﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2018v3.2">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2020-03-14T15:39:50-05:00</ReturnTs>
    <TaxPeriodEndDt>2019-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>475223460</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>PORTER &amp; ALLISON INC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>18701 DENMARK CIR</AddressLine1Txt>
        <CityNm>ANCHORAGE</CityNm>
        <StateAbbreviationCd>AK</StateAbbreviationCd>
        <ZIPCd>99516</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2018-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>920154822</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>APCA INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>APCA</BusinessNameControlTxt>
      <PhoneNum>9079292722</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1231 GAMBELL STREET SUITE 200</AddressLine1Txt>
        <CityNm>ANCHORAGE</CityNm>
        <StateAbbreviationCd>AK</StateAbbreviationCd>
        <ZIPCd>99501</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>MERRIMAN NANCY</PersonNm>
      <PersonTitleTxt>EXECUTIVE DIRECTOR</PersonTitleTxt>
      <PhoneNum>9079292722</PhoneNum>
      <SignatureDt>2020-03-13</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>DAVID PORTER</PreparerPersonNm>
      <PTIN>P01969856</PTIN>
      <PhoneNum>9077272727</PhoneNum>
      <PreparationDt>2020-03-14</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>72.35.98.4</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2020-03-14</IPDt>
      <IPTm>15:39:50</IPTm>
      <IPTimezoneCd>CD</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>4CCE158EA4423A93B62CA6A5899D18530A573677</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>4CCE158EA4423A93B62CA6A5899D18530A573677</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2018</TaxYr>
    <BuildTS>2020-04-17 16:48:07Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc7">
      <PrincipalOfficerNm>MERRIMAN NANCY</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1231 GAMBELL STREET</AddressLine1Txt>
        <CityNm>ANCHORAGE</CityNm>
        <StateAbbreviationCd>AK</StateAbbreviationCd>
        <ZIPCd>99501</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>4492857</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.ALASKAPCA.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1995</FormationYr>
      <LegalDomicileStateCd>AK</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO CREATE HEALTHY COMMUNITIES BY SUPPORTING VIBRANT AND EFFECTIVE COMMUNITY HEALTH CENTERS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>27</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>27</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>36</TotalEmployeeCnt>
      <TotalVolunteersCnt>41</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>3824234</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>4222057</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>124062</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>195230</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>1151</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1735</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>43596</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>73835</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>3993043</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>4492857</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>57657</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>14453</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>2136756</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>2328402</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1723731</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1980876</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>3918144</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>4323731</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>74899</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>169126</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>1376265</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>1837087</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>588968</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>880664</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>787297</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>956423</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE ALASKA COMMUNITY HEALTH CENTERS AND OTHER PRIMARY CARE SAFETY NET PROVIDERS WITH TRAINING AND TECHNICAL ASSISTANCE SO THEY CAN DELIVER HIGH QUALITY HEALTH CARE TO PATIENTS. TO ASSIST ALASKANS IN DISCOVERING AND PURSUING HEALTH CAREERS. TO ASSIST ALASKANS IN EXPLORING OPTIONS FOR HEALTH CARE COVERAGE. TO PROACTIVELY ASSESS NEW POLICY AND REGULATIONS THAT COULD AFFECT PRIMARY CARE PROVIDERS.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>3414373</ExpenseAmt>
      <GrantAmt>14453</GrantAmt>
      <RevenueAmt>195230</RevenueAmt>
      <Desc>HRSA PCA - PROVIDED NUMEROUS OPPORTUNITIES FOR COMMUNITY HEALTH CENTER LEADERS AND STAFF TO INTERACT AND LEARN FROM ONE ANOTHER AND FROM EXPERTS IN THE FIELD ABOUT IMPROVING THE DELIVERY OF HEALTH CARE TO PATIENTS. DRAMATICALLY INCREASED THE NUMBER OF HEALTH CENTERS BEING RECOGNIZED FOR PCMH AND QUALITY ACCOMPLISHMENTS. HCCN - THE ALASKA QUALITY IMPROVEMENT NETWORK (AQUIN), ALASKAS HEALTH CENTER CONTROLLED NETWORK (HCCN) IS A PROJECT FUNDED UNDER THE HEALTH RESOURCES AND SERVICES WITH A GOAL OF IMPROVING THE QUALITY OF CARE AND HEALTH OUTCOMES AT COMMUNITY HEALTH CENTERS. AQUIN IS COMPRISED OF 10 PARTICIPATING HEALTH CENTERS FROM ACROSS THE STATE. THE AQUIN MODEL UTILIZES A CENTRAL DATA WAREHOUSE, FED DAILY BY HEALTH CENTERS' ELECTRONIC HEALTH RECORDS (EHR). THE PLATFORM HAS A PORTFOLIO OF TOOLS AND PRE- FORMATTED REPORTS THAT ALLOW SOPHISTICATED ANALYTICS TO BE PERFORMED, RESULTING IN ACTIONABLE INFORMATION USED TO IMPROVE QUALITY. THE OVERALL PURPOSE OF THE AQUIN IS QUALITY IMPROVEMENT FOR BETTER HEALTH OUTCOMES, INCREASED PATIENT AND FAMILY ENGAGEMENT AND LOWER COSTS. THE DATA WAREHOUSE AIMS TO STRENGTHEN QUALITY, EFFICIENCY, AND SAFETY THROUGH THE DATA-DRIVEN SUPPORT OF PCMH MODELS, OPTIMIZATION OF THE CLINICS EHRS, AND ATTAINMENT OF MEANINGFUL USE. SCAHEC - FACILITATED 300+ INDIVIDUALS IN EXPLORING HEALTH CARE CAREERS. APPRENTICESHIP - THE ORGANZIATION IS A SUBAWARDEE OF THE STATE OF ALASKA DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT (DOLWD), DIVISION OF EMPLOYMENT AND TRAINING SERVICES (DETS), UNDER THE "HEALTHY ALASKA THROUGH APPRENTICESHIP" GRANT FROM THE US DEPARTMENT OF LABOR. UNDER THIS FUNDING, APCA CREATED APPRENTICESHIP OPPORTUNITIES WITHIN THE HEALTH CARE SECTOR IN THE FOLLOWING OCCUPATIONS:COMMUNITY HEALTH WORKER (CHW), PROVIDES CARE COORDINATION FOR UNDERSERVED POPULATIONS, CLINICAL MEDICAL ASSISTANT (CMA); PROVIDES CLINICAL SUPPORT, MEDICAL ADMINISTRATIVE ASSISTANT (MAA); PROVIDES ADMINISTRATIVE SUPPORT IN HEALTH CENTERS, AND BILLING AND CODING SPECIALIST (BCS); PROVIDES BILLING AND CODING SERVICES. CMS NAVIGATOR PROGRAM - ASSISTED OVER 12,000 ALASKANS IN EXPLORING WAYS TO OBTAIN HEALTH CARE COVERAGE.</Desc>
