﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2019v5.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2021-05-16T12:29:10-05:00</ReturnTs>
    <TaxPeriodEndDt>2020-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>203746583</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>TAYLOR ROTH AND COMPANY</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>800 GRANT ST STE 205</AddressLine1Txt>
        <CityNm>DENVER</CityNm>
        <StateAbbreviationCd>CO</StateAbbreviationCd>
        <ZIPCd>802032944</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2019-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>465551998</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COMMUNITY OUTREACH AND PATIENT</BusinessNameLine1Txt>
        <BusinessNameLine2Txt>EMPOWERMENT PROGRAM INC</BusinessNameLine2Txt>
      </BusinessName>
      <BusinessNameControlTxt>COMM</BusinessNameControlTxt>
      <PhoneNum>5057222185</PhoneNum>
      <USAddress>
        <AddressLine1Txt>208 W COAL AVE</AddressLine1Txt>
        <CityNm>GALLUP</CityNm>
        <StateAbbreviationCd>NM</StateAbbreviationCd>
        <ZIPCd>87301</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MARCUS OSBORNE</PersonNm>
      <PersonTitleTxt>TREASURER</PersonTitleTxt>
      <PhoneNum>5057222185</PhoneNum>
      <SignatureDt>2021-05-15</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>DIANE K GRANGER</PreparerPersonNm>
      <PTIN>P01388919</PTIN>
      <PhoneNum>3038308109</PhoneNum>
      <PreparationDt>2021-05-16</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2019</TaxYr>
    <BuildTS>2022-09-23 18:48:47Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="7">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc6">
      <PrincipalOfficerNm>SHARON FENN</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>208 W COAL AVE</AddressLine1Txt>
        <CityNm>GALLUP</CityNm>
        <StateAbbreviationCd>NM</StateAbbreviationCd>
        <ZIPCd>87301</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>3547743</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.COPEPROGRAM.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>2014</FormationYr>
      <LegalDomicileStateCd>NM</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO ELIMINATE HEALTH DISPARITIES AND IMPROVE THE WELL-BEING OF AMERICAN INDIANS AND ALASKA NATIVES.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>30</TotalEmployeeCnt>
      <TotalVolunteersCnt>21</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>2024099</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>3514663</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>88609</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>28750</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>141</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>847</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>3671</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>3483</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>2116520</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>3547743</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>108017</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>835573</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>1282811</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>123541</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1373987</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1514306</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>2209560</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2905134</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-93040</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>642609</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1188975</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>2183143</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>201160</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>552719</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>987815</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>1630424</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>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.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>1108235</ExpenseAmt>
      <GrantAmt>108017</GrantAmt>
      <RevenueAmt>28750</RevenueAmt>
      <Desc>ACTIVITIES RELATED TO COMMUNITY HEALTH MADE UP THE LARGEST PORTION OF THE FY2020 BUDGET IN TERMS OF EXPENSES TOTALING 1,108,235. IN FY2020, COPE CONTINUED TO WORK WITH A COALITION OF MULTI-SECTORIAL INDIVIDUALS AND ORGANIZATIONS TO PROMOTE ACCESS TO HEALTHCARE SERVICES AND HEALTHY FOOD ON NAVAJO NATION. WE CONTINUED TO PARTNER WITH GROWERS AND STORES AND HAVE EXPANDED 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 YOUTH. WE ALSO EXPANDED SUPPORT AND WORK RELATED TO THE COVID-19 RESPONSE.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>720055</ExpenseAmt>
        <Desc>COMMUNITY PARTNERSHIP ACTIVITIES IN FY2020 COMPRISED THE SECOND LARGEST PORTION OF THE BUDGET IN TERMS OF EXPENSES TOTALING 720,055. MUCH OF THIS BUDGET REFLECTS SUBRECIPIENTS, CONTRACTS, AND STIPENDS DIRECTED TOWARD OUR COMMUNITY PARTNERS WHO PLAY CENTRAL ROLES IN OUR PROGRAMMING INCLUDING FOOD SOVEREIGNTY EFFORTS, PROGRAM EVALUATION, COMMUNITY HEALTH WORKER CERTIFICATION, AND OTHER COALITION WORK. COPE ALSO SERVED AS FISCAL SPONSOR TO A COMMUNITY-BASED ORGANIZATION AS ANOTHER APPROACH TO SUPPORT LOCAL CAPACITY BUILDING.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>235892</ExpenseAmt>
        <Desc>THE THIRD LARGEST PORTION OF THE FY2020 PROGRAM BUDGET WENT TO CAPACITY BUILDING ACTIVITIES DESIGNED TO STRENGTHEN COPE AND TO BROADEN THE REACH OF COPE'S PROGRAMS TOTALING 235,892. EXPENDITURES WERE ALLOCATED TOWARD STAFF WHO ARE DEDICATED TO ACTIVITIES SUCH AS EVALUATION ADMINISTRATION, HUMAN RESOURCES, AND OPERATIONS. EXPENSE ALSO WENT TOWARD CONSULTANCY SUPPORT TO STRENGTHEN THE ORGANIZATIONAL STRENGTHENING.</Desc>
      </ProgSrvcAccomActy3Grp>
      <TotalProgramServiceExpensesAmt>2064182</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc7">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc3">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc4">false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc4">true</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>false</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc5">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc5">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>37</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>30</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>false</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>false</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>false</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>false</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>NM</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>HANNAH SEHN</PersonNm>
