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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WING YEUNG</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL BARNETT</PersonNm>
        <TitleTxt>DIRECTOR ENDING 4/2018</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAN MONTGOMERY</PersonNm>
        <TitleTxt>DIRECTOR ENDING 2/2018</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BERNICE PELLER</PersonNm>
        <TitleTxt>CHIEF ADMINISTRATIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>108361</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4134</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DARLENE KAAHAAINA</PersonNm>
        <TitleTxt>CHIEF NURSING/QUALITY OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>117301</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELLIOT KALAUAWA</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>240209</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9173</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE ANDERSON</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>103640</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18456</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY ELIZABETH LOHMAN</PersonNm>
        <TitleTxt>CHIEF MARKETING OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>90983</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5459</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAURICE KALAAU</PersonNm>
        <TitleTxt>CHIEF PATIENT SERVICES OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>82998</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3343</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHEILA BECKHAM</PersonNm>
        <TitleTxt>CEO ENDING 11/2018</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>225514</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22000</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD OKAMOTO</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>136578</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9173</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HIRAM YOUNG</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>201894</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>29659</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA ECONOMOS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>176727</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19343</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SARA SEABOLT</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>185441</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31111</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FLORIAN SATTELMACHER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>172978</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMMY KAI</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>153686</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26795</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2001310</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>178646</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>22</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>ATHENA HEALTH INC</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>311 ARSENAL STREET</AddressLine1Txt>
            <CityNm>WATERTOWN</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02472</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EHR SYSTEM/SUPPORT</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>SYSTEMMETICS CORP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>900 FORT STREET MALL SUITE 250</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96813</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>330594</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BKD LLP</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>910 E ST LOUIS STREET SUITE 200</AddressLine1Txt>
            <CityNm>SPRINGFIELD</CityNm>
            <StateAbbreviationCd>MO</StateAbbreviationCd>
            <ZIPCd>65806</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <FederatedCampaignsAmt>101176</FederatedCampaignsAmt>
      <GovernmentGrantsAmt>4395686</GovernmentGrantsAmt>
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      <TotalContributionsAmt>6700895</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>7488646</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7488646</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>PHARMACY REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>5798559</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>5798559</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>169206</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>169206</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
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      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>917</TotalRevenueColumnAmt>
        <ExclusionAmt>917</ExclusionAmt>
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      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>0</RealAmt>
        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>10549</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-10549</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-10549</TotalRevenueColumnAmt>
        <ExclusionAmt>-10549</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <FundraisingDirectExpensesAmt>0</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <GamingGrossIncomeAmt>0</GamingGrossIncomeAmt>
      <GamingDirectExpensesAmt>0</GamingDirectExpensesAmt>
      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeFromGamingGrp>
      <GrossSalesOfInventoryAmt>0</GrossSalesOfInventoryAmt>
      <CostOfGoodsSoldAmt>0</CostOfGoodsSoldAmt>
      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
      <OtherRevenueTotalAmt>0</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>20147674</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13456411</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>-9632</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>13212</TotalAmt>
        <ProgramServicesAmt>13212</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>0</TotalAmt>
      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>1182322</TotalAmt>
        <ProgramServicesAmt>453024</ProgramServicesAmt>
        <ManagementAndGeneralAmt>729298</ManagementAndGeneralAmt>
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      <CompDisqualPersonsGrp>
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        <TotalAmt>8924724</TotalAmt>
