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        <OtherCompensationAmt>16248</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>709820</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>76953</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>4</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KMTSJ INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 3217</AddressLine1Txt>
            <CityNm>EAU CLAIRE</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54702</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES</ServicesDesc>
        <CompensationAmt>19051884</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCHS HOSPITALS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>611 N SAINT JOSEPH AVENUE</AddressLine1Txt>
            <CityNm>MARSHFIELD</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>54449</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES &amp; ACCESS PAYMENTS</ServicesDesc>
        <CompensationAmt>16321660</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EXPRESS SCRIPTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>21653 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60673</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DRUG CLAIMS PROCESSING</ServicesDesc>
        <CompensationAmt>4398054</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAYO CLINIC - NW WISCONSIN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 860081</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55486</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES &amp; ACCESS PAYMENTS</ServicesDesc>
        <CompensationAmt>3080063</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMON GROUND HEALTHCARE COOPERATIVE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>120 BISHOPS WAY SUITE 150</AddressLine1Txt>
            <CityNm>BROOKFIELD</CityNm>
            <StateAbbreviationCd>WI</StateAbbreviationCd>
            <ZIPCd>53005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>REVENUE SHARING/NETWORK ACCESS FEE</ServicesDesc>
        <CompensationAmt>3051693</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>90</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>MED &amp; HOSP PREMIUM</Desc>
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        <TotalRevenueColumnAmt>211663968</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>211663968</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>SSI &amp; MA CAPITATION</Desc>
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        <RelatedOrExemptFuncIncomeAmt>16644202</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>228308170</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2329558</TotalRevenueColumnAmt>
        <ExclusionAmt>2329558</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>49587650</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>50143131</SecuritiesAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-555481</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-555481</TotalRevenueColumnAmt>
        <ExclusionAmt>-555481</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER INCOME</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>3444</TotalRevenueColumnAmt>
        <ExclusionAmt>3444</ExclusionAmt>
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      <OtherRevenueTotalAmt>3444</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1777521</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ProgramServicesAmt>5612</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>3597014</ProgramServicesAmt>
        <ManagementAndGeneralAmt>292936</ManagementAndGeneralAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>194589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46798</ManagementAndGeneralAmt>
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      <FeesForServicesManagementGrp>
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        <ManagementAndGeneralAmt>19051882</ManagementAndGeneralAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>434413</TotalAmt>
        <ManagementAndGeneralAmt>434413</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>739372</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1972204</ManagementAndGeneralAmt>
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        <TotalAmt>207495218</TotalAmt>
        <ProgramServicesAmt>205900753</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1594465</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>95247</TotalAmt>
        <ManagementAndGeneralAmt>95247</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>165004</TotalAmt>
        <ProgramServicesAmt>38606</ProgramServicesAmt>
        <ManagementAndGeneralAmt>126398</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>8741760</TotalAmt>
        <ProgramServicesAmt>1048293</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7693467</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>58920</TotalAmt>
        <ProgramServicesAmt>51589</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7331</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>4073</TotalAmt>
        <ProgramServicesAmt>4073</ProgramServicesAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>325401</TotalAmt>
        <ProgramServicesAmt>17953</ProgramServicesAmt>
        <ManagementAndGeneralAmt>307448</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>539</TotalAmt>
        <ProgramServicesAmt>539</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>607015</TotalAmt>
        <ProgramServicesAmt>607015</ProgramServicesAmt>
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      <InsuranceGrp>
        <TotalAmt>46502</TotalAmt>
        <ManagementAndGeneralAmt>46502</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PCORI TAX EXPENSE</Desc>
        <TotalAmt>72063</TotalAmt>
        <ManagementAndGeneralAmt>72063</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>INCOME TAX EXPENSE</Desc>
        <TotalAmt>-1138859</TotalAmt>
        <ManagementAndGeneralAmt>-1138859</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>9818</TotalAmt>
        <ProgramServicesAmt>1798</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8020</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>246367386</TotalAmt>
        <ProgramServicesAmt>215045158</ProgramServicesAmt>
        <ManagementAndGeneralAmt>31322228</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>1579745</BOYAmt>
        <EOYAmt>180001</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>10499429</BOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>1338337</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>1211807</BOYAmt>
        <EOYAmt>2146613</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>4825647</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>1127897</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1594764</BOYAmt>
        <EOYAmt>3697750</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>81048704</BOYAmt>
        <EOYAmt>55406873</EOYAmt>
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        <EOYAmt>1541137</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>1082673</BOYAmt>
