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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>466678</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32460</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD MORGAN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>368344</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41777</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL HAIGHT</PersonNm>
        <TitleTxt>SENIOR MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>397021</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39011</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK BRENNAN</PersonNm>
        <TitleTxt>VP PLAN OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>292495</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31941</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAMRA A BRODERICK</PersonNm>
        <TitleTxt>VICE PRESIDENT HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>285786</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18105</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUNE MELLOR</PersonNm>
        <TitleTxt>SENIOR VICE PRESIDENT COMPLIANCE/QUALITY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>268858</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34213</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANH BANNISTER</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF PHARMACY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>264763</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26527</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREAS CRAVALHO</PersonNm>
        <TitleTxt>VICE PRESIDENT PRODUCT, SALES &amp; MARKETING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>252199</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25925</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA ARCENA</PersonNm>
        <TitleTxt>VP EXTERNAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>252363</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17030</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI BORRELL</PersonNm>
        <TitleTxt>POPULATION HEALTH OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>235105</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15839</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VALERIE SONODA</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF PROVIDER OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>165263</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33992</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEROME JANICEK</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF PLAN OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>226549</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9041</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN MAU</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF BUSINESS SUPPORT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>190906</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34975</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NILA PATEL</PersonNm>
        <TitleTxt>DIRECTOR OF APPLICATION DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>175411</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24821</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EVELYN CHOCK</PersonNm>
        <TitleTxt>SENIOR PHARMACY MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>174398</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>6947</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRIS LUM</PersonNm>
        <TitleTxt>DIRECTOR OF PLANNING &amp; ANALYSIS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>164691</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29854</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>4969761</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>499093</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>19</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTELLIRIDE INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>720 E BUTTERFIELD RD STE 300</AddressLine1Txt>
            <CityNm>LOMBARD</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60148</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEMBER TRANSPORTATION</ServicesDesc>
        <CompensationAmt>5480432</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHANGE HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 98347</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606938347</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA VALIDATION &amp; SUPPORT</ServicesDesc>
        <CompensationAmt>909373</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ACCUITY LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>968495553</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCOUNTING SERVICES &amp; CONSULTING</ServicesDesc>
        <CompensationAmt>197487</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE INSTITUTE FOR HUMAN SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>P O BOX 17040</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96817</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEMBER HOUSING</ServicesDesc>
        <CompensationAmt>191745</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ADHEREHEALTH LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>501 CORPORATE CENTER DRIVE SUITE 4</AddressLine1Txt>
            <CityNm>FRANKLIN</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37067</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEMBER SERVICES</ServicesDesc>
        <CompensationAmt>175186</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <AllOtherContributionsAmt>31000</AllOtherContributionsAmt>
      <TotalContributionsAmt>31000</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>463853473</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>463853473</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>463853473</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4289299</TotalRevenueColumnAmt>
        <ExclusionAmt>4289299</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>6564516</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>6502612</SecuritiesAmt>
        <OtherAmt>310</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>61904</SecuritiesAmt>
        <OtherAmt>-310</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>61594</TotalRevenueColumnAmt>
        <ExclusionAmt>61594</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>102228</TotalRevenueColumnAmt>
        <ExclusionAmt>102228</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>102228</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>468337594</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>463853473</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>4453121</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1778115</TotalAmt>
        <ProgramServicesAmt>1778115</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>220703</TotalAmt>
        <ProgramServicesAmt>220703</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4581411</TotalAmt>
        <ManagementAndGeneralAmt>4581411</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>20187086</TotalAmt>
        <ProgramServicesAmt>481469</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19705617</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>777524</TotalAmt>
        <ManagementAndGeneralAmt>777524</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>2840017</TotalAmt>
        <ManagementAndGeneralAmt>2840017</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1930359</TotalAmt>