        <PhoneNum>5057222185</PhoneNum>
        <USAddress>
          <AddressLine1Txt>208 W COAL AVE</AddressLine1Txt>
          <CityNm>GALLUP</CityNm>
          <StateAbbreviationCd>NM</StateAbbreviationCd>
          <ZIPCd>87301</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ANN ARNOLD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE BENALLY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE HATCH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS SEQUIST</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON FENN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HENRIETTA SANDOVAL-SOLAND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSIE JOHN</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DIANA ABEYTA</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCUS OSBORNE</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN L CHAMPAGNE</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>42385</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>177</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>42385</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>177</TotalOtherCompensationAmt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>false</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <GovernmentGrantsAmt>673924</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2840739</AllOtherContributionsAmt>
      <NoncashContributionsAmt>749179</NoncashContributionsAmt>
      <TotalContributionsAmt>3514663</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>CONSULTING AND RESEARCH</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>28750</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>28750</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>28750</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>847</TotalRevenueColumnAmt>
        <ExclusionAmt>847</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>541900</BusinessCd>
        <TotalRevenueColumnAmt>3483</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3483</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>3483</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3547743</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>32233</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>847</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>108017</TotalAmt>
        <ProgramServicesAmt>108017</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>249670</TotalAmt>
        <ProgramServicesAmt>74901</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124835</ManagementAndGeneralAmt>
        <FundraisingAmt>49934</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>818334</TotalAmt>
        <ProgramServicesAmt>490760</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314134</ManagementAndGeneralAmt>
        <FundraisingAmt>13440</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5103</TotalAmt>
        <ProgramServicesAmt>3480</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1623</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>100817</TotalAmt>
        <ProgramServicesAmt>57504</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37828</ManagementAndGeneralAmt>
        <FundraisingAmt>5485</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>108887</TotalAmt>
        <ProgramServicesAmt>60256</ProgramServicesAmt>
        <ManagementAndGeneralAmt>41763</ManagementAndGeneralAmt>
        <FundraisingAmt>6868</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>8172</TotalAmt>
        <ManagementAndGeneralAmt>8172</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>974939</TotalAmt>
        <ProgramServicesAmt>813611</ProgramServicesAmt>
        <ManagementAndGeneralAmt>120254</ManagementAndGeneralAmt>
        <FundraisingAmt>41074</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>97328</TotalAmt>
        <ProgramServicesAmt>79008</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18320</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>18833</TotalAmt>
        <ProgramServicesAmt>13621</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4711</ManagementAndGeneralAmt>
        <FundraisingAmt>501</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>20579</TotalAmt>
        <ProgramServicesAmt>14505</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4390</ManagementAndGeneralAmt>
        <FundraisingAmt>1684</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>61158</TotalAmt>
        <ProgramServicesAmt>52286</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7940</ManagementAndGeneralAmt>
        <FundraisingAmt>932</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>87376</TotalAmt>
        <ProgramServicesAmt>86359</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1017</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>29119</TotalAmt>
        <ProgramServicesAmt>19846</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6653</ManagementAndGeneralAmt>
        <FundraisingAmt>2620</FundraisingAmt>
      </DepreciationDepletionGrp>
      <OtherExpensesGrp>
        <Desc>FOOD</Desc>
        <TotalAmt>151496</TotalAmt>
        <ProgramServicesAmt>148310</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2483</ManagementAndGeneralAmt>
        <FundraisingAmt>703</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CLIENT INCENTIVE/STIPEND</Desc>
        <TotalAmt>36068</TotalAmt>
        <ProgramServicesAmt>34346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1722</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ALL OTHER</Desc>
        <TotalAmt>29238</TotalAmt>
        <ProgramServicesAmt>7372</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21566</ManagementAndGeneralAmt>
        <FundraisingAmt>300</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2905134</TotalAmt>
        <ProgramServicesAmt>2064182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>717411</ManagementAndGeneralAmt>
        <FundraisingAmt>123541</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>196229</BOYAmt>
        <EOYAmt>188389</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>62741</BOYAmt>
        <EOYAmt>1100002</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>412311</BOYAmt>
        <EOYAmt>355222</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>7195</BOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1571</BOYAmt>
        <EOYAmt>851</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>593280</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>54601</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>508928</BOYAmt>
        <EOYAmt>538679</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>1188975</BOYAmt>
        <EOYAmt>2183143</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>196160</BOYAmt>
