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      <Form990PartVIISectionAGrp>
        <PersonNm>TODD MORGAN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>379312</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DR GARY OKAMOTO</PersonNm>
        <TitleTxt>CHIEF MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>474472</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>25133</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANH BANNISTER</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>241714</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20250</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKI BORRELL</PersonNm>
        <TitleTxt>POPULATION HEALTH OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>221088</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3916</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STELLA CATALAN</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF CLINICAL OPS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>240147</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>14775</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JORGE GARCIA</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF HEALTH SERVICES</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>252459</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13953</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREAS CRAVALHO</PersonNm>
        <TitleTxt>SENIOR DIRECTOR OF PRODUCT MANAGEMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>198552</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10967</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAULA ARCENA</PersonNm>
        <TitleTxt>VP EXTERNAL AFFAIRS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>248300</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22510</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK BRENNAN</PersonNm>
        <TitleTxt>VP PLAN OPERATIONS</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>284839</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24136</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL KIDONAKIS</PersonNm>
        <TitleTxt>DIRECTOR OF ANALYTICS AND REPORTING</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>219390</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16527</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NILA PATEL</PersonNm>
        <TitleTxt>DIRECTOR OF APPLICATION DEVELOPMENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>165970</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18602</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN MAU</PersonNm>
        <TitleTxt>DIRECTOR OF BUSINESS SUPPORT SERVICE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163252</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24200</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHERRIE SMALLEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>170109</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8485</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GRANT NAKAHARA</PersonNm>
        <TitleTxt>PHARMACY MANAGER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>180905</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13689</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA ESSLINGER</PersonNm>
        <TitleTxt>FORMER CHIEF EXECUTIVE OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>605987</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>23458</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE LANE</PersonNm>
        <TitleTxt>FORMER CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>286925</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12827</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>5095374</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>304146</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>18</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ZELIS CLAIMS INTEGRITY LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 CROSSROADS DR</AddressLine1Txt>
            <CityNm>BEDMINSTER</CityNm>
            <StateAbbreviationCd>NJ</StateAbbreviationCd>
            <ZIPCd>07921</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COST CONTAINMENT</ServicesDesc>
        <CompensationAmt>1028772</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHANGE HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 572490</AddressLine1Txt>
            <CityNm>MURRAY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>841572490</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEDIS SOFTWARE</ServicesDesc>
        <CompensationAmt>456756</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>GARTON CONSULTING GROUP LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>73 BREEZE HILL ROAD</AddressLine1Txt>
            <CityNm>NEW HAMPTON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>10958</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSULTING SERVICES</ServicesDesc>
        <CompensationAmt>439540</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MCDERMOTT WILL &amp; EMERY LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1675</AddressLine1Txt>
            <CityNm>CAROL STREAM</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>601321675</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL</ServicesDesc>
        <CompensationAmt>333492</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INOVALON INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4321 COLLINGTON ROAD</AddressLine1Txt>
            <CityNm>BOWIE</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>20716</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEDIS REVIEW</ServicesDesc>
        <CompensationAmt>296505</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>447304115</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>447304115</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>447304115</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1671426</TotalRevenueColumnAmt>
        <ExclusionAmt>1671426</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>2935721</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>2879629</SecuritiesAmt>
        <OtherAmt>10966</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>56092</SecuritiesAmt>
        <OtherAmt>-10966</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>45126</TotalRevenueColumnAmt>
        <ExclusionAmt>45126</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>81236</TotalRevenueColumnAmt>
        <ExclusionAmt>81236</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>81236</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>449101903</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>447304115</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1797788</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>1552136</TotalAmt>
        <ProgramServicesAmt>1552136</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>115080</TotalAmt>
        <ProgramServicesAmt>115080</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>5399520</TotalAmt>
        <ManagementAndGeneralAmt>5399520</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>15867370</TotalAmt>