      <TotalProgramServiceExpensesAmt>3414373</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc3">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc3">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc3">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc4">true</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">false</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>false</FundraisingActivitiesInd>
      <GamingActivitiesInd>false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd referenceDocumentId="RetDoc5">true</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd referenceDocumentId="RetDoc5">false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd>false</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>false</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>false</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>27</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>36</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>false</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <Form8899Filedind>false</Form8899Filedind>
      <Form1098CFiledInd>false</Form1098CFiledInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>27</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>27</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>true</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>true</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>true</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>false</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>CORTNEY SENKLER</PersonNm>
        <PhoneNum>9079292722</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1231 GAMBELL STREET NO 200</AddressLine1Txt>
          <CityNm>ANCHORAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99501</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMBROSIANI CRAIG</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AUSTERMAN CAROL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BLACK DONALD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRADFORD CINDY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BUCK TAWNY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COTTON JESSICA THRU MAY 2019</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EBY DOUGLAS</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FERGUSON-GOULD TARA</PersonNm>
        <TitleTxt>QUALITY IMRP</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>102404</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26322</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GETTIS ERIC</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREEN TAMMY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HANSEN PAUL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARRISON JENNIFER THRU NOV 2018</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HOELDT SUSAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HUGHES JOYCE</PersonNm>
        <TitleTxt>ALTERNATE DI</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JENSEN RHODA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JONES DEBBIE THRU NOV 2018</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAECH JAMES THRU FEB 2019</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KILGORE CHERYL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KOTELMAN LAURA</PersonNm>
        <TitleTxt>ALTERNATE DI</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDUSKA PATRICIA</PersonNm>
        <TitleTxt>SR. DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>133968</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8038</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MACKIERNAN MEGAN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MATA RUKOVISHNIKOFF JESSICA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MERRIMAN NANCY</PersonNm>
        <TitleTxt>EXECUTIVE DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>168011</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10794</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MUNSON KEVIN</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NEUMEISTER DAN</PersonNm>
        <TitleTxt>ALTERNATE DI</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>O'BOYLE SHELLY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER MELINDA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PFEFFER MIKE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>READ EMILY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCHMIDT JULIE MAR 2019-TO PRESENT</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTFORD LECIA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SELLE-REA MARIKO</PersonNm>
        <TitleTxt>DIRECTOR SC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>100349</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31910</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SAVAGE SHANNON</PersonNm>
        <TitleTxt>ALTERNATE DI</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SWAIN MARY</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SWIFT JENNIFER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIURA MELANIE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WALL ALBERT THRU NOV 2018</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WEST MELODY</PersonNm>
        <TitleTxt>BOARD VICE C</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WHITE DEBORAH</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WHITEMAN KEJA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WHITTINGTON BILL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WRIGHT BEN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YOUNGBERG JENNIFER</PersonNm>
        <TitleTxt>ALTERNATE DI</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ZASADA JON</PersonNm>
