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      <Desc>ALBANY AREA PRIMARY HEALTH CARE PROVIDES A FULL COMPLEMENT OF COMPREHENSIVE PRIMARY HEALTH CARE SERVICES ACROSS THE LIFE CYCLES. SIGNIFICANT EFFORT IS MADE TO REACH LOW INCOME, UNINSURED, UNDER INSURED, AND VULNERABLE POPULATIONS AS WELL AS MEDICAID AND MEDICARE PATIENTS. DURING FY 2023, THE ORGANIZATION HAD 164,249 CLINIC ENCOUNTERS.</Desc>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JIM QUINN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRAD STAFFORD</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WES STERNENBERG</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SYBIL THOMAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH WEST</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENDA WILLIAMS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>2748222</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>433413</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>76</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHRONIC CARE STAFFING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 2556</AddressLine1Txt>
            <CityNm>MOUNT PLEASANT</CityNm>
            <StateAbbreviationCd>SC</StateAbbreviationCd>
            <ZIPCd>29465</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SVCS</ServicesDesc>
        <CompensationAmt>623001</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEOS TECHNOLOGIES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 71712</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>317081712</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SUPPORT</ServicesDesc>
        <CompensationAmt>416995</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DIAMOND JANITORIAL</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 70532</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>317080532</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SVC</ServicesDesc>
        <CompensationAmt>402979</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WAYSTAR REVENUE CYCLE TECHNOLOGY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1311 SOLUTIONS CENTER</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606771311</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLAIMS/PATIENT</ServicesDesc>
        <CompensationAmt>128156</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FORVIS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>910 E ST LOUIS STE 200</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>658011190</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>AUDIT</ServicesDesc>
        <CompensationAmt>100138</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>11641831</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>669453</AllOtherContributionsAmt>
      <TotalContributionsAmt>12311284</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>25961236</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25961236</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>446110</BusinessCd>
        <TotalRevenueColumnAmt>13827785</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13827785</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INHOUSE PHARMACY</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>8826025</TotalRevenueColumnAmt>
        <ExclusionAmt>8826025</ExclusionAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1284285</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1284285</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>QUALITY INCENTIVES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>1172511</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1172511</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>918861</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>918861</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>51990703</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>64852</TotalRevenueColumnAmt>
        <ExclusionAmt>64852</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>43417</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>33822</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>9595</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>9595</TotalRevenueColumnAmt>
        <ExclusionAmt>9595</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>64376434</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>43164678</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>8900472</ExclusionAmt>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>5985</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>724579</TotalAmt>
        <ProgramServicesAmt>312961</ProgramServicesAmt>
        <ManagementAndGeneralAmt>411618</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>23819563</ProgramServicesAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>406431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125867</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>1652711</ProgramServicesAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2108746</ProgramServicesAmt>
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      <FeesForServicesManagementGrp>
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        <ProgramServicesAmt>2000</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>18340</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>148896</TotalAmt>
        <ManagementAndGeneralAmt>148896</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>4102229</TotalAmt>
        <ProgramServicesAmt>4102229</ProgramServicesAmt>
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      <AdvertisingGrp>
        <TotalAmt>245941</TotalAmt>
        <ProgramServicesAmt>245941</ProgramServicesAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>1904445</TotalAmt>
        <ProgramServicesAmt>1859248</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45197</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>115946</TotalAmt>
