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        <CompensationAmt>314658</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Channon Neal</BusinessNameLine1Txt>
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          <USAddress>
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            <CityNm>Midland</CityNm>
            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48642</ZIPCd>
          </USAddress>
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        <ServicesDesc>EMR Support</ServicesDesc>
        <CompensationAmt>125000</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncmFromFundraisingEvtGrp>
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      <NetIncomeFromGamingGrp>
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      <OtherRevenueMiscGrp>
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        <TotalRevenueColumnAmt>4000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4000</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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      <GrantsToDomesticIndividualsGrp>
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      <ForeignGrantsGrp>
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      <BenefitsToMembersGrp>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>113710</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLobbyingGrp>
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      <InformationTechnologyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>21611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24386</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>56795</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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      <InsuranceGrp>
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        <ProgramServicesAmt>29448</ProgramServicesAmt>
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        <Desc>Supplies</Desc>
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        <ProgramServicesAmt>108286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62925</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Equipment Maintence</Desc>
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        <ManagementAndGeneralAmt>18435</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Bank Fees</Desc>
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        <ManagementAndGeneralAmt>17219</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3566</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6769</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2109864</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1841218</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>6295</EOYAmt>
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        <EOYAmt>24683</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>340847</EOYAmt>
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        <EOYAmt>24683</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>1020136</BOYAmt>
        <EOYAmt>1065414</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>3810067</BOYAmt>
        <EOYAmt>4206927</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>396860</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
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        <CurrentTaxYearAmt>2412508</CurrentTaxYearAmt>
        <TotalAmt>13874600</TotalAmt>
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        <CurrentTaxYearAmt>2412508</CurrentTaxYearAmt>
        <TotalAmt>13874600</TotalAmt>
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      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>13874600</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus1YearAmt>2</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>8</CurrentTaxYearAmt>
        <TotalAmt>14</TotalAmt>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
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        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>306608</BookValueAmt>
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      <BuildingsGrp>
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        <DepreciationAmt>1321985</DepreciationAmt>
        <BookValueAmt>3237402</BookValueAmt>
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      <LeaseholdImprovementsGrp>
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      <EquipmentGrp>
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        <DepreciationAmt>564005</DepreciationAmt>
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      <TotalBookValueLandBuildingsAmt>4063365</TotalBookValueLandBuildingsAmt>
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      <TotalLiabilityAmt>24683</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueSubtotalAmt>4332412</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>15530</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The Clinic is a nonprofit corporation exempt from income taxation under Section 501(c)(3) of the Internal Revenue Code.Although the Clinic is exempt from federal income taxes, any income derived from unrelated business activities is subject to the requirement of filing Federal Income Tax Form 990-T and a tax liability may be determined on these activities. The Clinic had no income derived from unrelated business activities as of December 31, 2023 and 2022.The Clinic classifies all interest and penalties related to tax contingencies as income tax expense. As of December 31, 2023 and 2022 there was no accrued interest or penalties. As of December 31, 2023 and 2022 there were no uncertain tax positions or unrecognized tax benefits for which management believes it is reasonably possible that the total amounts of tax contingencies will significantly increase or decrease within 12 months of the reporting date. The Clinic files tax returns in the U.S. Federal Jurisdiction and the State of Alaska. As of 2023, the tax years that remain subject to examination begins with 2020.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient Price Concessions $15530</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient Price Concessions $15530</ExplanationTxt>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
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      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Debra Cyphert</PersonNm>
        <TitleTxt>Medical Dir</TitleTxt>
        <BaseCompensationFilingOrgAmt>237450</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>237450</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mohammad Enayet Chowdhury</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>204037</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204037</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a: Relevant information in regards to selections on 1a.</FormAndLineReferenceDesc>
        <ExplanationTxt>Housing allowances are included in the reported compensation of the Medical Director and the CEO.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive committee consists of the officers and two other members of the board of directors. The executive committee has all the powers of the board of directors when the board is not in session, except for the authority (A) to reverse, modify or change any prior decisions of the board, (B) to fill board vacancies, or (C) to amend the governing documents. The executive committee also coordinates activities of all other committees and performs other duties as are delegated by the board. All actions on behalf of the organization are reported at the next meeting of the board for ratification.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The form 990 was reviewed by the finance director and the executive director, then presented at a board meeting prior to filing. The board reviewed to see that the tax return appeared reasonable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Bethel Family Clinic has a Conflict of Interest Policy that applies to all employees and board members. Each covered individual is required to provide a conflict of interest statement annually to the director of human resources. The finance committee reviews potential conflicts and monitors activities with potential conflicts. If a board member has an actual or potential conflict, they are required to disclose any relevant information and otherwise abstain from any participation in any decision on the matter.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive director's compensation is determined through an annual evaluation that includes a review of other like entities' compensation and benefits packages. It is then reviewed and documented by the board on a yearly basis. This process was last completed in 2018. Other officers and key employees' compensation is based on a salary survey completed by The Northwest Regional Primary Care Association. It is then reviewed and documented by the executive director on a yearly basis. This process was last completed in 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The executive director's compensation is determined through an annual evaluation that includes a review of other like entities' compensation and benefits packages. It is then reviewed and documented by the board on a yearly basis. This process was last completed in 2018. Other officers and key employees' compensation is based on a salary survey completed by The Northwest Regional Primary Care Association. It is then reviewed and documented by the executive director on a yearly basis. This process was last completed in 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's governing documents, conflict of interest policy, and financial statements are made available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>