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      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Lynn Sheetz</PersonNm>
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        <PersonNm>Dennis Smialek DVM</PersonNm>
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        <PersonNm>JIM HARRIS</PersonNm>
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        <ContractorAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>2325110</EOYAmt>
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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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>severance was paid to Pamela McManus and Christi Garriott.</ExplanationTxt>
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          <BusinessNameLine1Txt>COLORADO HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>840752932</BondIssuerEIN>
        <BondIssuedDt>2020-08-14</BondIssuedDt>
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        <PurposeDesc>see part vi</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
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        <BondDefeasedAmt>0</BondDefeasedAmt>
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        <IssuanceCostsFromProceedsAmt>328981</IssuanceCostsFromProceedsAmt>
        <CreditEnhancementAmt>0</CreditEnhancementAmt>
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        <CapitalExpendituresAmt>16689594</CapitalExpendituresAmt>
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        <UnspentAmt>0</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
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        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
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        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>false</HedgeTerminatedInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I line A column F</FormAndLineReferenceDesc>
        <ExplanationTxt>The proceeds of the Series 2020 Bond were used to finance the construction, renovation and improvements of health care facilities, as well as refinance the previously issued bonds (the Series 2012A Bond and the Series 2013 Bond).</ExplanationTxt>
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      <ArtFractionalInterestGrp />
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>30202</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Cost</MethodOfDeterminingRevenuesTxt>
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      <BoatsAndPlanesGrp />
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      <SecuritiesPubliclyTradedGrp />
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        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>5520784</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>See Part II</MethodOfDeterminingRevenuesTxt>
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        <Desc>other</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>16028</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PART I, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE AMOUNTS REPRESENT NUMBER OF CONTRIBUTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, Part I, LINE 20</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCOUNT REPLACEMENT COST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <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 nearly 90,000 people living in the Pikes Peak and East Central regions of Colorado in 2021. Peak Vista's niche in 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>To provide exceptional healthcare to people facing access barriers through clinical programs and education, serving nearly 90,000 people living in the Pikes Peak and East Central Regions of Colorado through 28 health centers spread across 20 service locations. 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>2021 Peak Vista Community Health Centers' Accomplishments include: Peak Vista celebrated its 50th anniversary of providing exceptional healthcare to people facing access barriers through clinical programs and education. Peak Vista's Developmental Disabilities Health Center (DDHC) provides high-quality care for adults with intellectual and developmental disabilities (IDD). In 2021 the Developmental Disabilities Health Center (DDHC) celebrated its 10th anniversary. Peak Vista worked alongside the El Paso County Department of Human Services (DHS) to create the Children, Youth, and Family Services 0-3 Program, pairing a DHS caseworker with a Peak Vista Nurse Practitioner for home visits. The program was recognized with an Achievement Award from the National Association of Counties (NACo). Peak Vista's Education Health Initiative (EHI) encompasses Peak Vista's 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 2021, Peak Vista saw the commencement of our sixth 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. Family Medicine Residency Program (FMR)- Peak Vista's Family Medicine Residency (FMR) is dually accredited by 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 Vista's service area. The three-year program began in July of 2016 by welcoming eight osteopathic physicians. The curriculum, program offerings, and emphasis on 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 continues to add eight new residents to the three-year program each year, for a maximum of 24 residents at any time. In 2021, Peak Vista saw the commencement of our third class of Family Medicine Residency (FMR). Peak Vista broke ground on its new Health Center Downtown in September of 2021. The Health Center Downtown will provide medical, dental, behavioral health, care coordination, and social support services. It will serve all members of the 80903 area and surrounding communities, including those experiencing or at risk of experiencing homelessness. In April of 2022, Peak Vista hosted a grand opening and ribbon-cutting ceremony where community and business leaders gathered to celebrate the newly opened Health Center Downtown. The Health Center Downtown replaces Peak Vista's Health Center at Rio Grande, which closed in April of 2022. Peak Vista was committed to ensuring COVID-19 vaccine equity was a top priority and administered 46,692 COVID-19 vaccines in 2021. Peak Vista's Health Center at Jet Wing served as the primary location for vaccine clinics. Peak Vista continued to conduct telehealth visits first implemented during the COVID-19 pandemic. In 2021, Peak Vista conducted 22,551 virtual patient visits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 through age 5 with trained volunteers making home visits designed to connect parents with community resources and early childhood materials. First Visitor provided 1,121 total visits with families in 2021.</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. Miscellaneous: 482,070 Rental Revenue 63,807 ____________________________________ Total 545,877</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 CEO's 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 CEO's salary comparison is completed by external independent experts and reviewed and approved by the Board of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <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>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>THIS PROCESS DID NOT CHANGE IN the current year.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>PEAK VISTA COMMUNTIY HEALTH CENTERS FDN</BusinessNameLine1Txt>
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          <AddressLine1Txt>3205 N ACADEMY BLVD STE 130</AddressLine1Txt>
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      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
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        <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>
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