        <ProgramServicesAmt>1190679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14676691</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>593730</TotalAmt>
        <ManagementAndGeneralAmt>593730</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>3135698</TotalAmt>
        <ManagementAndGeneralAmt>3135698</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>1577583</TotalAmt>
        <ManagementAndGeneralAmt>1577583</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>713683</TotalAmt>
        <ManagementAndGeneralAmt>713683</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>243544</TotalAmt>
        <ManagementAndGeneralAmt>243544</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>67945785</TotalAmt>
        <ProgramServicesAmt>67945785</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>433999</TotalAmt>
        <ManagementAndGeneralAmt>433999</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>42517</TotalAmt>
        <ManagementAndGeneralAmt>42517</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>859121</TotalAmt>
        <ManagementAndGeneralAmt>859121</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>54432</TotalAmt>
        <ManagementAndGeneralAmt>54432</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>33118</TotalAmt>
        <ManagementAndGeneralAmt>33118</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>982699</TotalAmt>
        <ManagementAndGeneralAmt>982699</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>342263</TotalAmt>
        <ManagementAndGeneralAmt>342263</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES - PROGR</Desc>
        <TotalAmt>343366409</TotalAmt>
        <ProgramServicesAmt>343366409</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES - MANAGE</Desc>
        <TotalAmt>4877233</TotalAmt>
        <ManagementAndGeneralAmt>4877233</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>448135920</TotalAmt>
        <ProgramServicesAmt>414170089</ProgramServicesAmt>
        <ManagementAndGeneralAmt>33965831</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>45866212</BOYAmt>
        <EOYAmt>48377088</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>41064247</BOYAmt>
        <EOYAmt>22192866</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>949991</BOYAmt>
        <EOYAmt>2679438</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>8922976</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2199759</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>2454697</BOYAmt>
        <EOYAmt>6723217</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>62946555</BOYAmt>
        <EOYAmt>65085817</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <TotalAssetsGrp>
        <BOYAmt>153281702</BOYAmt>
        <EOYAmt>145058426</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>41832379</BOYAmt>
        <EOYAmt>18653029</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>49953217</BOYAmt>
        <EOYAmt>62561137</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>91785596</BOYAmt>
        <EOYAmt>81214166</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>61496106</BOYAmt>
        <EOYAmt>63844260</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>61496106</BOYAmt>
        <EOYAmt>63844260</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>153281702</BOYAmt>
        <EOYAmt>145058426</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>965983</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>1382172</NetUnrlzdGainsLossesInvstAmt>
      <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">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>4037071</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>117750</DepreciationAmt>
        <BookValueAmt>3919321</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>4885905</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2082009</DepreciationAmt>
        <BookValueAmt>2803896</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>6723217</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>PAYABLE TO RISK POOLS</Desc>
        <Amt>1716767</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED MEDICAL CLAIMS</Desc>
        <Amt>60844370</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>62561137</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>396413808</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-551838</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-551838</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>396965646</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>52136256</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>52136256</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>449101902</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>395999664</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>395999664</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>52136256</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>52136256</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>448135920</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PASS THROUGH REVENUE NETTED WITH EXPENSE 52,147,222. LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE -10,966.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>PASS THROUGH EXPENSE NETTED WITH REVENUE 52,147,222. LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE -10,966.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AHARO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>86-260 FARRINGTON HWY</AddressLine1Txt>
          <CityNm>WAIANAE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96792</ZIPCd>
        </USAddress>
        <RecipientEIN>472848796</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>212000</CashGrantAmt>
        <PurposeOfGrantTxt>2020 WAIWAI OLA TELEHEALTH PRO</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AHARO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>86-260 FARRINGTON HWY</AddressLine1Txt>
          <CityNm>WAIANAE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96792</ZIPCd>
        </USAddress>
        <RecipientEIN>472848796</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>220000</CashGrantAmt>
        <PurposeOfGrantTxt>2019 WAIWAI OLA TELEHEALTH PRO</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>
        </USAddress>
        <RecipientEIN>990073494</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>5609</CashGrantAmt>
        <PurposeOfGrantTxt>AUW COMPANY MATCH DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AZARA HEALTHCARE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>70 BLANCHARD RD STE 401</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01803</ZIPCd>
        </USAddress>
        <RecipientEIN>452609523</RecipientEIN>
        <CashGrantAmt>6911</CashGrantAmt>
        <PurposeOfGrantTxt>ATHENA DATA ACCESS CHARGE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BAY CLINIC INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>450 KILAUEA AVE SUITE 105</AddressLine1Txt>
          <CityNm>HILO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96720</ZIPCd>
        </USAddress>