        <ManagementAndGeneralAmt>1930359</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>392116</TotalAmt>
        <ManagementAndGeneralAmt>392116</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>129857</TotalAmt>
        <ManagementAndGeneralAmt>129857</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>72591901</TotalAmt>
        <ProgramServicesAmt>72591901</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1101207</TotalAmt>
        <ManagementAndGeneralAmt>1101207</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>109349</TotalAmt>
        <ManagementAndGeneralAmt>109349</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>824814</TotalAmt>
        <ManagementAndGeneralAmt>824814</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>357582</TotalAmt>
        <ManagementAndGeneralAmt>357582</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>52254</TotalAmt>
        <ManagementAndGeneralAmt>52254</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2698167</TotalAmt>
        <ManagementAndGeneralAmt>2698167</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>350235</TotalAmt>
        <ManagementAndGeneralAmt>350235</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES - PROGR</Desc>
        <TotalAmt>356754319</TotalAmt>
        <ProgramServicesAmt>356754319</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES - MANAGE</Desc>
        <TotalAmt>4937898</TotalAmt>
        <ManagementAndGeneralAmt>4937898</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>472614914</TotalAmt>
        <ProgramServicesAmt>431826507</ProgramServicesAmt>
        <ManagementAndGeneralAmt>40788407</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>104329463</BOYAmt>
        <EOYAmt>87560968</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>28862978</BOYAmt>
        <EOYAmt>8279763</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2576646</BOYAmt>
        <EOYAmt>2770878</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12142435</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>7545209</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>5894223</BOYAmt>
        <EOYAmt>4597226</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>73101510</BOYAmt>
        <EOYAmt>77175350</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>214764820</BOYAmt>
        <EOYAmt>180384185</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>70442028</BOYAmt>
        <EOYAmt>36831112</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>71044010</BOYAmt>
        <EOYAmt>69605798</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>141486038</BOYAmt>
        <EOYAmt>106436910</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>73278782</BOYAmt>
        <EOYAmt>73947275</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>73278782</BOYAmt>
        <EOYAmt>73947275</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>214764820</BOYAmt>
        <EOYAmt>180384185</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-4277320</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>3800300</NetUnrlzdGainsLossesInvstAmt>
      <InvestmentExpenseAmt>1987782</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>-842269</PriorPeriodAdjustmentsAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>6889202</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4742329</DepreciationAmt>
        <BookValueAmt>2146873</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5253233</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2802880</DepreciationAmt>
        <BookValueAmt>2450353</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <TotalBookValueLandBuildingsAmt>4597226</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO RISK POOLS</Desc>
        <Amt>2092313</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED MEDICAL CLAIMS</Desc>
        <Amt>67513485</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>69605798</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>455675227</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>310</OtherRevenueAmt>
      <RevenueNotReportedAmt>310</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>455674917</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>12662677</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>12662677</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>468337594</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>468703630</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>310</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>310</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>468703320</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>3911594</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>3911594</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>472614914</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE 310.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PASS THROUGH REVENUE NETTED WITH EXPENSE 3,911,593. ADJUSTMENT FOR STATE RISK SHARE CONTRA REVENUE 8,751,084.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE 310.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PASS THROUGH EXPENSE NETTED WITH REVENUE 3,911,594.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7272 GREENVILLE AVENUE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>752315129</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HEART WALK</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN HEART ASSOCIATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7272 GREENVILLE AVENUE</AddressLine1Txt>
          <CityNm>DALLAS</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>752315129</ZIPCd>
        </USAddress>
        <RecipientEIN>135613797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>HEART BALL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN LUNG ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>810 RICHARDS STREET STE 750</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>990080379</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AZARA HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>70 BLANCHARD RD SUITE 401</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01803</ZIPCd>
        </USAddress>
        <RecipientEIN>452609523</RecipientEIN>
        <CashGrantAmt>7225</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AZARA HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>70 BLANCHARD RD SUITE 401</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01803</ZIPCd>
        </USAddress>
        <RecipientEIN>452609523</RecipientEIN>
        <CashGrantAmt>7225</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AZARA HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>70 BLANCHARD RD SUITE 401</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01803</ZIPCd>
        </USAddress>
        <RecipientEIN>452609523</RecipientEIN>
        <CashGrantAmt>7225</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AZARA HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>70 BLANCHARD RD SUITE 401</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01803</ZIPCd>
        </USAddress>
        <RecipientEIN>452609523</RecipientEIN>
        <CashGrantAmt>7225</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS AND GIRLS CLUB OF HAWAII</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 BISHOP STREET SUITE 505</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>996005407</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS AND GIRLS CLUB OF HAWAII</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1000 BISHOP STREET SUITE 505</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>996005407</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILD &amp; FAMILY SERVICE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>91-1841 FORT WEAVER ROAD</AddressLine1Txt>
