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      <TotalOtherCompensationAmt>265403</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>59</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>ICMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9413 NW 143RD ST</AddressLine1Txt>
            <CityNm>ALACHUA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32615</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTR MGMT</ServicesDesc>
        <CompensationAmt>2922436</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEXTGEN HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 809390</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EHR SOFTWARE</ServicesDesc>
        <CompensationAmt>1749498</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRO SERVICES OF NORTH FLORIDA</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5350 SE 76TH TRL</AddressLine1Txt>
            <CityNm>TRENTON</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SVCS</ServicesDesc>
        <CompensationAmt>730561</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FLORIDA PHONE SYSTEMS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15202 NW 147TH DR STE 152</AddressLine1Txt>
            <CityNm>ALACHUA</CityNm>
            <StateAbbreviationCd>FL</StateAbbreviationCd>
            <ZIPCd>32615</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PHONE SERVICES</ServicesDesc>
        <CompensationAmt>383644</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TIMEDOC HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>222 W MERCHANDISE MART PLAZA</AddressLine1Txt>
            <AddressLine2Txt>STE 1230</AddressLine2Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60654</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PATIENT MONITOR</ServicesDesc>
        <CompensationAmt>336320</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>6733228</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>94000</AllOtherContributionsAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PATIENT REVENUES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>45692261</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45692261</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACTUAL REVENUES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>11115879</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11115879</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>OTHER PROGRAM REVENUES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>526307</TotalRevenueColumnAmt>
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      <InvestmentIncomeGrp>
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        <ExclusionAmt>1033907</ExclusionAmt>
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      <GainOrLossGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-15016</TotalRevenueColumnAmt>
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      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
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        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>225000</TotalRevenueColumnAmt>
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      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>INSURANCE REBATES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>134384</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>CREDIT CARD REBATES</Desc>
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      <PensionPlanContributionsGrp>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>SUPPLEMENTAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE A, PART II PRIOR YEAR AMOUNTS REPORTED IN PART II OF SCHEDULE A HAVE BEEN CORRECTED ON THE 2023 FORM 990 SCHEDULE A, PART II TO AGREE WITH AMOUNTS REPORTED ON PRIOR YEARS FORM 990, PART VIII.</ExplanationTxt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
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      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANITA REMBERT</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>452168</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>41499</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>18714</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31672</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>544053</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRUCE THOMAS</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>369144</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8500</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>16491</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31423</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>425558</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW JONES</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>169312</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2821</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16327</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>188460</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES TURLEY</PersonNm>
        <TitleTxt>CAO</TitleTxt>
        <BaseCompensationFilingOrgAmt>196094</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>39143</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>8096</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>984</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>244317</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEYKO GARUZ</PersonNm>
        <TitleTxt>ASST MED DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>299316</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>27911</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20786</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>358013</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STANLEY JONES</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>226651</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11332</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21054</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>259037</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW ROONEY</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>223404</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>19950</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>11197</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7123</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>261674</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES RAZI</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>143734</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>113668</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12668</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14341</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>284411</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HANS CANCEL-VILLAMIL</PersonNm>
        <TitleTxt>MEDICAL DOCTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>134183</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>87950</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>5640</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6823</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>234596</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ESTABLISHES GOALS AND OBJECTIVES FOR THE CEO TO ACHIEVE AND THE EXECUTIVE COMMITTEE OF THE BOARD COMPLETES A REVIEW OF THE CEO'S SALARY AND PERFORMANCE FOR THE PAST YEAR. INCLUDED IN THIS REVIEW IS DATA OBTAINED FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) SALARY COMPENSATION DATA, OTHER FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS AND AN INDEPENDENT COMPENSATION STUDY FOR CEO, OTHER TOP MANAGEMENT OFFICERS, KEY EMPLOYEES AND STAFF. THE EXECUTIVE COMMITTEE MAKES A RECOMMENDATION FOR THE TERMS OF THE CEO'S EMPLOYMENT AGREEMENT FOR THE NEXT YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>PALMS MEDICAL GROUP IS A NOT-FOR-PROFIT HEALTHCARE PROVIDER COMMITTED TO BRING QUALITY, AFFORDABLE PRIMARY CARE AND PREVENTIVE SERVICES TO THE COMMUNITIES WE SERVE. IN ADDITION TO PRIMARY CARE, PALMS OFFERS PEDIATRIC CARE, MENTAL HEALTH, AND DENTAL SERVICES, AS WELL AS COMPLEMENTARY ALTERNATIVE MEDICINE SUCH AS CHIROPRACTIC CARE. MANY OF OUR LOCATIONS HAVE LABS, X-RAY EQUIPMENT AND A PHARMACY UNDER ONE ROOF, SAVING PATIENTS TIME AND MONEY. AS A FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER, PALMS ACCEPTS MOST PUBLIC AND PRIVATE INSURANCE INCLUDING MEDICARE AND MEDICAID PATIENTS. PALMS OFFERS A SLIDING FEE SCALE BASED ON INCOME. NO ONE IS DENIED MEDICAL CARE BECAUSE OF LACK OF INSURANCE OR INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 ALONG WITH THE AUDITED FINANCIAL STATEMENTS ARE PROVIDED TO THE GOVERNING BOARD AT A DATE PRIOR TO A DESIGNATED BOARD MEETING FOR THEIR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S BYLAWS, PERSONNEL POLICIES, AND OPERATING MANUAL (POLICIES AND PROCEDURES), AS WELL AS FINANCIAL STATEMENTS AND ANNUAL AUDIT ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATION OFFICE LOCATED IN HIGH SPRINGS, FLORIDA, OR WRITTEN REQUEST VIA WEBSITE OR MAIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART X BEGINNING OF YEAR BALANCES (COLUMN (A)) FOR LINES 17, 23 AND 25 HAVE BEEN RESTATED TO REPORT THE BALANCES MORE APPROPRIATELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART XII, LINE 1 THE ACCOUNTING METHOD USED TO PREPARE THE FORM 990 IS ACCRUAL (GAAP). PRIOR FORM 990'S INADVERTENTLY REPORTED THE ACCOUNTING METHOD AS CASH. NO CHANGE IN ACCOUNTING METHOD WAS MADE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>