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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Vincent Yorke</PersonNm>
        <TitleTxt>Board Member</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>McManus Pamela</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>261036</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20847</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Welch Michael D</PersonNm>
        <TitleTxt>Chief Medical &amp; Dental Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>252536</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>11610</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Larimer Louie</PersonNm>
        <TitleTxt>Executive Vice President</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>238219</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13931</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Narvet Tracy</PersonNm>
        <TitleTxt>Chief Financial Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>192523</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9574</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>McCay Rebecca N resigned 6-4-2018</PersonNm>
        <TitleTxt>Chief Nursing &amp; Clinical Offic</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>82717</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6650</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ramey Lisa</PersonNm>
        <TitleTxt>Senior Vice President of Medic</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>9861</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rahaman Darvi C</PersonNm>
        <TitleTxt>VP of Medical</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>223821</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>21779</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Campbell Munch Karen C</PersonNm>
        <TitleTxt>VP of Medical</TitleTxt>
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        <OtherCompensationAmt>18673</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Liehr Peter A</PersonNm>
        <TitleTxt>OB GYN Provider</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>12815</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>McCutcheon Jeffrey D</PersonNm>
        <TitleTxt>Director Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Roos Catharine</PersonNm>
        <TitleTxt>OB GYN Provider</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Taylor Martina</PersonNm>
        <TitleTxt>OB GYN Provider</TitleTxt>
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        <OtherCompensationAmt>23180</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Clauss Amy</PersonNm>
        <TitleTxt>OB GYN Provider</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11793</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3330164</TotalReportableCompFromOrgAmt>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>DAVITA-MOUNTAIN VIEW MEDICAL GROUP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5575 TECH CENTER DRIVE SUITE 106</AddressLine1Txt>
            <CityNm>COLORADO SPRINGS</CityNm>
            <StateAbbreviationCd>CO</StateAbbreviationCd>
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        </ContractorAddress>
        <ServicesDesc>PED. HOSPITAL SVCS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>340B TECHNOLOGIES</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 THIRD AVENUE 19TH FLOOR</AddressLine1Txt>
            <CityNm>NEW YORK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>CALL 4 HEALTHNURSE</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4720 NW BOCA RATON BLVD SUITE D105</AddressLine1Txt>
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            <ZIPCd>33431</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>CALL-IN NURSE/TRIAGE</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BARTON ASSOCIATES</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10 DEARBORN ROAD</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>UNIVERSAL PROTECTION SERVICE LP</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1551 N TUSTIN AVE SUITE 650</AddressLine1Txt>
            <CityNm>SANTA ANA</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92705</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>7</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>6000</FederatedCampaignsAmt>
      <FundraisingAmt>38524</FundraisingAmt>
      <GovernmentGrantsAmt>10240666</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>3527816</NoncashContributionsAmt>
      <TotalContributionsAmt>16248038</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>48499809</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>48499809</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>9287823</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>9287823</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>TOBACCO REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2325515</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>COLORADO INDIGENT CARE</Desc>
        <BusinessCd>621400</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1162073</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CCCC MEMBERSHIP</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1304482</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1304482</RelatedOrExemptFuncIncomeAmt>
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        <RelatedOrExemptFuncIncomeAmt>5507424</RelatedOrExemptFuncIncomeAmt>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>308399</ExclusionAmt>
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      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
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      </RoyaltiesRevenueGrp>
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      <LessRentalExpensesGrp>
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        <PersonalAmt>0</PersonalAmt>