        <TitleTxt>DIRECTOR OF</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>110497</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13830</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>615229</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>90894</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <MembershipDuesAmt>79850</MembershipDuesAmt>
      <GovernmentGrantsAmt>3628381</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>513826</AllOtherContributionsAmt>
      <TotalContributionsAmt>4222057</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>TRAINING AND CONSULTING</Desc>
        <BusinessCd>611430</BusinessCd>
        <TotalRevenueColumnAmt>195230</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>195230</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>195230</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1735</TotalRevenueColumnAmt>
        <ExclusionAmt>1735</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>73835</TotalRevenueColumnAmt>
        <ExclusionAmt>73835</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>73835</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>4492857</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>195230</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>75570</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>14453</TotalAmt>
        <ProgramServicesAmt>14453</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>168011</TotalAmt>
        <ManagementAndGeneralAmt>168011</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>1633839</TotalAmt>
        <ProgramServicesAmt>1402217</ProgramServicesAmt>
        <ManagementAndGeneralAmt>231622</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>69203</TotalAmt>
        <ProgramServicesAmt>49657</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19546</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>313414</TotalAmt>
        <ProgramServicesAmt>250812</ProgramServicesAmt>
        <ManagementAndGeneralAmt>62602</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>143935</TotalAmt>
        <ProgramServicesAmt>111615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32320</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>21165</TotalAmt>
        <ManagementAndGeneralAmt>21165</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>8750</TotalAmt>
        <ProgramServicesAmt>750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8000</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>21951</TotalAmt>
        <ProgramServicesAmt>11005</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10946</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>54210</TotalAmt>
        <ProgramServicesAmt>8960</ProgramServicesAmt>
        <ManagementAndGeneralAmt>45250</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>862057</TotalAmt>
        <ProgramServicesAmt>789427</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72630</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>13654</TotalAmt>
        <ProgramServicesAmt>12361</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1293</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>47150</TotalAmt>
        <ProgramServicesAmt>30849</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16301</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>66131</TotalAmt>
        <ProgramServicesAmt>28134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37997</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>102848</TotalAmt>
        <ProgramServicesAmt>59185</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43663</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>201691</TotalAmt>
        <ProgramServicesAmt>157188</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44503</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>227438</TotalAmt>
        <ProgramServicesAmt>215240</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12198</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>21622</TotalAmt>
        <ManagementAndGeneralAmt>21622</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>16933</TotalAmt>
        <ProgramServicesAmt>8391</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8542</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM EVENTS AND MATERI</Desc>
        <TotalAmt>240213</TotalAmt>
        <ProgramServicesAmt>228477</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11736</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>41989</TotalAmt>
        <ProgramServicesAmt>22278</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19711</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER</Desc>
        <TotalAmt>33074</TotalAmt>
        <ProgramServicesAmt>13374</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19700</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>4323731</TotalAmt>
        <ProgramServicesAmt>3414373</ProgramServicesAmt>
        <ManagementAndGeneralAmt>909358</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>233664</BOYAmt>
        <EOYAmt>515482</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>319387</BOYAmt>
        <EOYAmt>321122</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>472998</BOYAmt>
        <EOYAmt>567421</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>197520</BOYAmt>
        <EOYAmt>381343</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>84416</BOYAmt>
        <EOYAmt>5061</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>152925</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>106267</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>68280</BOYAmt>
        <EOYAmt>46658</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>1376265</BOYAmt>
        <EOYAmt>1837087</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>296344</BOYAmt>
        <EOYAmt>698994</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>292624</BOYAmt>
        <EOYAmt>181670</EOYAmt>
      </DeferredRevenueGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>588968</BOYAmt>
        <EOYAmt>880664</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>787297</BOYAmt>
        <EOYAmt>956423</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>787297</BOYAmt>
        <EOYAmt>956423</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>1376265</BOYAmt>
        <EOYAmt>1837087</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>169126</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc8">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>2409436</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2572476</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2953857</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3824234</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4222057</CurrentTaxYearAmt>