        <RecipientEIN>990222784</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>26123</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BENILDA C LUZ-LLENA MD INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>94-307 FARRINGTON HWY STE B3</AddressLine1Txt>
          <CityNm>WAIPAHU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96797</ZIPCd>
        </USAddress>
        <RecipientEIN>261601650</RecipientEIN>
        <CashGrantAmt>9780</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRIT REIS MD LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>30 AULIKE ST STE 500</AddressLine1Txt>
          <CityNm>KAILUA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>967342739</ZIPCd>
        </USAddress>
        <RecipientEIN>470869423</RecipientEIN>
        <CashGrantAmt>5400</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHARLIE SONIDO MD INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>94-837 WAIPAHU ST</AddressLine1Txt>
          <CityNm>WAIPAHU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96797</ZIPCd>
        </USAddress>
        <RecipientEIN>990258833</RecipientEIN>
        <CashGrantAmt>13980</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY CLINIC OF MAUI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96849</ZIPCd>
        </USAddress>
        <RecipientEIN>990303304</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>STREET MEDICINE PROJECT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY CLINIC OF MAUI</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96849</ZIPCd>
        </USAddress>
        <RecipientEIN>990303304</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>76906</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ELIZABETH ABINSAY MD INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>634 KALIHI ST STE 202</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968194000</ZIPCd>
        </USAddress>
        <RecipientEIN>990320873</RecipientEIN>
        <CashGrantAmt>11220</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRANK BAUM MD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 KALEPA PL</AddressLine1Txt>
          <CityNm>KAHULUI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96732</ZIPCd>
        </USAddress>
        <RecipientEIN>990251325</RecipientEIN>
        <CashGrantAmt>9900</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAMAKUA-KOHALA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>45-539 PLUMERIA ST</AddressLine1Txt>
          <CityNm>HONOKAA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96727</ZIPCd>
        </USAddress>
        <RecipientEIN>990115515</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>15076</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HANA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 807</AddressLine1Txt>
          <CityNm>HANA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96713</ZIPCd>
        </USAddress>
        <RecipientEIN>990326154</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5554</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAWAII COALITION FOR HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 25426</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968250426</ZIPCd>
        </USAddress>
        <RecipientEIN>943266455</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>14580</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HEALTHY MOTHERS HEALTHY BABIES COALITION OF HAWAII</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>245 N KUKUI ST STE 102A</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <RecipientEIN>990299264</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>35000</CashGrantAmt>
        <PurposeOfGrantTxt>PRENATAL/POSTPARTUM CLINICAL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HILO MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1190 WAIANUENUE AVE</AddressLine1Txt>
          <CityNm>HILO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96720</ZIPCd>
        </USAddress>
        <RecipientEIN>943282424</RecipientEIN>
        <CashGrantAmt>7440</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>IMUA FAMILY SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>161 S WAKEA AVE</AddressLine1Txt>
          <CityNm>KAHULUI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96732</ZIPCd>
        </USAddress>
        <RecipientEIN>990194402</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20100</CashGrantAmt>
        <PurposeOfGrantTxt>2020 ACCESS CARE GRANT - FIRST</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KALIHI PALAMA HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>915 NORTH KING ST</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <RecipientEIN>990161221</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>114317</CashGrantAmt>
        <PurposeOfGrantTxt>QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAPIOLANI MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>MAILCODE 60152 BOX 1300</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96807</ZIPCd>
        </USAddress>
        <RecipientEIN>990177350</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>22140</CashGrantAmt>
        <PurposeOfGrantTxt>QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAUAI MEDICAL CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>MAIL CODE 61113</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
        </USAddress>
        <RecipientEIN>990326099</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>55980</CashGrantAmt>
        <PurposeOfGrantTxt>QI INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAUAI VETERANS MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 669</AddressLine1Txt>
          <CityNm>WAIMEA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96796</ZIPCd>
        </USAddress>
        <RecipientEIN>990262194</RecipientEIN>
        <CashGrantAmt>7560</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KIHEI WAILEA MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>C/O TEAM PRAXIS PO BOX 30460</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>968200460</ZIPCd>
        </USAddress>
        <RecipientEIN>990350911</RecipientEIN>
        <CashGrantAmt>5040</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOKUA KALIHI VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2239 NORTH SCHOOL STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
        </USAddress>
        <RecipientEIN>990149797</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>37618</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOKUA KALIHI VALLEY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2239 NORTH SCHOOL STREET</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96819</ZIPCd>
        </USAddress>
        <RecipientEIN>990149797</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <PurposeOfGrantTxt>ALOHCARE ACCESS CARE GRANT 2020</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KOOLAULOA COMMUNITY HEALTH &amp; WELLNESS CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 395</AddressLine1Txt>
          <CityNm>KAHUKU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96731</ZIPCd>
        </USAddress>
