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        <CurrentTaxYearMinus1YearAmt>4649697</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2817654</CurrentTaxYearAmt>
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      <PublicSupportTotal170Amt>14768438</PublicSupportTotal170Amt>
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        <CurrentTaxYearMinus3YearsAmt>141</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>847</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>985</CurrentTaxYearMinus1YearAmt>
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      <PublicSupportPY170Pct>0.98650</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <BookValueAmt>75964</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>460061</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FISCAL AGENCY PAYABLE</Desc>
        <Amt>86203</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE PAYABLE</Desc>
        <Amt>10420</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>96623</TotalLiabilityAmt>
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    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>FOOD VOUCHERS</GrantTypeTxt>
        <RecipientCnt>225</RecipientCnt>
        <NonCashAssistanceAmt>46690</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>FOOD</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANTS ARE AWARDED PER PROGRAM GUIDELINES WHICH MAY VARY DEPENDING ON THE PROGRAM TYPE AND SOURCE OF FUNDING. DOCUMENTATION OF APPLICATIONS AND ELIGIBILITY DETERMINATIONS ARE MAINTAINED BY COPE ACCORDING TO THE ORGANIZATION'S DOCUMENT RETENTION POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="RetDoc5">
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        <Desc>PROG. SUPPLIES</Desc>
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    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>COPE'S VISION IS TO ELIMINATE HEALTH DISPARITIES AND IMPROVE THE WELL-BEING OF AMERICAN INDIANS AND ALASKA NATIVES. WE BELIEVE THAT THE POWER TO OVERTURN LONG-STANDING, HISTORICAL HEALTH INEQUALITIES LIES INHERENTLY IN NATIVE COMMUNITIES THEMSELVES. COPE STRIVES TO PROMOTE HEALTHY, PROSPEROUS, AND EMPOWERED NATIVE COMMUNITIES THROUGH THREE COLLABORATIVE APPROACHES: 1. ROBUST, COMMUNITY-BASED OUTREACH; 2. LOCAL CAPACITY BUILDING AND SYSTEM-LEVEL PARTNERSHIPS; AND 3. INCREASED ACCESS TO HEALTHY FOODS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 1, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>COPE SERVED AS A MENTORING SITE FOR DIN COLLEGE PUBLIC HEALTH STUDENTS TO COMPLETE THEIR PRACTICUM. AS MENTORS, COPE PROVIDED GUIDANCE TO STUDENTS WITH DATA ANALYSIS METHODS AND TECHNIQUES UTILIZING CONCEPTS OF PUBLIC HEALTH, AND HEALTH PROMOTION. AT THE END OF THE PROGRAM, THE INTERNS WERE REQUIRED TO PROVIDE A PRESENTATION OF THEIR INTERN PROJECT AND FINDINGS TO COPE. IN ADDITION, BOARD MEMBERS SERVED ON A VOLUNTEER BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>ACTIVITIES RELATED TO COMMUNITY HEALTH MADE UP THE LARGEST PORTION OF THE FY2022 BUDGET IN TERMS OF EXPENSES. IN FY2022, COPE CONTINUED TO WORK WITH A COALITION OF MULTI-SECTORIAL INDIVIDUALS AND ORGANIZATIONS TO PROMOTE ACCESS TO HEALTH SERVICES AND HEALTHY FOOD ON NAVAJO NATION. WE CONTINUED TO PARTNER WITH LOCAL PARTNERS TO EXPAND THE NAVAJO FRUIT AND VEGETABLES PRESCRIPTION (FVRX) PROGRAM TO PROVIDE FAMILIES WITH THE PURCHASING POWER TO OBTAIN FRUITS AND VEGETABLES FROM LOCAL RETAILERS. WE CONTINUED TO OFFER TRAINING, EDUCATIONAL MATERIALS, AND PATIENT INCENTIVES TO HEALTH EDUCATORS AND COMMUNITY HEALTH REPRESENTATIVES. WE CONTINUED OUR CANCER PROGRAM INITIATIVES AS WELL AS ACTIVITIES GEARED TOWARD SUPPORTING PHYSICAL ACTIVITY. WE ALSO CONTINUED TO SUPPORT KEY WORK RELATED TO THE COVID-19 RESPONSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PREPARED IN CONSULTATION WITH A CERTIFIED PUBLIC ACCOUNTING FIRM. ONCE THE DRAFT OF THE FORM 990 IS APPROVED BY COPE'S MANAGEMENT, IT IS DISTRIBUTED TO BOARD MEMBERS FOR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS IS REQUIRED ON AN ANNUAL BASIS TO RENEW AND SIGN THE CONFLICT OF INTEREST STATEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS APPROVES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPE'S GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PAYROLL ADMINISTRATION 0 14,930 0 PROFESSIONAL SERVICES 136,561 20,406 0 PROF. SERVICES - PIH IN-KIND 172,888 24,996 10,415 TOTAL 309,449 60,332 10,415</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>AUDIT ADJUSTMENTS 1,163,690 COPE'S AUDIT FOR THE PERIOD ENDED JUNE 30, 2021 WAS COMPLETED AFTER THE FORM 990 FOR THE SAME PERIOD WAS FILED. THE AUDIT WAS DELAYED DUE TO ISSUES RELATED TO FINALIZING A LARGE, NON-RECURRING CONTRACTUAL AGREEMENT. AFTER THIS ISSUE WAS RESOLVED, AUDITED REVENUE INCREASED BY 1,163,690.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 2B: THE AUDIT FOR THE FISCAL YEAR ENDED JUNE 30, 2022 WAS IN PROGRESS AT THE TIME THE FORM 990 WAS FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