        <EOYAmt>256057</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <UnsecuredNotesLoansPayableGrp>
        <EOYAmt>203851</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>5000</BOYAmt>
        <EOYAmt>92811</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>201160</BOYAmt>
        <EOYAmt>552719</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>848799</BOYAmt>
        <EOYAmt>757574</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>139016</BOYAmt>
        <EOYAmt>872850</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>987815</BOYAmt>
        <EOYAmt>1630424</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1188975</BOYAmt>
        <EOYAmt>2183143</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>642609</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>548670</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2385637</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1865048</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2024099</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3514663</CurrentTaxYearAmt>
        <TotalAmt>10338117</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>548670</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2385637</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1865048</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2024099</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3514663</CurrentTaxYearAmt>
        <TotalAmt>10338117</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>192017</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>10146100</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus2YearsAmt>29</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>141</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>847</CurrentTaxYearAmt>
        <TotalAmt>1017</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>10339134</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>277660</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98130</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.95780</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>34240</OtherCostOrOtherBasisAmt>
        <BookValueAmt>34240</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>390439</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>30584</DepreciationAmt>
        <BookValueAmt>359855</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>129733</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23823</DepreciationAmt>
        <BookValueAmt>105910</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>500005</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FISCAL AGENCY PAYABLE</Desc>
        <Amt>75000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE PAYABLE</Desc>
        <Amt>17811</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>92811</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>3695469</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>147726</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>147726</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3547743</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>3547743</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3052860</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>147726</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>147726</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2905134</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>2905134</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>COPE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3). ACCORDINGLY, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN PROVIDED IN THE ACCOMPANYING FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc4">
      <GrantRecordsMaintainedInd>false</GrantRecordsMaintainedInd>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>COVID-RELATED ASSISTANCE</GrantTypeTxt>
        <RecipientCnt>2260</RecipientCnt>
        <NonCashAssistanceAmt>108017</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>COST</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>SUPPLIES, FOOD</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="RetDoc5">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>34264</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PAID TRAVEL</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>10847</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PAID SUPPLIES</Desc>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>24565</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PAID PROF SERVS</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>674279</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>PAID EDU &amp; TRNG</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>5224</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <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>DURING THE FISCAL YEAR ENDED JUNE 30, 2020, NINE MEMBERS OF THE BOARD OF DIRECTORS SERVED ON A VOLUNTEER BASIS. IN ADDITION, APPROXIMATELY 12 PERSONS ASSISTED WITH COVID-RELATED ON-CALL SUPPORT.</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 FY2020 BUDGET IN TERMS OF EXPENSES TOTALING 1,108,235. IN FY2020, COPE CONTINUED TO WORK WITH A COALITION OF MULTI-SECTORIAL INDIVIDUALS AND ORGANIZATIONS TO PROMOTE ACCESS TO HEALTHCARE SERVICES AND HEALTHY FOOD ON NAVAJO NATION. WE CONTINUED TO PARTNER WITH GROWERS AND STORES AND HAVE EXPANDED 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 YOUTH. WE ALSO EXPANDED SUPPORT AND WORK RELATED TO THE COVID-19 RESPONSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>LINE 3: DURING THE YEAR ENDED JUNE 30, 2020, COPE BENEFITED FROM SERVICES RECEIVED FROM EMPLOYEES OF AN UNRELATED ENTITY, PARTNERS IN HEALTH (PIH). PIH IS A NOT-FOR-PROFIT ORGANIZATION FOUNDED IN 1987 TO DELIVER HEALTH CARE TO RESIDENTS OF POVERTY-STRICKEN AREAS AROUND THE WORLD. COPE WAS INTENTIONALLY BUILT TO APPLY THE PIH CORE PRINCIPLES OF SOCIAL JUSTICE AND SOLIDARITY WITH UNDER-RESOURCED COMMUNITIES. PIH PROVIDES SUPPORT AND INFRASTRUCTURE IN TERMS OF ADMINISTRATION, HUMAN RESOURCES, FINANCE, DEVELOPMENT, AND COMMUNICATIONS. DURING THE YEAR ENDED JUNE 30, 2020, THE ESTIMATED VALUE OF SUPPORT PROVIDED BY PIH TO COPE WAS 2,182,427, INCLUDING 1,334,702 IN CASH CONTRIBUTIONS AND 761,411 OF IN-KIND CONTRIBUTIONS. INCLUDED IN THE IN- KIND CONTRIBUTIONS TOTALING 847,725 ARE CONTRIBUTED SERVICES VALUED AT 140,166 WHICH ARE NOT INCLUDED IN THIS FORM 990 DUE TO NOT MEETING INTERNAL REVENUE SERVICE CRITERIA FOR INCLUSION.</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 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>PROFESSIONAL SERVICES 243,267 36,787 0 PROFESSIONAL SERVICES - FR 556,312 78,786 39,181 PAYROLL ADMINISTRATION SERV. 14,032 4,681 1,893 TOTAL 813,611 120,254 41,074</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>