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      <NetRentalIncomeOrLossGrp>
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        <RelatedOrExemptFuncIncomeAmt>30334</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>14992</UnrelatedBusinessRevenueAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-4594</TotalRevenueColumnAmt>
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      <ContriRptFundraisingEventAmt>38524</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>128165</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>72551</TotalRevenueColumnAmt>
        <ExclusionAmt>72551</ExclusionAmt>
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        <Desc>PRESCRIPTION AGREEMENT FEES</Desc>
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        <ProgramServicesAmt>732</ProgramServicesAmt>
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        <ProgramServicesAmt>298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6141</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      </FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>2570136</ProgramServicesAmt>
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        <FundraisingAmt>30464</FundraisingAmt>
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        <ProgramServicesAmt>3585037</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1708210</ManagementAndGeneralAmt>
        <FundraisingAmt>28328</FundraisingAmt>
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        <ProgramServicesAmt>1949244</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1181096</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>190257</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31306</ManagementAndGeneralAmt>
        <FundraisingAmt>4684</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      </PymtTravelEntrtnmntPubOfclGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>90162</TotalAmt>
        <ProgramServicesAmt>17551</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5816</ManagementAndGeneralAmt>
        <FundraisingAmt>66795</FundraisingAmt>
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        <ProgramServicesAmt>276329</ProgramServicesAmt>
        <ManagementAndGeneralAmt>162418</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>1529896</ProgramServicesAmt>
        <ManagementAndGeneralAmt>786727</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>255124</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECLASS TO FUNDRAISING</Desc>
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        <FundraisingAmt>-128165</FundraisingAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>4945926</ProgramServicesAmt>
        <ManagementAndGeneralAmt>233</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE &amp; REPAIRS</Desc>
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        <PersonNm>Roos Catharine</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>7620</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>Taylor Martina</PersonNm>
        <TitleTxt>OB GYN Provider</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>11004</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12176</NontaxableBenefitsFilingOrgAmt>
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        <PersonNm>Clauss Amy</PersonNm>
        <TitleTxt>OB GYN Provider</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>10950</DeferredCompensationFlngOrgAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Determination of the CEO's salary at Peak Vista Community Health Centers is determined by making salary comparisons of similar positions at community health centers and other similar agencies in the state, Federal Region VIII, nation, and a survey of Mountain States salaries. From this analysis, a proposal is made to the Board of Directors and the proposal is accepted by them or adjustments are made as appropriate based on merit and budget constraints.</ExplanationTxt>
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        <ExplanationTxt>Description of purpose: The bonds were used to construct new facilities, buy medical and office equipment, and remodel buildings. The new facility was constructed on vacant land at 350 Lyckman Dr. in Fountain, Colorado. The medical equipment purchased from these bonds was used for patient care. The remodeling was done at a building at 3205 North Academy Blvd for administrative and supporting services and related office equipment.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I line B column F</FormAndLineReferenceDesc>
        <ExplanationTxt>The bonds were used to construct new facilities, buy medical and office equipment, and remodel buildings. The new facility was constructed on vacant land at 350 Lyckman Dr. in Fountain, Colorado. The medical equipment purchased from these bonds was used for patient care. The remodeling was done at a building at 3205 North Academy Blvd for administrative and supporting services and related office equipment.</ExplanationTxt>
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      <BooksAndPublicationsGrp />
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        <NoncashContributionsRptF990Amt>39979</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
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        <ExplanationTxt>DISCOUNT REPLACEMENT COST</ExplanationTxt>