          <CityNm>EWA BEACH</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96706</ZIPCd>
        </USAddress>
        <RecipientEIN>990073483</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDREN'S DOCTORS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1029 KAPAHULU AVE STE 409</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96816</ZIPCd>
        </USAddress>
        <RecipientEIN>562662457</RecipientEIN>
        <CashGrantAmt>6160</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY CLINIC OF MAUI INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968495618</ZIPCd>
        </USAddress>
        <RecipientEIN>990303304</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>26081</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY CLINIC OF MAUI INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968495618</ZIPCd>
        </USAddress>
        <RecipientEIN>990303304</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY CLINIC OF MAUI INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968495618</ZIPCd>
        </USAddress>
        <RecipientEIN>990303304</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY PEOPLE MINISTRIES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1114 LAULOA STREET</AddressLine1Txt>
          <CityNm>KAILUA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96734</ZIPCd>
        </USAddress>
        <RecipientEIN>475334011</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST HAWAII IPA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>670 PONAHAWAI ST STE 117</AddressLine1Txt>
          <CityNm>HILO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96720</ZIPCd>
        </USAddress>
        <RecipientEIN>990310967</RecipientEIN>
        <CashGrantAmt>8500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FEED THE HUNGER FUND</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 MONTGOMERY STREET</AddressLine1Txt>
          <CityNm>SAN FRANCISCO</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>94129</ZIPCd>
        </USAddress>
        <RecipientEIN>262975093</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAMAKUA HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>45-549 PLUMERIA ST</AddressLine1Txt>
          <CityNm>HONOKAA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96727</ZIPCd>
        </USAddress>
        <RecipientEIN>990115515</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>26651</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HANA HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14474</AddressLine1Txt>
          <CityNm>BELFAST</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>049154038</ZIPCd>
        </USAddress>
        <RecipientEIN>990326154</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7835</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HANA HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14474</AddressLine1Txt>
          <CityNm>BELFAST</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>049154038</ZIPCd>
        </USAddress>
        <RecipientEIN>990326154</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII ALLIANCE OF NONPROFIT ORGANIZATIONS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1020 SOUTH BERETANIA STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96814</ZIPCd>
        </USAddress>
        <RecipientEIN>990073497</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII COALITION FOR HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 25426</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968250426</ZIPCd>
        </USAddress>
        <RecipientEIN>943266455</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18150</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII LGBT LEGACY FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 23300</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96823</ZIPCd>
        </USAddress>
        <RecipientEIN>223969736</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 HON PRIDE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII PRIMARY CARE ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1003 BISHOP ST STE 1810</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>990268275</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22960</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 ACCESS TO CARE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII PRIMARY CARE ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1003 BISHOP ST STE 1810</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>990268275</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22960</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII PRIMARY CARE ASSOC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1003 BISHOP ST STE 1810</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>990268275</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22960</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 ACCESS TO CARE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII PUBLIC HEALTH INSTITUTE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>850 RICHARDS STREET STE 201</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>680637054</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>100000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTH MANAGEMENT ASSOCIATES INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>120 N WASHINGTON SQUARE SUITE 705</AddressLine1Txt>
          <CityNm>LANSING</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48933</ZIPCd>
        </USAddress>
        <RecipientEIN>382599727</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHY MOTHERS HEALTH BABIES COALITION OF HAWAII</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>245 N KUKUI ST SUITE 102A</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <RecipientEIN>990299264</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HHSC KAUAI REGION CLINICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 337</AddressLine1Txt>
          <CityNm>WAIMEA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96796</ZIPCd>
        </USAddress>
        <RecipientEIN>990262217</RecipientEIN>
        <CashGrantAmt>9680</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HONOLULU CIVIL BEAT INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 10857</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96816</ZIPCd>
        </USAddress>
        <RecipientEIN>812803662</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HO'OLA LAHUI HAWAII</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3990</AddressLine1Txt>
          <CityNm>LIHUE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96766</ZIPCd>
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        <RecipientEIN>990250542</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8154</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HUA MOON WOMENS HEALTH LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 33547</AddressLine1Txt>
          <CityNm>BELFAST</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>049150613</ZIPCd>
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        <RecipientEIN>464560620</RecipientEIN>
        <CashGrantAmt>5480</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KALIHI PALAMA HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 17460</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968170460</ZIPCd>
