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        <ExplanationTxt>The Organization pays dues to the National Association of Community Health Center (NACHC) and the Tennessee Primary Care Association (TPCA). A portion of these dues may be attributable to lobbying activities. Any portion of dues attributable to lobbying activities is nominal and not readily determinable by the Organization.</ExplanationTxt>
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        <BookValueAmt>3619375</BookValueAmt>
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        <BookValueAmt>27019</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Due from Affiliates</Desc>
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        <Desc>Due to Third-Party Payors</Desc>
        <Amt>2664230</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <ExplanationTxt>The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the entity is exempt from state and federal income taxes on income earned in accordance with their tax-exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax position and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements.</ExplanationTxt>
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        <PersonNm>Joseph Patrick</PersonNm>
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        <PersonNm>Talia Peterson</PersonNm>
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        <PersonNm>Mary Whitaker</PersonNm>
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        <PersonNm>David Wagner</PersonNm>
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        <FormAndLineReferenceDesc>Part I, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Talia Peterson, Past CFO, received $57,631 of severance pay during 2023.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VII, line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>During the calendar year 2023, the Organization paid $24,000 to FQHC Associates, an unrelated organization, for David Wagner's CFO services to the Organization. The actual amount of compensation paid to Mr. Wagner from FQHC Associates is unknown to the Organization. As such, pursuant to the Form 990 instructions, the Organization is reporting the amount paid for services rendered as compensation to Mr. Wagner, and is reporting this amount on Form 990, Part VII, Column D.</ExplanationTxt>
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        <ExplanationTxt>The Form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided to them by the accounting department at CCHS. After the Form 990 is prepared, it is reviewed by the Controller and CFO of CCHS. It is also provided to the Board of Directors for review prior to filing with the IRS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Once a year, Board members are required to certify that they have read the conflict of interest policy and disclose any relationships which might have the appearance of a conflict of interest. This is reviewed by the Service and Quality Improvement Manager. Board members who are determined to have a conflict of interest will abstain from participating in discussion or voting on the matter related to that conflict.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and other officers' compensation is reviewed and compared to the Salary and Benefits Guide complied by the Association of Community Health Centers. Additionally, an independent consultant is engaged from time to time to review compensation and employment contracts. The Board approves all compensation during their review of annual budget. The review of other officers and key employees is performed by annually through the review of salaries in the budget. The last CEO compensation study was performed July 2020 by Performance Points LLC and given to the Board that makes decisions on CEO compensation.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The annual report as well as the Form 990 are on the Organization's website. Governing documents, including the conflict of interest policy, are available to the public upon request.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Christ Community Health Services, Inc. 2670 Union Avenue Ext., Ste 1000 Memphis, TN 38112 EIN: 62-1583270 Section 1.263(a)-3(n) Election: Christ Community Health Services, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
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          <AddressLine1Txt>2670 Union Ave Ste 1000</AddressLine1Txt>
          <CityNm>Memphis</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>38112</ZIPCd>
        </USAddress>
        <EIN>843584507</EIN>
        <PrimaryActivitiesTxt>Health Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>TN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Christ Community Health Services Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>CCHS Holding NP Inc</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>D</TransactionTypeTxt>
        <InvolvedAmt>365540</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>