        <EOYAmt>2732398</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>80349241</EOYAmt>
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        <EOYAmt>43897500</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>848115</BOYAmt>
        <EOYAmt>848252</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>44745752</EOYAmt>
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        <EOYAmt>1430</EOYAmt>
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      <PdInCapSrplsLandBldgEqpFundGrp>
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        <EOYAmt>1001422</EOYAmt>
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      <RtnEarnEndowmentIncmOthFndsGrp>
        <BOYAmt>52209327</BOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>35603489</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>80349241</EOYAmt>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-16281695</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>29004</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>-1355999</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus2YearsAmt>177077972</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>246203225</CurrentTaxYearMinus1YearAmt>
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      <AmountsRcvdDsqlfyPersonGrp>
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      <SubstantialContributorsAmtGrp>
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      <SubstAndDsqlfyPrsnsTotGrp>
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      <PublicSupportTotal509Amt>978420707</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
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      <PublicSupportCY509Pct>0.99050</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99090</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00950</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00910</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <TotalBookValueLandBuildingsAmt>3697750</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>UNEARNED PREMIUM REVENUE</Desc>
        <Amt>848252</Amt>
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      <TotalLiabilityAmt>848252</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>228758696</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>29004</NetUnrealizedGainsInvstAmt>
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      <RevenueNotReportedAmt>-1326995</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>230085691</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>246367386</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>246367386</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN NONADMITTED ASSETS -1,355,999.</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ASHLEY LEPAK</PersonNm>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2650</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>218059</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERICA POOLE</PersonNm>
        <TitleTxt>MANAGER OF CASE MGMT. &amp; WELLNESS</TitleTxt>
        <BaseCompensationFilingOrgAmt>119590</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3500</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>853</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>34659</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>158602</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAKOTA RAU</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>134915</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>1250</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3940</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12308</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>152413</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PAYS DISCRETIONARY END-OF-YEAR BONUSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION HAS AN EXECUTIVE COMMITTEE IN ADDITION TO BOARD OF DIRECTORS. EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS AND SUCH ADDITIONAL DIRECTORS AS THE BOARD MAY DETERMINE. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON ANY MATTER REQUIRING ATTENTION BETWEEN MEETINGS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SARAH NORTH AND ROBERT TANNER HAVE A BUSINESS RELATIONSHIP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>KMTSJ, AN UNRELATED CORPORATION, IS CONTRACTED TO PROVIDE SERVICE AS GENERAL MANAGER, ALONG WITH ACCOUNTING, MARKETING, CLAIMS PROCESSING, HUMAN RESOURCES, PAYROLL, AND DATA PROCESSING SERVICES. THE SERVICES OF CEO AND CFO ARE AMONG THESE PURCHASED THROUGH KMTSJ AND THE AMOUNT PAID IN TOTAL FOR THE CALENDAR YEAR IS REPRESENTED ON PART VII, SECTION B. KMTSJ PAID SARAH NORTH THE CEO AND ROBERT TANNER THE CFO A SALARY OF $415,726 AND 343,141, RESPECTIVELY FOR THEIR SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNICANT CHANGES TO THE BY-LAWS ARE AS FOLLOWS: - THE BOARD OF DIRECTORS MAY ADD A CLASS OF MEMBER THAT IS A NONPROFIT ENTITY THAT WOULD HAVE GOVERNING AUTHORITY OF THE COOPERATIVE. - THE DIRECTORS SHALL NOT BE LESS THAN FIVE (5) OR MORE THAN NINE (9) IN NUMBER. ALL OF THE DIRECTORS SHALL BE MEMBERS AND ELECTED BY MEMBERS IN THE MANNER PRESCRIBED IN THE BY-LAWS. THE NUMBER OF HEALTH CARE PROVIDERS, OR THEIR EMPLOYEES, MAY NOT EXCEED TWO (2).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIVIDUALS COVERED UNDER GROUP HEALTH COOPERATIVE OF EAU CLAIRE'S INSURANCE POLICIES ARE CONSIDERED TO BE MEMBERS OF THE COOPERATIVE AND ELECT THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REVIEWED FORM 990 IN THE FOLLOWING MANNER: EACH MEMBER OF THE BOARD OF DIRECTORS RECEIVED A COPY OF FORM 990 FOR REVIEW. A HIGH-LEVEL REVIEW WAS COMPLETED WITH THE BOARD OF DIRECTORS AT A BOARD MEETING, AND ANY QUESTIONS OR CONCERNS WERE ADDRESSED PRIOR TO THE BOARD'S APPROVAL TO FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THE FOLLOWING MANNER: MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST ATTESTATION ANNUALLY. IF A CONFLICT OF INTEREST ARISES WITH A MEMBER OF THE BOARD IN RELATION TO A VOTE, THAT MEMBER WOULD NOT BE ALLOWED TO PARTICIPATE IN THE VOTE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT HAVE A PROCESS FOR DETERMINING COMPENSATION FOR THE CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL OR KEY EMPLOYEES, AS THESE POSITIONS ARE CONTRACTED THROUGH AN UNRELATED CORPORATION. ADDITIONALLY, OFFICERS OF THE ORGANIZATION ARE NOT COMPENSATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION DOES NOT MAKE PUBLIC ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>REFERRALS - FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 146,066,502. MANAGEMENT AND GENERAL EXPENSES 5,125. TOTAL EXPENSES 146,071,627. BENEFITS - FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 39,654,167. TOTAL EXPENSES 39,654,167. CONTRACT SERVICES - MEDICAL: PROGRAM SERVICE EXPENSES 20,180,084. MANAGEMENT AND GENERAL EXPENSES 60,319. TOTAL EXPENSES 20,240,403. OTHER FEES: MANAGEMENT AND GENERAL EXPENSES 1,529,021. TOTAL EXPENSES 1,529,021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN NONADMITTED ASSETS -1,355,999.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>