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        <ReportableCompFromOrgAmt>340991</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42252</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRENNAN PATRICK</PersonNm>
        <TitleTxt>CHIEF OPERATIONS OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>340760</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9581</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELLOR JUNE</PersonNm>
        <TitleTxt>SENIOR V.P. COMPLIANCE/QUALITY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>333094</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30659</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRODERICK SAMRA</PersonNm>
        <TitleTxt>V.P. HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>298721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11349</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BANNISTER HANH</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF PHARMACY</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>288214</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27954</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ARCENA PAULA</PersonNm>
        <TitleTxt>V.P. OF EXTERNAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>296127</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19274</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BORRELL VICKI</PersonNm>
        <TitleTxt>POPULATION HEALTH OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>244455</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16578</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OTA BRANDIE</PersonNm>
        <TitleTxt>DIRECTOR OF HUMAN RESOURCES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>182247</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15788</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICEK JEROME</PersonNm>
        <TitleTxt>SR. DIRECTOR OF PLAN OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>243911</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8183</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MAU RYAN</PersonNm>
        <TitleTxt>SR. DIRECTOR OF BUSINESS SUPPORT SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>222375</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34605</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HAIGHT MICHAEL</PersonNm>
        <TitleTxt>SENIOR MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>383984</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32233</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LUM KRIS</PersonNm>
        <TitleTxt>DIRECTOR FINANCIAL PLANNING &amp; ANALYSIS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>198379</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33617</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHOCK EVELYN</PersonNm>
        <TitleTxt>SENIOR PHARMACY MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>191310</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7624</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SONODA VALERIE</PersonNm>
        <TitleTxt>SR. DIRECTOR PROVIDER OPS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>189026</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32785</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FERNANDES RITABELLE</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR POPULATION HEALTH</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151197</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4308</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5301073</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>438009</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</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>1478036</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE CHARTIS GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>220 W KINZIE STREET 3RD FLOOR</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60654</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING</ServicesDesc>
        <CompensationAmt>462000</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>185637</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>THE INSTITUTE FOR HUMAN SERVICES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 98347</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606938347</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEMBER HOUSING</ServicesDesc>
        <CompensationAmt>165280</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHANGE HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 98347</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606938347</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA VALIDATION &amp; SUPPORT</ServicesDesc>
        <CompensationAmt>158344</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>462388221</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>462388221</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>462388221</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>4456704</TotalRevenueColumnAmt>
        <ExclusionAmt>4456704</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>18391501</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>16408485</SecuritiesAmt>
        <OtherAmt>8852</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1983016</SecuritiesAmt>
        <OtherAmt>-8852</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1974164</TotalRevenueColumnAmt>
        <ExclusionAmt>1974164</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>82553</TotalRevenueColumnAmt>
        <ExclusionAmt>82553</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>82553</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>468901642</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>462388221</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>6513421</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1684901</TotalAmt>
        <ProgramServicesAmt>1684901</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>334800</TotalAmt>
        <ProgramServicesAmt>334800</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>4514619</TotalAmt>
        <ManagementAndGeneralAmt>4514619</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>21937057</TotalAmt>
        <ProgramServicesAmt>635283</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21301774</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>832380</TotalAmt>
        <ManagementAndGeneralAmt>832380</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3020397</TotalAmt>
        <ManagementAndGeneralAmt>3020397</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1929906</TotalAmt>
        <ManagementAndGeneralAmt>1929906</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>437153</TotalAmt>
        <ManagementAndGeneralAmt>437153</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>350647</TotalAmt>
        <ManagementAndGeneralAmt>350647</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>90075340</TotalAmt>