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        <RecipientEIN>990161221</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>44916</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAPIOLANI HEALTH FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>55 MERCHANT STREET 26TH FLOOR</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
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        <RecipientEIN>990246364</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAPIOLANI MEDICAL CLINIC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 30180</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
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        <RecipientEIN>990177350</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18604</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAUAI MEDICAL CLINIC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 30180</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
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        <RecipientEIN>990326099</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>42991</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KIHEI WAILEA MEDICAL CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>C/O TEAM PRAXIS PO BOX 30460</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968200460</ZIPCd>
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        <RecipientEIN>990350911</RecipientEIN>
        <CashGrantAmt>13418</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOKUA KALIHI VALLEY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2239 N SCHOOL ST</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
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        <RecipientEIN>990149797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>57839</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOKUA KALIHI VALLEY</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2239 N SCHOOL ST</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
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        <RecipientEIN>990149797</RecipientEIN>
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        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KO'OLAULOA HEALTH CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 395</AddressLine1Txt>
          <CityNm>KAHUKU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>967312052</ZIPCd>
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        <RecipientEIN>731681833</RecipientEIN>
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        <CashGrantAmt>12172</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LANAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 630142</AddressLine1Txt>
          <CityNm>LANAI CITY</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96763</ZIPCd>
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        <RecipientEIN>202509287</RecipientEIN>
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        <CashGrantAmt>7461</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LANAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 630142</AddressLine1Txt>
          <CityNm>LANAI CITY</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96763</ZIPCd>
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        <RecipientEIN>202509287</RecipientEIN>
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        <CashGrantAmt>28785</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LANAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 630142</AddressLine1Txt>
          <CityNm>LANAI CITY</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96763</ZIPCd>
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        <RecipientEIN>202509287</RecipientEIN>
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        <CashGrantAmt>18000</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1580 MAKALOA STREET STE 1200</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96814</ZIPCd>
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        <RecipientEIN>131846366</RecipientEIN>
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        <CashGrantAmt>15000</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARSHALLESE ASSOCIATION OF KAUAI</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 3081</AddressLine1Txt>
          <CityNm>LIHUE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96766</ZIPCd>
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        <RecipientEIN>861630442</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAUI ECONOMIC OPPORTUNITY INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>99 MAHALANI STREET</AddressLine1Txt>
          <CityNm>WAILUKU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96793</ZIPCd>
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        <RecipientEIN>996009889</RecipientEIN>
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        <CashGrantAmt>5750</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MAUI MEDICAL GROUP INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2180 MAIN STREET</AddressLine1Txt>
          <CityNm>WAILUKU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96793</ZIPCd>
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        <RecipientEIN>990176859</RecipientEIN>
        <CashGrantAmt>97724</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MEDICAID HEALTH PLANS OF AMERICA INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1575 EYE STREET NW SUITE 300</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
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        <RecipientEIN>900646692</RecipientEIN>
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        <CashGrantAmt>15000</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MENTAL HEALTH ASSOCIATION IN HAWAII</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1136 UNION MALL STE 208</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
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        <RecipientEIN>990076458</RecipientEIN>
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        <CashGrantAmt>6900</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOLOKAI OHANA HEALTH CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 2040</AddressLine1Txt>
          <CityNm>KAUNAKAKAI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96748</ZIPCd>
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        <RecipientEIN>510437659</RecipientEIN>
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        <CashGrantAmt>12561</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MOLOKAI OHANA HEALTH CARE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 2040</AddressLine1Txt>
          <CityNm>KAUNAKAKAI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96748</ZIPCd>
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        <RecipientEIN>510437659</RecipientEIN>
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        <CashGrantAmt>23917</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>MOTIV8 FOUNDATION INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 1087</AddressLine1Txt>
          <CityNm>KAILUA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96734</ZIPCd>
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        <RecipientEIN>474417194</RecipientEIN>
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        <CashGrantAmt>12500</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>OAHU PUBLICATIONS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 31000</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968495027</ZIPCd>