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        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE AMOUNTS REPRESENT NUMBER OF CONTRIBUTORS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Peak Vista Community Health Centers mission is to provide exceptional healthcare to people facing access barriers through clinical programs and education. Peak Vista served over 94,000 people living in the Pikes Peak and East Central regions of Colorado in 2018. Peak Vistas niche in the these regions health care marketplace is as a non-profit multi-specialty outpatient provider of quality integrated medical, dental and behavioral health primary care services, mostly for working families. In this role, Peak Vista has endeavored to serve populations that are under or uninsured as well as those on public programs. Partnerships are a significant component of Peak Vista's ability to successfully meet its mission. Peak Vista frequently collaborates with organizations of similar mission to better serve our mutual populations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Peak Vista offers numerous ancillary services and programs to benefit our patients to include: First Visitor which provides information to parents and caregivers before and after their baby is born with trained volunteers making home visits designed to connect parents with community resources and early childhood materials. Health education supports patients with management of chronic diseases such as diabetes, high blood pressure, obesity and asthma. The three pharmacy locations provide easy access to counseling and medications. Well Child Waiting Areas welcome healthy children into a secure and child-friendly environment so that patients can attend clinical appointments without the worry of finding outside childcare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>2018 Peak Vista Community Health Centers Accomplishments include: Patient Growth - Peak Vista continues to grow serving over 94,000 patients in 2018 or an average of 1,429 patient visits per day (in 2006 the average was 600). As part of its commitment to improving patients quality of life through effective pain management, Peak Vista opened its Pain &amp; Wellness Center located at 340 Printers Parkway. This center provides treatment for Peak Vista patients suffering from chronic pain through state-of-the-art clinical practices and prescribing alternative therapies. Peak Vista is a proud recipient of Delta Dentals Colorado Medical-Dental Integration (CO MDI) Project Funding. This allows us to focus on integrating dental health care into medical settings - giving access to dental care regardless of barriers such as transportation, geography and insurance. Peak Vistas Mobile Health Services Van has been steadily increasing its hours of operation to expand care to Colorado Springs. The van now offers exceptional health care 40 hours per week. The van spends three hours a day, four days a week at the Springs Rescue Mission and is able to break down access barriers daily. Peak Vistas integrated behavioral health care model was expanded to all sites. Primary care and behavioral health providers work together with patients and families to provide a patient-centered approach to care. Integrated behavioral health care focuses on a systematic, high-quality approach to coordinated health care. In 2018, four Peak Vista clinical programs were accepted into the State Innovation Model (SIM) Project. The SIM project is an effort to integrate primary and behavioral health care as well as test new payment models and to find innovative ways of responding to the ever-changing landscape of the health care world. The Advocacy Center of Excellence has awarded Peak Vista the Gold Ace status. This is due to our demonstrated ongoing commitment to advocacy through the creation of a solid advocacy foundation, as well as consistent response to calls to action, recruitment, training and education and social media presence. Peak Vistas transitional care team located inside Memorial Hospital urgent care centers and Penrose-St. Francis Health Services Emergency Departments (ED) gather referrals for follow-up care, assist patients in navigating the health care system and connecting patients with a Primary Care Provider (PCP). Patients are now able to receive follow-up care and connect to their PCP. In 2018, Peak Vista staff worked with all local hospitals to continue reducing visits for primary care. Our outreach team talks to parents and their caregivers to assist with enrollment for Medicaid and partners with several community agencies with information and referrals. Dental Program Services - Peak Vistas Dental Health Centers work daily to improve the oral health of our patients. The dental teams collaborate with patients to create individual treatment plans to meet their needs, often at a reduced fee. In 2018, dental visits were 35,366. Behavioral Health Services In a prior year, through funding from a Federal grant for expanded services, Peak Vista added six behavioral health providers to its staff. As a result, Peak Vista was able to increase behavioral health services from 14,703 visits in 2015 to 28,932 visits in 2018. Medical home Peak Vistas model of team based care, or medical home, continues to be a focus for Peak Vista. A medical home is best described as a model of primary care that is patient-centered, comprehensive, team based, coordinated, accessible and focused on quality and safety. It has become a widely accepted model for how primary care should be organized and delivered throughout the health care system. Studies show medical home models provide patients with better support and communication, stronger relationships with providers and less time at the doctors office. Peak Vistas Education Health Initiative (EHI) encompasses Peak Vistas Advanced Practice Registered Nurse (APRN) fellowship, the Family Medicine Residency (FMR) program and medical student coordination with a focus on developing and training new health care professionals. EHI is an effort to build a local solution to the national health care workforce shortage, with the ultimate goal of improving access to quality care in our community. Advanced Practice Registered Nurse Fellowship (APRN) In the fall of 2018, Peak Vista saw the commencement of our fourth class of Advanced Practice Registered Nurse (APRN) Primary Care fellowship, a program designed to seamlessly