        <ProgramServicesAmt>90075340</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>1202422</TotalAmt>
        <ManagementAndGeneralAmt>1202422</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>112772</TotalAmt>
        <ManagementAndGeneralAmt>112772</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>744432</TotalAmt>
        <ManagementAndGeneralAmt>744432</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>426976</TotalAmt>
        <ManagementAndGeneralAmt>426976</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>91846</TotalAmt>
        <ManagementAndGeneralAmt>91846</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>2303056</TotalAmt>
        <ManagementAndGeneralAmt>2303056</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>367958</TotalAmt>
        <ManagementAndGeneralAmt>367958</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES - PROGR</Desc>
        <TotalAmt>357272312</TotalAmt>
        <ProgramServicesAmt>357272312</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES - MANAGE</Desc>
        <TotalAmt>8010163</TotalAmt>
        <ManagementAndGeneralAmt>8010163</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>495649137</TotalAmt>
        <ProgramServicesAmt>450002636</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45646501</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>87560968</BOYAmt>
        <EOYAmt>53766646</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>8279763</BOYAmt>
        <EOYAmt>14898988</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2770878</BOYAmt>
        <EOYAmt>2352445</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>12659528</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>8848995</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>4597226</BOYAmt>
        <EOYAmt>3810533</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>77175350</BOYAmt>
        <EOYAmt>64856452</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>180384185</BOYAmt>
        <EOYAmt>139685064</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>36831112</BOYAmt>
        <EOYAmt>29697628</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>69605798</BOYAmt>
        <EOYAmt>68825198</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>106436910</BOYAmt>
        <EOYAmt>98522826</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>73947275</BOYAmt>
        <EOYAmt>41162238</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>73947275</BOYAmt>
        <EOYAmt>41162238</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>180384185</BOYAmt>
        <EOYAmt>139685064</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-26747495</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1839736</NetUnrlzdGainsLossesInvstAmt>
      <InvestmentExpenseAmt>2861592</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>-10738870</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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>7365678</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>5619615</DepreciationAmt>
        <BookValueAmt>1746063</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>5293850</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3229380</DepreciationAmt>
        <BookValueAmt>2064470</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <TotalBookValueLandBuildingsAmt>3810533</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO RISK POOLS</Desc>
        <Amt>945803</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED MEDICAL CLAIMS</Desc>
        <Amt>67879395</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>68825198</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>464611337</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>8852</OtherRevenueAmt>
      <RevenueNotReportedAmt>8852</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>464602485</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>4299157</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>4299157</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>468901642</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>491516981</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>8852</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>8852</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>491508129</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>4141008</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>4141008</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>495649137</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE 8,852.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PASS THROUGH REVENUE NETTED WITH EXPENSE -120,469. ADJUSTMENT FOR STATE RISK SHARE CONTRA REVENUE 4,419,626.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE 8,852.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PASS THROUGH EXPENSE NETTED WITH REVENUE -120,469. DIFFERENCE IN SAP &amp; GAAP -158,149. ADJUSTMENT FOR SATATE RISK SHARE CONTRA REVENUE 4,419,626.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALOHA HOUSE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 791749</AddressLine1Txt>
          <CityNm>PAIA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96779</ZIPCd>
        </USAddress>
        <RecipientEIN>990173804</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALOHA UNITED WAY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 N VINEYARD NO 700</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968173938</ZIPCd>
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        <RecipientEIN>990073494</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</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 WALK</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>
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        <RecipientEIN>990080379</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>22000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BLOOD BANK OF HAWAII</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>2043 DILLINGHAM BLVD</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
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        <RecipientEIN>990073479</RecipientEIN>
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        <CashGrantAmt>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BOYS &amp; GIRLS CLUBS OF MAUI INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 KANALOA AVE</AddressLine1Txt>
          <CityNm>KAHULUI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96732</ZIPCd>
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        <RecipientEIN>990272347</RecipientEIN>
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        <CashGrantAmt>10765</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>DONATION</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>
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        <RecipientEIN>996005407</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CACHOLA MEDICAL CLINIC LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>936 KALIHI ST</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