        <ProgramServicesAmt>49022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66924</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
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        <ProgramServicesAmt>531239</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153699</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>278844</TotalAmt>
        <ProgramServicesAmt>278844</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>500238</TotalAmt>
        <ProgramServicesAmt>248806</ProgramServicesAmt>
        <ManagementAndGeneralAmt>251432</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>148299</TotalAmt>
        <ProgramServicesAmt>79444</ProgramServicesAmt>
        <ManagementAndGeneralAmt>68855</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>1038117</ProgramServicesAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>162939</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18644</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>16051182</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
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        <ProgramServicesAmt>1176513</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2502</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITMENT</Desc>
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        <ProgramServicesAmt>497561</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES &amp; TAXES</Desc>
        <TotalAmt>301417</TotalAmt>
        <ProgramServicesAmt>301389</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>340780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-110</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>55271651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9343395</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>720513</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>3563021</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>4049360</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>873489</EOYAmt>
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        <EOYAmt>162803</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>30360352</LandBldgEquipCostOrOtherBssAmt>
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      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>19776508</EOYAmt>
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      <OtherAssetsTotalGrp>
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        <EOYAmt>6595938</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>35741632</EOYAmt>
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        <EOYAmt>6098677</EOYAmt>
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      <DeferredRevenueGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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        <EOYAmt>3809382</EOYAmt>
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      <OtherLiabilitiesGrp>
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        <EOYAmt>4735088</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>11190225</BOYAmt>
        <EOYAmt>14864516</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>20097092</BOYAmt>
        <EOYAmt>19949063</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>1018636</BOYAmt>
        <EOYAmt>928053</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>20877116</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>35741632</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-238612</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc8">
      <HospitalInd>X</HospitalInd>
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    <IRS990ScheduleB documentId="RetDoc1">
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
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    <IRS990ScheduleD documentId="RetDoc4">
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        <EndYearBalanceAmt>1018636</EndYearBalanceAmt>
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        <EndYearBalanceAmt>1199801</EndYearBalanceAmt>
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        <OtherExpendituresAmt>57960</OtherExpendituresAmt>
        <EndYearBalanceAmt>1290383</EndYearBalanceAmt>
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      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
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      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
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        <BookValueAmt>918295</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>4647620</DepreciationAmt>
        <BookValueAmt>15260729</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>258816</OtherCostOrOtherBasisAmt>
        <BookValueAmt>258816</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>5936224</DepreciationAmt>
        <BookValueAmt>3282675</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>55993</OtherCostOrOtherBasisAmt>
        <BookValueAmt>55993</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>19776508</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>457(B) PLAN ASSETS</Desc>
        <BookValueAmt>4122342</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>1663340</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>610256</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM THIRD PARTY PAYORS</Desc>
        <BookValueAmt>200000</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>6595938</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>457(B) PLAN LIABILITY</Desc>
        <Amt>4122342</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITES</Desc>
        <Amt>612746</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>4735088</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>64540540</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>39701</DonatedServicesAndUseFcltsAmt>
      <OtherRevenueAmt>90583</OtherRevenueAmt>