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        <RecipientEIN>990353529</RecipientEIN>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>PACIFIC BASIN COMMUNICATIONS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 913</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96808</ZIPCd>
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        <RecipientEIN>990351467</RecipientEIN>
        <CashGrantAmt>6283</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PALI MOMI MEDICAL CENTER (PHYSICIAN)</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 30180</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
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        <RecipientEIN>990274038</RecipientEIN>
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        <CashGrantAmt>7802</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PROJECT VISION HAWAII</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>810 N VINEYARD BLVD</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
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        <RecipientEIN>272831637</RecipientEIN>
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        <CashGrantAmt>50000</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PROJECT VISION HAWAII</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>810 N VINEYARD BLVD</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
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        <RecipientEIN>272831637</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>EYE BALL</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PUKALANI FAMILY PRACTICE LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>81 MAKAWAO AVE STE 100</AddressLine1Txt>
          <CityNm>MAKAWAO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96768</ZIPCd>
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        <RecipientEIN>854198476</RecipientEIN>
        <CashGrantAmt>14370</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>QUEENS MSSP ACO LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1301 PUNCHBOWL STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
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        <RecipientEIN>830771278</RecipientEIN>
        <CashGrantAmt>108250</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STRAUB CLINIC &amp; HOSPITAL (CLINIC)</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 30180</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
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        <RecipientEIN>912151670</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>39770</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE WAHIAWA CENTER FOR COMMUNITY HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>302 CALIFORNIA AVE 106</AddressLine1Txt>
          <CityNm>WAHIAWA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96786</ZIPCd>
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        <RecipientEIN>455114944</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8666</CashGrantAmt>
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        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY CLINICAL EDUCATION &amp; RESEARCH ASSOCIATES</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 29470</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968201870</ZIPCd>
        </USAddress>
        <RecipientEIN>990307152</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2021 GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
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          <CityNm>BELFAST</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>049154107</ZIPCd>
        </USAddress>
        <RecipientEIN>455114944</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>75000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 ACCESS TO CARE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>89-102 FARRINGTON HWY STE 3000</AddressLine1Txt>
          <CityNm>WAIANAE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96792</ZIPCd>
        </USAddress>
        <RecipientEIN>990148164</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>165854</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIKIKI HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 20402</AddressLine1Txt>
          <CityNm>BELFAST</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>049154099</ZIPCd>
        </USAddress>
        <RecipientEIN>990159253</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>24679</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>41-1347 KALANIANAOLE HWY</AddressLine1Txt>
          <CityNm>WAIMANALO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96795</ZIPCd>
        </USAddress>
        <RecipientEIN>990273205</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>17492</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST HAWAII COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75-5751 KUAKINI HWY STE 203</AddressLine1Txt>
          <CityNm>KAILUAKONA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96740</ZIPCd>
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        <RecipientEIN>200495394</RecipientEIN>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
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          <CityNm>KAILUA KONA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96740</ZIPCd>
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        <RecipientEIN>200495394</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>40127</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2022 P4P QUALITY INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75-5751 KUAKINI HWY STE 203</AddressLine1Txt>
          <CityNm>KAILUA KONA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96740</ZIPCd>
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        <RecipientEIN>200495394</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>44601</CashGrantAmt>
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      <RecipientTable>
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          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96740</ZIPCd>
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        <RecipientEIN>200495394</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>58</Total501c3OrgCnt>
      <TotalOtherOrgCnt>14</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>P4P QUALITY INCENTIVE</GrantTypeTxt>
        <RecipientCnt>21</RecipientCnt>
        <CashGrantAmt>190703</CashGrantAmt>
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      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIP</GrantTypeTxt>
        <RecipientCnt>6</RecipientCnt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALOHACARE AWARDS QUALITY INCENTIVE PAYMENTS TO DIFFERENT ORGANIZATIONS IN THE COMMUNITY. THE QUALITY INCENTIVE PAYMENTS ARE AWARDED BASED ON DIFFERENT CRITERIA, INCLUDING PREVENTION AND/OR TREATMENT OF HEALTH RELATED ISSUES, HEALTHCARE NEEDS, AND THE OVERALL IMPROVEMENT OF HEALTH IN THE HAWAII COMMUNITY.</ExplanationTxt>
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    </IRS990ScheduleI>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6835</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9004</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>250944</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEROME JANICEK</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF PLAN OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>191534</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>35015</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9041</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>235590</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RYAN MAU</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF BUSINESS SUPPORT</TitleTxt>