transition recent nurse practitioner graduates from the academic sphere to a clinical setting. The one-year fellowship combines didactic and clinical learning in a team-oriented, patient-centered clinical environment. Of the previous three graduating classes, 80% continued their career at Peak Vista throughout the various health centers. Family Medicine Residency Program (FMR)- Peak Vistas Family Medicine Residency (FMR) is dually accredited with the Accreditation Council for Graduate Medical Education (ACGME) and the American Osteopathic Association (AOA). It is the only primary care residency of its kind in Peak Vistas service area. The three-year program beginning in July of 2016 welcomed eight osteopathic physicians. The curriculum, program offerings and emphasis of partnership with community agencies and leaders evoked an overwhelmingly positive response. It was also met with strong community support from local hospitals, health care providers and specialty physicians. Residents learn through patient interaction, bedside teaching and structured educational sessions. Peak Vista received over 230 applications and interviewed 54 candidates for the inaugural class. In 2018, the Family Medicine Residency program welcomed 8 residents to the program. In June of 2019, Peak Vista will be graduating its first class of Residents. With the success of both the FMR and APRN, Peak Vista became a host clinic in 2017 for the National Institute for Medical Assistant Advancement (NIMAA), an important new nonprofit training program that will help shape Peak Vistas health care work force. Together both NIMAA and Peak Vista will focus on a new and innovative approach to medical assistant training, increased productivity and increased quality of care. Peak Vista graduated its first class of NIMAA students in April 2018. We also proudly adapted our own Grow Your Own (GYO) Dental Assistant Program, an accelerated program that includes a four week didactic period and up to eight weeks of hands-on training with expert trainers. After completion of the first two phases, the trainee will be an entry level dental assistant.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTINUED: A full line of ancillary services, all of which patients access in high volumes, compliment Peak Vista's primary care offerings. Health Education and care coordination support patients with management of chronic diseases. Patients have access to pharmacy services on-site providing easy access to counseling and medications. Well Child Waiting Areas (3 locations) welcome healthy children into a secure and child friendly environment so that parents and other siblings can attend appointments without concern or distraction. First Visitor provides information to parents and caregivers before and after a baby is born with trained volunteers making home visits designed to connect parents with community resources and early childhood materials.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>Peak Vista Community Health Centers other services include: The Reach Out and Read Program (ROAR); a nationally acclaimed program that encourages reading by providing every Peak Vista patient from the age of six months to five years with a new, age-appropriate book to take home and keep when they visit our Pediatric Health Centers or any Family Health Center for well-child check-ups.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>Peak Vista Community Health Centers compliance plan and bylaws contain policies on conflict of interest. In order to ensure that conflicts of interest are disclosed, board members and leadership sign a disclosure statement when first appointed or employed and annually thereafter. Human Resources distribute the disclosure statements to leadership and the CEOs staff ensures that the statement is given to the board of directors. Any new board member or leadership staff is given education on the conflict of interest policy. If at any time during the year a potential conflict of interest arises, board members are required to inform those charged with approving the transaction of the conflict, disclose any material facts and excuse themselves from discussion and voting as appropriate. FORM 990, PART VI, SECTION B, LINE 15 Determination of salaries of highly compensated employees at Peak Vista Community Health Centers are determined by making salary comparisons of similar positions at community health centers and other similar agencies in the state, Federal Region VIII, national and a survey of Mountain States salaries. From this analysis, a proposal is made to the CEO, Executive Vice President, Chief Financial Officer, Chief Medical and Dental Officer, and the Vice President of Human Resources, and the proposal is accepted or adjustments are made as appropriate based on budget constraints. The CEOs salary comparison is completed by external independent experts and reviewed and approved by the Board of Directors.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>As a private nonprofit, the documents are not open to the public. Peak Vista Community Health Centers does however produce an annual report for the public highlighting key events which also includes a financial summary.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Changes in Net assets: Rounding: $3</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS DID NOT CHANGE IN the current year.</ExplanationTxt>
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        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>2000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH PAYMENT</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II line 1 column F</FormAndLineReferenceDesc>
        <ExplanationTxt>Direct controlling entity of Peak Vista Community Health Centers Foundation is the reporting entity, Peak Vista Community Health Center.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>