      <RevenueNotReportedAmt>130284</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>64410256</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>-33822</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-33822</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>64376434</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>64688569</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>39701</DonatedServicesUseFcltsAmt>
      <OtherExpensesIncludedAmt>33822</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>73523</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>64615046</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>64615046</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE FOR USE OF WOMEN'S HEALTH BUILDING AND OTHER HEALTH CARE SERVICES. IN APRIL 2015, THE ORGANIZATION ENTERED INTO A 30-YEAR LEASE WITH PHOEBE PUTNEY MEMORIAL HOSPITAL, INC.(PPMH)IN WHICH THE ORGANIZATION WILL NOT PAY ANY VALUE FOR RENT FOR THE USE OF THE MEDICAL FACILITY (WOMEN'S HEALTH BUILDING). THE TITLE OF THE ASSET REMAINS WITH PPMH. THIS TRANSACTION IS CONSIDERED TO BE A CONTRIBUTION OF USE OF A LONG-LIVED ASSET. THIS CONTRIBUTION IS DESCRIBED IN THE FINANCIAL STATEMENTS AS A BUILDING INSTEAD OF A CONTRIBUTION RECEIVABLE. THE ORGANIZATION RECORDED 1,039,703 IN BUILDINGS WHICH REPRESENTS TEMPORARILY RESTRICTED ASSETS UNDER THIS LEASE AGREEMENT. THE ASSET WILL BE AMORTIZED OVER THE ESTIMATED USEFUL LIFE OF 30 YEARS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>NET ASSETS RELEASED FROM RESTRICTIONS 90,583</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE OFFSET TO REVENUE -33,822</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSE OFFSET TO REVENUE 33,822</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDICAL EXPENSES ASSIST.</GrantTypeTxt>
        <RecipientCnt>8</RecipientCnt>
        <CashGrantAmt>4585</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>MEDICATION EXPENSES</GrantTypeTxt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FUNERAL EXPENSE ASSIST.</GrantTypeTxt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>UTILITIES &amp; GAS ASSIST.</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>100</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>COMMUNITY ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>1300</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES AN IDENTIFIED NEED WHICH IS INVESTIGATED AND APPROVED BY A SELECT COMMITTEE FOR THEIR PROGRAMS TO PROVIDE MEDICAL, PHARMACEUTICAL AND EMPLOYEE RELIEF ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc6">
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STACIA DZIKUNU MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>468570</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>130</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>52897</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>521597</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHEENA FAVORS MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>410052</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>130</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12884</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>40984</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>464050</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUPERT DYER MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>285749</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>21464</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>9915</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>55867</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>372995</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ILDIKO BABKA MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>248883</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>21430</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8822</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>50987</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>330122</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN VANCE MD</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFCR</TitleTxt>
        <BaseCompensationFilingOrgAmt>271448</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>324</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6318</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34548</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312638</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBYN JOHNSON MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>243247</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>497</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7601</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>58607</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>309952</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHELLEY SPIRES</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>209901</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>26208</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7835</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>51687</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>295631</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CLIFTON BUSH</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>195045</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3760</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5962</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>90</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204857</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MILTON JORDAN</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>179464</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3117</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5551</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15352</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>203484</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES HOTZ MD</PersonNm>