        <BaseCompensationFilingOrgAmt>173406</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>17500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7878</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27097</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225881</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NILA PATEL</PersonNm>
        <TitleTxt>DIRECTOR OF APPLICATION DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>159711</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15700</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6704</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18117</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200232</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VALERIE SONODA</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF PROVIDER OPERATIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>140951</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>24312</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6895</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27097</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>199255</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KRIS LUM</PersonNm>
        <TitleTxt>DIRECTOR OF PLANNING &amp; ANALYSIS</TitleTxt>
        <BaseCompensationFilingOrgAmt>149091</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15600</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6017</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23837</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>194545</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EVELYN CHOCK</PersonNm>
        <TitleTxt>SENIOR PHARMACY MANAGER</TitleTxt>
        <BaseCompensationFilingOrgAmt>166598</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>7800</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6947</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>181345</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY SPENDING AND SOCIAL CLUB DUES ARE APPROVED BY BOARD OF DIRECTORS AS DOCUMENTED IN THE EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>QUEENS HEALTH SYSTEMS &amp; GERARD AKAKA CHIEF MEDICAL OFFICER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; SECRETARY OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>81966972</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>NICHOLAS HUGHEY WAIANAE COAST COMP HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>13363306</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>GIDGET RUSCETTA PALI MOMI MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>11006112</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>RICHARD TAAFFE WEST HAWAII COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; TREASURER OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>4373751</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>3250436</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JOHN VAZ MALAMA I KE OLA HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; VP OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>2837165</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DAVID DERAUF KOKUA KALIHI VALLEY EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>2569458</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>PHYLLIS DENDLE WAIKIKI HEALTH CENTER EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1954639</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MARY ONEHA &amp; CHRISTINA LEE WAIMANALO HEALTH CENTER EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; PRESIDENT OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1331527</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CINDY FIGUERRES LANAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>621877</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CATHY MARQUETTE HAMAKUA HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>576384</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>SHANNA WILLING MOLOKAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>530011</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>KOOLAULOA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VACANT BOD POSITION</RelationshipDescriptionTxt>
        <TransactionAmt>246341</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CHERYL VASCONCELLOS HANA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; VP OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>243612</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, COLUMN A, LINE ITEM 1 CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>QUEEN EMMA CLINICS</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD OF DIRECTORS, MAY DESIGNATE FROM AMONG ITS MEMBERS AN EXECUTIVE COMMITTEE, A GOVERNANCE COMMITTEE, AN AUDIT COMMITTEE, AND A COMPLIANCE COMMITTEE, TOGETHER WITH ONE OR MORE OTHER COMMITTEES, EACH OF WHICH SHALL HAVE AND MAY EXERCISE ALL THE AUTHORITY GRANTED BY THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW OR THE ARTICLES OF INCORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BOTH THE CEO &amp; CFO OF ALOHACARE REVIEW FORM 990 PRIOR TO OBTAINING APPROVAL FROM ALOHACARE'S FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, AND NOTIFY ALOHACARE SHOULD ANY CONFLICTS ARISE DURING THE YEAR. DIRECTORS, KEY EMPLOYEES AND OFFICERS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST DISCLOSURE FORM ANNUALLY TO DISCLOSE ANY ARRANGEMENTS WHICH MAY CONSTITUTE AN ACTUAL CONFLICT OF INTEREST OR GIVE RISE TO THE APPEARANCE OF A CONFLICT OF INTEREST. THE COMPLIANCE DEPARTMENT REVIEWS THE ANNUAL CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND REPORTS POTENTIAL CONFLICTS OF INTERESTS TO THE BOARD OF DIRECTORS. ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST MAY ALSO BE RAISED BY ANY OTHER MEMBER OF THE BOARD OF DIRECTORS OR THROUGH THE WHISTLEBLOWER PROGRAM. AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS, BUT AFTER SUCH PRESENTATION,THE INTERESTED PERSON SHALL RECUSE THEMSELVES FROM THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ON AN ANNUAL BASIS, THE BOARD, SUPPORTED BY THE GOVERNANCE COMMITTEE, REVIEWS AND EVALUATES THE PERFORMANCE OF THE SENIOR LEADERSHIP TEAM ON AN INDIVIDUAL BASIS. THIS OVERSIGHT INCLUDES DETERMINATION OF TOTAL COMPENSATION (BASE SALARY, BONUS, AND/OR OTHER SUPPLEMENTAL BENEFITS) AS WELL AS ONGOING EMPLOYMENT AT THE ORGANIZATION. EXECUTIVE COMPENSATION IS DETERMINED BASED ON EXTERNAL STUDIES AND INDIVIDUAL PERFORMANCE. ALOHACARE PARTICIPATES IN COMPENSATION SURVEYS BOTH STATE AND NATIONALLY AND USES THE FINDINGS IN THE OVERALL COMPENSATION MARKET RESEARCH TO BEST DETERMINE THE COMPENSATION FOR KEY LEADERSHIP POSITIONS. ALL COMPENSATION PROGRAMS ARE ULTIMATELY SUBJECT TO REVIEW AND APPROVAL BY THE GOVERNANCE COMMITTEE AND THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BY ALOHACARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES - PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 72,591,901. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,591,901.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALOHACARE HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE AWARDED ON AN OBJECTIVE AND NONDISCRIMINATORY BASIS BASED ON PRE-ESTABLISHED CRITERIA AND REVEIWED BY A SELECTION COMMITTEE COMPRISED OF DISINTERESTED PERSONS, AS DESCRIBED IN REGULATIONS SECTION 53.4945-4(B).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>