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        <RecipientEIN>263548885</RecipientEIN>
        <CashGrantAmt>8249</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CASTLE MEDICAL CENTER -LAIE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>640 ULUKAHIKI STREET</AddressLine1Txt>
          <CityNm>KAILUA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96734</ZIPCd>
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        <RecipientEIN>990107330</RecipientEIN>
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        <CashGrantAmt>6016</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <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>
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        <RecipientEIN>562662457</RecipientEIN>
        <CashGrantAmt>7150</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY CLINIC OF MAUI INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968495618</ZIPCd>
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        <RecipientEIN>990303304</RecipientEIN>
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        <CashGrantAmt>49616</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST HAWAII IPA</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>670 PONAHAWAI ST STE 117</AddressLine1Txt>
          <CityNm>HILO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96720</ZIPCd>
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        <RecipientEIN>990310967</RecipientEIN>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY HUI HAWAII</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 22596</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
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        <RecipientEIN>464318561</RecipientEIN>
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        <CashGrantAmt>5400</CashGrantAmt>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY PROMISE OF HAWAII</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>245 N KUKUI STREET 104</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
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        <RecipientEIN>202645489</RecipientEIN>
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        <CashGrantAmt>7500</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>HAMAKUA HEALTH CENTER</BusinessNameLine1Txt>
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          <AddressLine1Txt>45-549 PLUMERIA ST</AddressLine1Txt>
          <CityNm>HONOKAA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96727</ZIPCd>
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        <RecipientEIN>990115515</RecipientEIN>
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        <CashGrantAmt>32995</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HANA HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 14474</AddressLine1Txt>
          <CityNm>BELFAST</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>049154038</ZIPCd>
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        <RecipientEIN>990326154</RecipientEIN>
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        <CashGrantAmt>8525</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII CHILDREN'S ACTION NETWORK SPEAKS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1200 ALA MOANA BLVD</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96814</ZIPCd>
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        <RecipientEIN>943257650</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
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        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII COALITION FOR HEALTH</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 25426</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968250426</ZIPCd>
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        <RecipientEIN>943266455</RecipientEIN>
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        <CashGrantAmt>18810</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII LGBT LEGACY FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 23300</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <RecipientEIN>223969736</RecipientEIN>
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        <CashGrantAmt>7000</CashGrantAmt>
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        <PurposeOfGrantTxt>2024 HON PRIDE</PurposeOfGrantTxt>
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        <USAddress>
          <AddressLine1Txt>P O BOX 236099</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <RecipientEIN>990198132</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
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        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>HAWAII PRIMARY CARE ASSOC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1003 BISHOP ST STE 1810</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
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        <RecipientEIN>990268275</RecipientEIN>
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        <CashGrantAmt>20000</CashGrantAmt>
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      <RecipientTable>
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        <USAddress>
          <AddressLine1Txt>1003 BISHOP ST STE 1810</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <RecipientEIN>990268275</RecipientEIN>
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        <CashGrantAmt>22960</CashGrantAmt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>HAWAII PUBLIC HEALTH INSTITUTE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>850 RICHARDS STREET STE 201</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <CashGrantAmt>20000</CashGrantAmt>
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          <BusinessNameLine1Txt>HO'OLA LAHUI HAWAII</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 3990</AddressLine1Txt>
          <CityNm>LIHUE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <RecipientEIN>990250542</RecipientEIN>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>IMUA FAMILY SERVICES</BusinessNameLine1Txt>
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          <AddressLine1Txt>161 S WAKEA AVE</AddressLine1Txt>
          <CityNm>KAHULUI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <RecipientEIN>990194402</RecipientEIN>
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        <CashGrantAmt>6000</CashGrantAmt>
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        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>ISLAND OF HAWAII YMCA</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>300 W LANIKAULA ST</AddressLine1Txt>
          <CityNm>HILO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96720</ZIPCd>
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        <RecipientEIN>990092295</RecipientEIN>
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        <CashGrantAmt>10000</CashGrantAmt>