        <TitleTxt>CLINICAL SVCS DCTR</TitleTxt>
        <BaseCompensationFilingOrgAmt>135275</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>23528</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4756</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2750</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166309</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>BONUS AWARDS: AAPHC'S ANNUAL INCENTIVE PROGRAM WAS ESTABLISHED TO REWARD EMPLOYEES FOR MEETING BOTH INDIVIDUAL AND CORPORATE GOALS. TO BE ELIGIBLE TO PARTICIPATE, EMPLOYEES MUST HAVE COMPLETED ONE FULL YEAR OF SERVICE AS OF THE END OF THE FISCAL YEAR; PART-TIME EMPLOYEES ARE PAID ONE-HALF OF FULL-TIME EMPLOYEE AMOUNT. ANNUAL AWARDS WILL NOT EXCEED 180,000 FOR THE ORGANIZATION. AAPHC ALSO AWARDS INCENTIVES TO MEDICAL PROVIDERS FOR MEETING CERTAIN PREESTABLISHED GOALS FOR PRODUCTIVITY AND QUALITY OF CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSES OF THIS CORPORATION ARE AS FOLLOWS: (A) TO MAKE HEALTH CARE DELIVERY AND ITS SUPPORTING ACTIVITIES A COMMON RESOURCE; (B) TO CARRY ON ANY EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED, OR TO THE PROMOTION OF HEALTH, THAT IN THE OPINION OF THE BOARD OF DIRECTORS MAY BE JUSTIFIED BY THE FACILITIES, PERSONNEL, FUNDS, AND OTHER REQUIREMENTS THAT ARE, OR CAN BE, MADE AVAILABLE; (C) TO PARTICIPATE, SO FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY; (D) TO DEVELOP HEALTH SERVICES WHICH WILL MAKE QUALITY HEALTH CARE DELIVERY AVAILABLE, ACCESSIBLE AND ACCEPTABLE TO THE RESIDENTS OF THE AREAS SERVED; (E) TO PROVIDE PRIMARY HEALTH SERVICES, INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING: (1) DIAGNOSTIC, TREATMENT, CONSULTATIVE, REFERRAL AND OTHER SERVICES RENDERED BY PHYSICIANS, AND, WHERE FEASIBLE, BY PHYSICIANS, PHYSICIAN ASSISTANTS, NURSE CLINICIANS AND NURSE PRACTITIONERS; (2) DIAGNOSTIC LABORATORY SERVICES; AND (3) PREVENTIVE HEALTH SERVICES, INCLUDING CHILDREN EYE AND EAR EXAMINATIONS, PRENATAL AND POSTPARTUM CARE, PRENATAL SERVICES, WELL CHILD CARE, AND VOLUNTARY FAMILY PLANNING SERVICES; (F) TO COOPERATE AND COORDINATE WITH ORGANIZATIONS, AGENCIES, AND INSTITUTIONS, WHETHER THE SAME BE PUBLIC, PRIVATE OR GOVERNMENTAL, WHICH HAVE AS THEIR OBJECTIVE IMPROVEMENT OF HEALTH AND GENERAL WELFARE; (G) TO IMPROVE AND DISSEMINATE UPON RESIDENTS EDUCATIONAL INFORMATION PERTAINING TO GOOD HEALTH PRACTICES; AND (H) TO ENCOURAGE AND FOSTER THROUGH COMMUNITY EDUCATION THE IMPROVEMENT OF HEALTH CONDITIONS IN THE AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>PART IV, LINE 4, LOBBYING A PORTION OF DUES PAID IN FY 2023 TO THE NACHC AND GAPHC MAY BE ATTRIBUTABLE TO LOBBYING. THE AMOUNT IS NOT DETERMINABLE, BUT BELIEVED TO BE INSIGNIFICANT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CFO WILL REVIEW IN DETAIL WITH THE INDEPENDENT ACCOUNTING FIRM, THEN THE CFO WILL REVIEW WITH THE FINANCE COMMITTEE. A COPY OF THE 990 AND AN EXECUTIVE SUMMARY WILL BE PRESENTED TO THE FULL BOARD PRIOR TO THE RETURN BEING FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REQUIRES WRITTEN DISCLOSURE CONFIRMATIONS TO BE SUBMITTED AND REVIEWED ANNUALLY WITH RESPECT TO CONFLICTS OF INTEREST. NO BOARD MEMBER MAY BE IN ANY MANNER INTERESTED, EITHER DIRECTLY OR INDIRECTLY, IN HIS OWN NAME OR ANY OTHER PERSON, ASSOCIATION, TRUST OR CORPORATION, IN ANY CONTRACT OR THE PERFORMANCE OF ANY WORK IN THE MAKING OR LETTING OF WHICH SUCH BOARD MEMBER MAY BE CALLED UPON TO ACT OR VOTE. NO SUCH BOARD MEMBER MAY REPRESENT EITHER AS AGENT OR OTHERWISE ANY PERSON, ASSOCIATION, TRUST, OR CORPORATION, WITH RESPECT TO ANY APPLICATION OR BID FOR ANY CONTRACT OR WORK IN REGARD TO WHICH SUCH BOARD MEMBER MAY BE CALLED UPON TO VOTE. NOR MAY ANY SUCH BOARD MEMBER TAKE OR RECEIVE, OR OFFER TO TAKE OR RECEIVE, EITHER DIRECTLY OR INDIRECTLY, ANY MONEY OR OTHER THING OF VALUE AS A GIFT OR BRIBE OR MEANS OF INFLUENCING HIS VOTE OR ACTION IN HIS OFFICIAL CHARACTER. ANY CONTRACT MADE AND PROCURED IN VIOLATION HEREOF IS VOID. NO EMPLOYEE SHALL TAKE OR RECEIVE, OR OFFER TO TAKE OR RECEIVE, EITHER DIRECTLY OR INDIRECTLY, ANY MONEY OR OTHER THING OF VALUE AS A GIFT OR BRIBE OR MEANS OF INFLUENCING HIS ACTION IN HIS OFFICIAL CHARACTER AND NO EMPLOYEE MAY BE IN ANY MANNER INTERESTED EITHER DIRECTLY OR INDIRECTLY IN HIS OWN NAME OR IN THE NAME OF ANY OTHER PERSON, ASSOCIATION, TRUST OR CORPORATION, IN ANY CONTRACT OR THE PERFORMANCE OF ANY WORK IN THE MAKING OR LETTING OF WHICH SUCH EMPLOYEE MAY BE CALLED UPON TO ACT. VIOLATION OF THIS RESOLUTION BY ANY EMPLOYEE WILL RESULT IN THE TERMINATION OF SAID PARTY'S EMPLOYMENT BY AAPHC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION UTILIZES A PREDEFINED PAY SCALE WITH VARIOUS "STEPS" FOR EACH POSITION AND LEVEL. THE HR DEPARTMENT PERIODICALLY COMPARES THE POSITIONS AND DEPARTMENT RANGES TO MARKET DATA WITH THE USE SALARY SURVEYS FROM NACHC, MGMA AND OTHER RESOURCES. IF THERE IS A RECOMMENDATION THE PAY SCALE BE ADJUSTED TO FALL WITHIN THE RANGE SET BY THE MARKET, THE RECOMMENDATION IS TAKEN BEFORE THE BOARD. THE BOARD DOES NOT APPROVE THE PAY SCALE ANNUALLY, ONLY WHEN ADJUSTMENTS ARE MADE. THE BOARD DOCUMENTS THE REVIEW AND APPROVAL OF ALL ADJUSTMENTS. THE BOARD INDIVIDUALLY COMPLETES A PERFORMANCE ASSESSMENT FOR THE CEO ANNUALLY. THE RESULTS ARE AGGREGATED TO DETERMINE THE OVERALL PAY SCALE ADJUSTMENT REFERENCED ABOVE. THE BOARD CHAIR AND THE FINANCE CHAIR MEET WITH THE CEO TO REVIEW THE RESULTS OF THE EVALUATION AND DISCUSS OPPORTUNITIES FOR THE UPCOMING YEAR. THE BOARD AND FINANCE CHAIR MET LAST FOR SUCH PURPOSE IN CALENDAR YEAR 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE 15A ABOVE. CEO, SHELLEY SPIRES, REVIEWS COO AND CFO ANNUALLY, WITH LAST REVIEW IN CALENDAR YEAR 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE FOR VIEWING ON-SITE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
