Exhibit 177 2025

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As a nonprofit and tax-exempt organization, an FQHC can receive grants from the government, the private sector, and donations in addition to Medicare and Medicaid funding. Any patient care center can apply to become an FQHC if the health center meets specific requirements to receive funds from HRSA.
FQHCs are overwhelmed by patient volume and struggle to stay ahead of rising risks, since FFS does not incentivize preventive care. As a result, they spend more time and money on treating patients at the high end of clinical complexity, which limits their availability for new patients.
Provide a set of comprehensive, high-quality primary care and preventive services regardless of patients ability to pay. Employ interdisciplinary teams and patient-centric approaches. Deliver care coordination and other enabling services that facilitate access to care.
The limited capacity at many FQHCs may not facilitate continuity of care for a population with frequent physician visits. Similarly, older dual-eligibles often have multiple chronic conditions, and FQHCs primary care services may not ensure access to specialists or care coordination among many providers.
Being an FQHC doesnt necessarily make a company required to comply with the laws enforced by OFCCP, but it doesnt mean that the company is not a federal contractor either.
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RHCs operate exclusively for the purpose of providing primary care services to Medicare patients located in rural and shortage areas; FQHCs provide primary care services and dental care services to rural/urban areas and shortage areas.

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