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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA WARD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN WILDENRADT</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>59662</TotalOtherCompensationAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMPHEALTH INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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            <ZIPCd>753972651</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEXTGEN HEALTHCARE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>18111 VON KARMAN AVENUE SUITE 700</AddressLine1Txt>
            <CityNm>IRVINE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>92612</ZIPCd>
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        <CompensationAmt>951558</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PTSO OF WASHINGTON</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2101 FOURTH AVE STE 850</AddressLine1Txt>
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            <ZIPCd>981212368</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>949997</CompensationAmt>
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        <ProgramServicesAmt>5333150</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>368601</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>91291</ManagementAndGeneralAmt>
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        <FundraisingAmt>17226</FundraisingAmt>
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        <ManagementAndGeneralAmt>70238</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7429313</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1474953</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1864291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>597237</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2131507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>367239</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>181229</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143936</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>302424</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133572</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>516600</TotalAmt>
        <ProgramServicesAmt>240962</ProgramServicesAmt>
        <ManagementAndGeneralAmt>275638</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>3151900</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1570661</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>234215</ProgramServicesAmt>
        <ManagementAndGeneralAmt>80314</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>8901217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181364</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>EQUIPMENT LEASE &amp; MAINT</Desc>
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        <ProgramServicesAmt>3206532</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2181469</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBTS</Desc>
        <TotalAmt>1108780</TotalAmt>
        <ProgramServicesAmt>1108780</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
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        <ProgramServicesAmt>237114</ProgramServicesAmt>
        <ManagementAndGeneralAmt>464065</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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        <FundraisingAmt>17226</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>6417489</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>3294876</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>8667539</EOYAmt>
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        <EOYAmt>1104237</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>1738059</EOYAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>55500542</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>32364148</EOYAmt>
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        <EOYAmt>48370</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>109135260</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>10314865</EOYAmt>
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      <TaxExemptBondLiabilitiesGrp>
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        <EOYAmt>18837592</EOYAmt>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>1499</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>1849322</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>2953857</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>33989083</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>881680</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>75146177</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>109135260</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <CurrentTaxYearMinus1YearAmt>764194</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>423278</CurrentTaxYearAmt>
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      <Form990ScheduleAPartVIGrp>
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        <ContributorUSAddress>
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          <AddressLine2>RESTRICTED</AddressLine2>
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          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
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      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>2535</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHPOINT EMPLOYEES PARTICIPATED IN WASHINGTON STATE'S LEGISLATIVE DAYS. WE DISCUSSED WITH LEGISLATORS THE IMPACT OF CURRENT AND PROPOSED LEGISLATION ON THE PATIENTS AND COMMUNITIES WE SERVE. LEADERS ALSO ATTENDED THE NACHC POLICIES AND ISSUES CONFERENCE, WHICH INCLUDED VISITS TO CAPITAL HILL IN WASHINGTON, DC, TO EDUCATE FEDERAL ELECTED OFFICIALS ON THE IMPACT OF CURRENT AND PROPOSED LEGISLATION TO THE PATIENTS AND COMMUNITIES WE SERVE.</ExplanationTxt>
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        <BookValueAmt>3714537</BookValueAmt>
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        <DepreciationAmt>19263505</DepreciationAmt>
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        <BookValueAmt>1112171</BookValueAmt>
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        <Desc>INTEREST RATE SWAP</Desc>
        <Amt>528631</Amt>
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        <Desc>DEFERRED EMPLOYMENT TAXES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <RevenueNotReportedAmt>1057966</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>122431891</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>1538460</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>123970351</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>116168955</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>73850</DonatedServicesUseFcltsAmt>
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      <ExpensesNotRptFinclStmtAmt>1108780</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>116219769</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHPOINT ACTS AS FISCAL AGENT FOR THE COMMUNITY HEALTH COUNCIL OF KING COUNTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHPOINT'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; HOWEVER, UNRELATED BUSINESS ACTIVITIES WOULD BE SUBJECT TO INCOME TAX. SINCE HEALTHPOINT IS EXEMPT FROM FEDERAL INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. FOR THE YEARS ENDED DECEMBER 31, 2020 AND 2019, MANAGEMENT EVALUATED HEALTHPOINT'S TAX POSITIONS AND CONCLUDED THAT HEALTHPOINT HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. ALL TAX-EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE, AND OTHER APPLICABLE STATE STATUTES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 1,108,780.</ExplanationTxt>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BASED ON DATA PROVIDED TO THE AUDITORS FROM THE ORGANIZATION AND THE ANNUAL AUDIT. THE DRAFT FORM WAS REVIEWED BY SENIOR ACCOUNTING STAFF, THE CFO, AND THE CEO BEFORE IT WAS DISTRIBUTED TO THE GOVERNING BODY. A DRAFT OF THE FORM 990 WAS SHARED WITH THE GOVERNING BODY BEFORE IT WAS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>PARTICIPATION IN THE PROCUREMENT OF GOODS AND SERVICES IS PROHIBITED WHEN THERE IS A CONFLICT OF INTEREST. NO EMPLOYEE, OFFICERS, BOARD MEMBER, OR AGENT MAY PARTICIPATE IN THE SELECTION, AWARD, OR ADMINISTRATION OF A CONTRACT IF A REAL OR APPARENT CONFLICT OF INTERESTS EXISTS. IF A CONFLICT ARISES, THE CEO IS INFORMED AND IS RESPONSIBLE FOR ENSURING COMPLIANCE. VIOLATIONS OF THE THIS RULE WOULD RESULT IN REMOVAL FROM ANY FURTHER INVOLVEMENT IN ANY ASPECT OF THE PROCUREMENT PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>ANNUALLY, THE BOARD OF DIRECTORS EXAMINES EXTERNAL MARKET DATA TO DETERMINE COMPENSATION FOR THE CEO. COMPARISONS WITH SIMILAR ORGANIZATIONS ARE MADE AND COMPENSATION IS DETERMINED BASED ON THOSE COMPARISONS. THIS PROCESS, INCLUDING AN ANALYSIS OF MARKET COMPARABLES BY AN INDEPENDENT CONSULTING FIRM, WAS LAST COMPLETED IN 2019. THIS IS NORMALLY DONE ANNUALLY, BUT WITH THE PANDEMIC, THIS DID NOT OCCUR IN 2020. THIS IS BEING COMPLETED IN 2021. ANNUALLY, THE CEO EXAMINES EXTERNAL MARKET DATA TO DETERMINE APPROPRIATE COMPENSATION RANGES FOR ALL POSITIONS AT HEALTHPOINT, INCLUDING TOP MANAGEMENT AND OTHER KEY EMPLOYEES. COMPARISONS WITH SIMILAR ORGANIZATIONS ARE MADE AND COMPENSATION IS DETERMINED BASED ON THOSE COMPARISONS. THIS PROCESS, INCLUDING AN ANALYSIS OF MARKET COMPARABLES BY AN INDEPENDENT CONSULTING FIRM, WAS LAST COMPLETED IN 2019. HOWEVER, WHILE NOT ALL ROLES WERE EVALUATED, VARIOUS JOB CATEGORIES WERE REVIEWED IN 2020 AND ADJUSTMENTS WERE MADE BASED ON CHANGING MARKET CONDITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. INDIVIDUALS CAN ALSO REVIEW OUR ANNUAL REPORT ON OUR WEBSITE, WWW.HEALTHPOINTHC.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -345,130.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