        <RecipientEIN>731681833</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>14821</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</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>6871</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LULUMAFUIE FIATOA MD LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 17793</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96817</ZIPCd>
        </USAddress>
        <RecipientEIN>453119795</RecipientEIN>
        <CashGrantAmt>8580</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MAUI MEDICAL GROUP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2180 MAIN ST</AddressLine1Txt>
          <CityNm>WAILUKU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96793</ZIPCd>
        </USAddress>
        <RecipientEIN>990176859</RecipientEIN>
        <CashGrantAmt>86400</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOLOKAI GENERAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 408</AddressLine1Txt>
          <CityNm>KAUNAKAKAI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96748</ZIPCd>
        </USAddress>
        <RecipientEIN>990251372</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>12300</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MOLOKAI OHANA HEATHCARE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2040</AddressLine1Txt>
          <CityNm>KAUNAKAKAI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96748</ZIPCd>
        </USAddress>
        <RecipientEIN>510437659</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>18565</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NOA E ALULI MD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>39 ALAMALAMA ST</AddressLine1Txt>
          <CityNm>KAUNAKAKAI</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96748</ZIPCd>
        </USAddress>
        <RecipientEIN>990333142</RecipientEIN>
        <CashGrantAmt>11940</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PANIOLO PEDIATRIC AND FAMILY MEDICINE INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 6149</AddressLine1Txt>
          <CityNm>KAMUELA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96743</ZIPCd>
        </USAddress>
        <RecipientEIN>473826435</RecipientEIN>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>QUEEN EMMA CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30160</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
        </USAddress>
        <RecipientEIN>990073524</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>24540</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RESIDENTIAL YOUTH SERVICES &amp; EMPOWERMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 11662</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96828</ZIPCd>
        </USAddress>
        <RecipientEIN>812108826</RecipientEIN>
        <CashGrantAmt>24000</CashGrantAmt>
        <PurposeOfGrantTxt>ACCESS TO CARE GRANT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ROBERT P MASTROIANNI MD INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>81 MAKAWAO AVE STE 100</AddressLine1Txt>
          <CityNm>MAKAWAO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96768</ZIPCd>
        </USAddress>
        <RecipientEIN>202107739</RecipientEIN>
        <CashGrantAmt>7980</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SK SAITO MD INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>868 ULULANI ST STE 110</AddressLine1Txt>
          <CityNm>HILO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96720</ZIPCd>
        </USAddress>
        <RecipientEIN>680534150</RecipientEIN>
        <CashGrantAmt>6300</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SCOTT J MISCOVICH MD LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>46-001 KAMEHAMEHA HWY STE 109</AddressLine1Txt>
          <CityNm>KANEOHE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>967443720</ZIPCd>
        </USAddress>
        <RecipientEIN>680550318</RecipientEIN>
        <CashGrantAmt>6480</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SORBELLA GUILLERMO MD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 30460</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96820</ZIPCd>
        </USAddress>
        <RecipientEIN>943283729</RecipientEIN>
        <CashGrantAmt>12000</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</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>5880</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNIVERSITY CLINICAL EDUCATION &amp; RESEARCH ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>550 S BERETANIA STREET SUITE 510</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96813</ZIPCd>
        </USAddress>
        <RecipientEIN>990307152</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>17880</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</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>5520</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAHIAWA CENTER FOR COMMUNITY HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 21031</AddressLine1Txt>
          <CityNm>BELFAST</CityNm>
          <StateAbbreviationCd>ME</StateAbbreviationCd>
          <ZIPCd>049154107</ZIPCd>
        </USAddress>
        <RecipientEIN>455114944</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5567</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIANAE COAST COMPREHENSIVE HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>86-260 FARRINGTON HWY</AddressLine1Txt>
          <CityNm>WAIANAE</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96792</ZIPCd>
        </USAddress>
        <RecipientEIN>990148164</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>274309</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIKIKI HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>935 MAKAHIKI WAY</AddressLine1Txt>
          <CityNm>HONOLULU</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96826</ZIPCd>
        </USAddress>
        <RecipientEIN>990159253</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>25473</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIMANALO HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
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          <CityNm>WAIMANALO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96795</ZIPCd>
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        <RecipientEIN>990273205</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>10625</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WAIMEA MEDICAL ASSOCIATES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>65-1267 KAWAIHAE RD</AddressLine1Txt>
          <CityNm>KAMUELA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96743</ZIPCd>
        </USAddress>
        <RecipientEIN>990113534</RecipientEIN>
        <CashGrantAmt>7620</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WESLEY J SUGAI MD</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75-5591 PALANI RD SUITE 3001</AddressLine1Txt>
          <CityNm>KAILUA KONA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96740</ZIPCd>
        </USAddress>
        <RecipientEIN>990290505</RecipientEIN>
        <CashGrantAmt>11520</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WEST HAWAII COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>75-5751 KUAKINI HWY STE 203</AddressLine1Txt>