        <ProgramServicesAmt>5872276</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2800024</ManagementAndGeneralAmt>
        <FundraisingAmt>252424</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>191543</ProgramServicesAmt>
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        <FundraisingAmt>12551</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>824420</ProgramServicesAmt>
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        <FundraisingAmt>29672</FundraisingAmt>
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        <ProgramServicesAmt>446419</ProgramServicesAmt>
        <ManagementAndGeneralAmt>278845</ManagementAndGeneralAmt>
        <FundraisingAmt>19127</FundraisingAmt>
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      <FeesForServicesManagementGrp>
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      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>13548</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62704</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>133752</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>595502</ProgramServicesAmt>
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        <FundraisingAmt>3543</FundraisingAmt>
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        <ProgramServicesAmt>11</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7970</ManagementAndGeneralAmt>
        <FundraisingAmt>53175</FundraisingAmt>
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        <ProgramServicesAmt>499375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>259887</ManagementAndGeneralAmt>
        <FundraisingAmt>54286</FundraisingAmt>
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        <ProgramServicesAmt>637005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>90015</ManagementAndGeneralAmt>
        <FundraisingAmt>3736</FundraisingAmt>
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        <ProgramServicesAmt>701938</ProgramServicesAmt>
        <ManagementAndGeneralAmt>213392</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>113056</TotalAmt>
        <ProgramServicesAmt>46648</ProgramServicesAmt>
        <ManagementAndGeneralAmt>66339</ManagementAndGeneralAmt>
        <FundraisingAmt>69</FundraisingAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
        <TotalAmt>50502</TotalAmt>
        <ProgramServicesAmt>11897</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38605</ManagementAndGeneralAmt>
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      <InterestGrp>
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      <PaymentsToAffiliatesGrp>
        <TotalAmt>0</TotalAmt>
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        <ProgramServicesAmt>419883</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2238</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>0</TotalAmt>
      </InsuranceGrp>
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        <Desc>MEDICAL SUPPLIES &amp; DRUGS</Desc>
        <TotalAmt>3209059</TotalAmt>
        <ProgramServicesAmt>3209059</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>MAINTENANCE AND REPAIRS</Desc>
        <TotalAmt>233280</TotalAmt>
        <ProgramServicesAmt>124694</ProgramServicesAmt>
        <ManagementAndGeneralAmt>87633</ManagementAndGeneralAmt>
        <FundraisingAmt>20953</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>LICENSES, DUES, SUBSCRIPTIONS</Desc>
        <TotalAmt>57061</TotalAmt>
        <ManagementAndGeneralAmt>56899</ManagementAndGeneralAmt>
        <FundraisingAmt>162</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>52728</TotalAmt>
        <ProgramServicesAmt>52728</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>20275098</TotalAmt>
        <ProgramServicesAmt>14113182</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5712218</ManagementAndGeneralAmt>
        <FundraisingAmt>449698</FundraisingAmt>
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        <EOYAmt>1932835</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>411716</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>392884</BOYAmt>
        <EOYAmt>381485</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>830661</BOYAmt>
        <EOYAmt>785117</EOYAmt>
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        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <RcvblFromDisqualifiedPrsnGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
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      <OthNotesLoansReceivableNetGrp>
        <BOYAmt>0</BOYAmt>
        <EOYAmt>0</EOYAmt>
      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>51438</BOYAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY MANAGEMENT. A REVIEW IS CONDUCTED BY MANAGEMENT AND COPIES ARE PROVIDED TO THE FINANCE DEPARTMENT FOR REVIEW. HISTORICALLY ALL FORM 990'S HAVE BEEN PREPARED BY A THIRD PARTY WHO WORKS IN CONJUNCTION WITH THE COMPANY'S FINANCE DEPARTMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL EXECUTIVE MANAGEMENT AND BOARD MEMBERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. ANY BUSINESS DEALINGS WITH RELATED PARTIES MUST BE DISCLOSED TO ALL OF THE BOARD OF DIRECTORS. DECISION MAKING IS LIMITED AS IT PERTAINS TO ANY TRANSACTIONS DONE WITH THE RELATED PARTY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINES 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>DETERMINATION OF CEO COMPENSATION: THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD OF DIRECTORS. THE DIRECTORS MEET IN EXECUTIVE SESSION FOR DISCUSSION. THE PERSONNEL COMMITTEE OF THE BOARD IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD AND USES THE FOLLOWING RESOURCES: COMPARATIVE DATA FROM HAWAII EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, AND THE HAWAII PRIMARY CARE ASSOCIATION (HPCA). THE CHIEF EXECUTIVE OF THE HPCA, WHO IS INDEPENDENT OF THE BOARD OF DIRECTORS, ACTED AS AN ADVISOR AND CONSULTANT DURING THE 2007 HIRING OF THE NEW EXECUTIVE DIRECTOR. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE EXECUTIVE DIRECTOR, USING THE AVAILABLE EXTERNAL RESOURCES LISTED ABOVE AND WITH INPUT ON COMPARABLE MARKET SALARIES FROM THE HR MANAGER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENT AVAILABILITY: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON DEMAND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, SECTION A, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBER COMPENSATION: PHYLLIS DENDLE BECAME CEO IN DECEMBER OF 2018, AND RECEIVED COMPENSATION FOR HER SERVICES AS CEO. NO BOARD MEMBER RECEIVED COMPENSATION FOR THEIR SERVICES AS A BOARD MEMBER OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>