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        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>KAHALA CHILDREN'S MEDICAL GROUP</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4211 WAIALAE AVE STE 205</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96816</ZIPCd>
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        <RecipientEIN>264083530</RecipientEIN>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>KALIHI PALAMA HEALTH CENTER</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO BOX 17460</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
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        <RecipientEIN>990161221</RecipientEIN>
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        <CashGrantAmt>40129</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
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        <USAddress>
          <AddressLine1Txt>4-1461 KUHIO HWY</AddressLine1Txt>
          <CityNm>KAPAA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96746</ZIPCd>
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        <RecipientEIN>273391413</RecipientEIN>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
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          <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>
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        <PurposeOfGrantTxt>DONATION</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>30359</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>KEANUENUE PEDIATRICS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>615 PIIKOI ST STE 1501</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96814</ZIPCd>
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        <RecipientEIN>851534108</RecipientEIN>
        <CashGrantAmt>5630</CashGrantAmt>
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        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <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>
        </USAddress>
        <RecipientEIN>990350911</RecipientEIN>
        <CashGrantAmt>10970</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOKUA KALIHI VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2239 N SCHOOL ST</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
        </USAddress>
        <RecipientEIN>990149797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>66408</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOKUA KALIHI VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2239 N SCHOOL ST</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
        </USAddress>
        <RecipientEIN>990149797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOOLAU WOMENS HEALTH CARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>642 ULUKAHIKI ST STE 209</AddressLine1Txt>
          <CityNm>KAILUA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96734</ZIPCd>
        </USAddress>
        <RecipientEIN>990296070</RecipientEIN>
        <CashGrantAmt>6700</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KO'OLAULOA HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 395</AddressLine1Txt>
          <CityNm>KAHUKU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>967312052</ZIPCd>
        </USAddress>
        <RecipientEIN>731681833</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10508</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LANAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 630142</AddressLine1Txt>
          <CityNm>LANAI CITY</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96763</ZIPCd>
        </USAddress>
        <RecipientEIN>202509287</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11842</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LANAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 630142</AddressLine1Txt>
          <CityNm>LANAI CITY</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96763</ZIPCd>
        </USAddress>
        <RecipientEIN>202509287</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MALAMA KIDNEY CENTER LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1357 KAPIOLANI BLVD STE 1450</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96814</ZIPCd>
        </USAddress>
        <RecipientEIN>364937822</RecipientEIN>
        <CashGrantAmt>20585</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARCH OF DIMES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1580 MAKALOA STREET STE 1200</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96814</ZIPCd>
        </USAddress>
        <RecipientEIN>131846366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>18000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAUI LANI PHYSICIANS AND SURGEONS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>165 MAA STREET</AddressLine1Txt>
          <CityNm>KAHULUI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96732</ZIPCd>
        </USAddress>
        <RecipientEIN>611706383</RecipientEIN>
        <CashGrantAmt>30000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAUI MEDICAL GROUP INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2180 MAIN STREET</AddressLine1Txt>
          <CityNm>WAILUKU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96793</ZIPCd>
        </USAddress>
        <RecipientEIN>990176859</RecipientEIN>
        <CashGrantAmt>112014</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MEDICAID HEALTH PLANS OF AMERICA INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1575 EYE STREET NW SUITE 300</AddressLine1Txt>
          <CityNm>WASHINGTON</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20005</ZIPCd>
        </USAddress>
        <RecipientEIN>900646692</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOLOKAI OHANA HEALTH CARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 2040</AddressLine1Txt>
          <CityNm>KAUNAKAKAI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96748</ZIPCd>
        </USAddress>
        <RecipientEIN>510437659</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35837</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PACIFIC BASIN COMMUNICATIONS LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 913</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96808</ZIPCd>
        </USAddress>
        <RecipientEIN>990351467</RecipientEIN>
        <CashGrantAmt>21466</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PALI MOMI MEDICAL CENTER (PHYSICIAN)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30180</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
        </USAddress>
        <RecipientEIN>990274038</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>9203</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PUKALANI FAMILY PRACTICE LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>81 MAKAWAO AVE STE 100</AddressLine1Txt>
          <CityNm>MAKAWAO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96768</ZIPCd>
        </USAddress>
        <RecipientEIN>854198476</RecipientEIN>
