES 224,537. MANAGEMENT AND GENERAL EXPENSES 729. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 225,266. CONTRACT SERVICES - CONSULTANTS: PROGRAM SERVICE EXPENSES 75,064. MANAGEMENT AND GENERAL EXPENSES 416,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 491,481. CONTRACT SERVICES - LABORATORY: PROGRAM SERVICE EXPENSES 32,437. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,437. CONTRACT SERVICES - MAINTENANCE: PROGRAM SERVICE EXPENSES 42,774. MANAGEMENT AND GENERAL EXPENSES 25,060. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,834. CONTRACT SERVICES - INFORMATION TECHNOLOGY: PROGRAM SERVICE EXPENSES 131,277. MANAGEMENT AND GENERAL EXPENSES 74,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,699.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>