          <CityNm>KAILUAKONA</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96740</ZIPCd>
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        <RecipientEIN>200495394</RecipientEIN>
        <IRCSectionDesc>501 (C) 3</IRCSectionDesc>
        <CashGrantAmt>64811</CashGrantAmt>
        <PurposeOfGrantTxt>2019 QI INCENTIVE</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>25</Total501c3OrgCnt>
      <TotalOtherOrgCnt>21</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>QI INCENTIVE</GrantTypeTxt>
        <RecipientCnt>40</RecipientCnt>
        <CashGrantAmt>115080</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>
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      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>STELLA CATALAN</PersonNm>
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        <BonusFilingOrganizationAmount>17008</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>20355</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>8320</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>254922</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>MICHAEL KIDONAKIS</PersonNm>
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        <OtherCompensationFilingOrgAmt>10390</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>16527</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>235917</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKI BORRELL</PersonNm>
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        <BaseCompensationFilingOrgAmt>187960</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16213</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>16915</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>3916</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>225004</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREAS CRAVALHO</PersonNm>
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        <BonusFilingOrganizationAmount>6608</BonusFilingOrganizationAmount>
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        <TotalCompensationFilingOrgAmt>209519</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRANT NAKAHARA</PersonNm>
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        <BaseCompensationFilingOrgAmt>175905</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>194594</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RYAN MAU</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14121</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>6916</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>187452</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NILA PATEL</PersonNm>
        <TitleTxt>DIRECTOR OF APPLICATION DEVELOPMENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>150642</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>15328</BonusFilingOrganizationAmount>
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        <DeferredCompensationFlngOrgAmt>6431</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12171</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>184572</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERRIE SMALLEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>130823</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>30350</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>8936</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6432</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2053</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>178594</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY SPENDING IS APPROVED BY BOARD OF DIRECTORS AS DOCUMENTED IN THE EMPLOYMENT CONTRACT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DAVID DERAUF KOKUA KALIHI VALLEY EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; PRESIDENT OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1411276</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>JAMES CHEN WAIANAE COAST COMP HEALTH CENTER CFO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>12644317</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>IRENE CARPENTER HAMAKUA HEALTH CENTER CEO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; VP OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>417454</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>RICHARD TAAFFE WEST HAWAII COMMUNITY HEALTH CENTER CEO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; VP OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1557530</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>BETTY JANE OTT MALAMA I KE OLA HEALTH CENTER CEO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; TREASURER OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>2088113</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR &amp; SECRETARY OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>3214411</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MARY ONEHA WAIMANALO HEALTH CENTER EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>954968</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>QUEENS HEALTH SYSTEMS &amp; ALAN TERADA MGR QUEEN EMMA CLINICS</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>VACANT BOD POSITION &amp; DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>65490811</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CHRISTIAN KIMO ALAMEDA BAY CLINIC INC CEO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1844694</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>PHYLLIS DENDLE WAIKIKI HEALTH CENTER CEO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>1456417</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>HELEN KEKALIA MOLOKAI COMMUNITY HEALTH CENTER CEO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>657636</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>GIDGET RUSCETTA PALI MOMI MEDICAL CENTER CEO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>7325165</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>KOOLAULOA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
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        <TransactionAmt>450291</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CHERYL VACONCELLOS HANA COMMUNITY HEALTH CENTER EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>198436</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DIANA SHAW LANAI COMMUNITY HEALTH CENTER EXEC DIR</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DIRECTOR OF ALOHACARE'S BOD</RelationshipDescriptionTxt>
        <TransactionAmt>333045</TransactionAmt>
        <TransactionDesc>SERVICES RENDERED</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1</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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HOLDS MEETINGS TO DETERMINE FAIR COMPENSATION OF ALOHACARE'S CEO. THE CEO DETERMINES FAIR COMPENSATION OF ALOHACARE'S KEY EMPLOYEES.</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 67,945,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,945,785.</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, AS DESCRIBED IN REGULATIONS SECTION 53.4945-4(B).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