        <CashGrantAmt>22140</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>QUEENS MSSP ACO LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1301 PUNCHBOWL STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>830771278</RecipientEIN>
        <CashGrantAmt>62386</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SMMH-HHSC-KAUAI RGN CLINICS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>P O BOX 337</AddressLine1Txt>
          <CityNm>WAIMEA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96796</ZIPCd>
        </USAddress>
        <RecipientEIN>990262217</RecipientEIN>
        <CashGrantAmt>43662</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STRAUB CLINIC &amp; HOSPITAL (CLINIC)</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30180</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
        </USAddress>
        <RecipientEIN>912151670</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>16577</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE KIDS DOC LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>579 FARRINGTON HWY STE 203</AddressLine1Txt>
          <CityNm>KAPOLEI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96707</ZIPCd>
        </USAddress>
        <RecipientEIN>861412090</RecipientEIN>
        <CashGrantAmt>7430</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE WAHIAWA CENTER FOR COMMUNITY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>302 CALIFORNIA AVE 106</AddressLine1Txt>
          <CityNm>WAHIAWA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96786</ZIPCd>
        </USAddress>
        <RecipientEIN>455114944</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>26976</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED SELF HELP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>310 PAOAKALANI AVENUE</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96815</ZIPCd>
        </USAddress>
        <RecipientEIN>990257124</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED STATES VETERANS INITIATIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>800 W 6TH STREET SUITE 1505</AddressLine1Txt>
          <CityNm>LOS ANGELES</CityNm>
          <StateAbbreviationCd>CA</StateAbbreviationCd>
          <ZIPCd>90017</ZIPCd>
        </USAddress>
        <RecipientEIN>954382752</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VENTURE MEDICAL 21 INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>733 BISHOP ST STE 2945</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>460641609</RecipientEIN>
        <CashGrantAmt>11880</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIANAE COAST COMPREHENSIVE HEALTH CENTER</BusinessNameLine1Txt>
        </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>249438</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIANAE COAST COMPREHENSIVE HEALTH CENTER</BusinessNameLine1Txt>
        </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>25000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>SPONSORSHIP</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>34908</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIMANALO HEALTH CENTER</BusinessNameLine1Txt>
        </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>30171</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIMANALO HEALTH CENTER</BusinessNameLine1Txt>
        </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>97000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2024 GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST HAWAII COMMUNITY HEALTH CENTER INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75-5751 KUAKINI HWY STE 203</AddressLine1Txt>
          <CityNm>KAILUA KONA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96740</ZIPCd>
        </USAddress>
        <RecipientEIN>200495394</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>51410</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>2023 P4P PAYOUT QI</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>55</Total501c3OrgCnt>
      <TotalOtherOrgCnt>18</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>P4P QUALITY INCENTIVE</GrantTypeTxt>
        <RecipientCnt>23</RecipientCnt>
        <CashGrantAmt>274086</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SCHOLARSHIP</GrantTypeTxt>
        <RecipientCnt>7</RecipientCnt>
        <CashGrantAmt>35000</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>DONATION</GrantTypeTxt>
        <RecipientCnt>1</RecipientCnt>
        <CashGrantAmt>25714</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <DiscretionarySpendingAcctInd>X</DiscretionarySpendingAcctInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <TitleTxt>MEDICAL DIRECTOR POPULATION HEALTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>151197</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4308</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>155505</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 CONTRACTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>QUEENS HEALTH SYSTEMS QUEEN EMMA CLINICS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>77110271</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 &amp; SECRETARY OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>16313295</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>10047565</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>RICHARD TAAFFE HAWAII ISLAND COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; TREASURER OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>3223120</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JOHN VAZ COMMUNITY CLINIC OF MAUI</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; VP OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>2898367</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DAVID DERAUF KOKUA KALIHI VALLEY</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>2679584</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>2289560</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ALEXIS CHARPENTIER WAIKIKI HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1848121</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MARY ONEHA WAIMANALO HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; PRESIDENT OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1106689</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JOHN WHITE HAMAKUA-KOHALA HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>640085</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MILTON CORTEZ MOLOKAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>617320</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JACEY LABORTE LANAI COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>479155</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>298365</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>191480</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </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 90,075,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,075,340.</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>