        <TotalAmt>15982060</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>2409436</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>2572476</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2953857</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3824234</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>4222057</CurrentTaxYearAmt>
        <TotalAmt>15982060</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>15982060</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>1048</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1301</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1151</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1735</CurrentTaxYearAmt>
        <TotalAmt>6514</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>20032</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>40136</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>23259</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43596</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>73835</CurrentTaxYearAmt>
        <TotalAmt>200858</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>16189432</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>724536</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98720</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98860</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>127,023</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc3">
      <VolunteersInd>false</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>40985</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>40985</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>APCA ENGAGES THE SERVICES OF A REGISTERED LOBBYIST ON A PART-TIME BASIS, USING HIM TO PROVIDE THE CRITICAL CONTACTS AND GOVERNMENT RELATIONS TO HELP INSURE THAT POLICIES AND INITIATIVES DEVELOPED BY THE BOARD OF DIRECTORS ARE REPRESENTED. IN ADDITION, SPECIFIC APCA EMPLOYEES SPEND A SMALL PORTION OF THEIR TIME ON LOBBYING ACTIVITIES WITH STATE LEGISLATORS. ALL LOBBYING COSTS ARE PAID FROM GENERAL MEMBERHSIP AND OTHER UNRESTRICTED FUNDS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>16688</BeginningYearBalanceAmt>
        <GrantsOrScholarshipsAmt>16688</GrantsOrScholarshipsAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>16688</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>16688</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>16688</BeginningYearBalanceAmt>
        <EndYearBalanceAmt>1688</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17305</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-208</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>409</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>16688</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>17858</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-152</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>401</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>17305</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <TermEndowmentBalanceEOYPct>1.00000</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>true</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>7200</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>4115</DepreciationAmt>
        <BookValueAmt>3085</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>145725</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>102152</DepreciationAmt>
        <BookValueAmt>43573</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>46658</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>4492857</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>4492857</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>4492857</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>4323731</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>4323731</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>4323731</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTHY ALASKAN FUND IS A GENERAL ENDOWMENT FUND TO BE USED FOR GENERAL CHARITABLE PURPOSES RELATED TO TRAINING AND OTHER RESOURCES TO PROMOTE EFFICIENCY AND QUALITY HEALTHCARE FOR ALASKANS WHO RECEIVED HEALTH SERVICES IN UNDERSERVED RURAL COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>APCA IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)3 OF THE INTERNAL REVENUE CODE (IRS). ALTHOUGH APCA IS EXEMPT FRM FEDERAL INCOME TAXES, ANY INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES IS SUBJECT TO THE REQUIREMENT OF FILING A FEDERAL INCOME TAX FORM 990-T AND A TAX LIABILITY MAY BE DETERMINED ON THESE ACTIVITIES. THE ORGANIZATION'S POLICY IS TO REPORT PENALITIES AND INTEREST, IF ANY, ASSOCIATED WITH UNCERTAIN TAX POSITIONS IN OTHER EXPENSE. THERE WERE NO UNRELATED BUSINESS ACTIVITIES DURING FISCAL YEARS 2018. THEREFORE, THE ACCOMPANYING NO PROVISION FOR INCOMES TAXES WAS RECOGNIZED. APCA APPLIES THE PROVISIONS OF TOPIC 740 OF THE FASB ACCOUNTING STANDARDS CODIFICATION RELATING TO ACCOUNTING FOR UNCERTAINITY IN INCOME TAXES. APCA ANNUALLY REVIEWS ITS TAX RETURN AND POSITIONS TAKEN IN ACCORDANCE WITH THE RECOGNITION STANDARDS. APCA BELIEVES THAT IT HAS NO UNCERTAIN TAX POSITIONS WHICH WOULD REQUIRE DISCLOSURE OR ADJUSTMENT IN THESE FINANCIAL STAEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc5">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ANCHORAGE NEIGHBORHOOD</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>HEALTH CENTER</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 201849</AddressLine1Txt>
          <CityNm>ANCHORAGE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99520</ZIPCd>
        </USAddress>
        <RecipientEIN>920047965</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7392</CashGrantAmt>
        <PurposeOfGrantTxt>SEE PART IV</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PENINSULA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>320 E MARYDALE</AddressLine1Txt>
          <AddressLine2Txt>PO BOX 2949</AddressLine2Txt>
          <CityNm>SOLDOTNA</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99669</ZIPCd>
        </USAddress>
        <RecipientEIN>920177803</RecipientEIN>
        <IRCSectionDesc>501C3</IRCSectionDesc>
        <CashGrantAmt>7061</CashGrantAmt>
        <PurposeOfGrantTxt>SEE PART IV</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>APCA MONITORS THE USE OF GRANT FUNDS TO SUB-RECIPIENTS BY (1) REQUIRING SCHEDULED REPORTS THAT ARE REVIEWED FOR COMPLIANE, (2) VIRTUAL OR IN-PERSON SITE VISITS AS NEEDED, AND (3) REQUIRING REIMBURSEMENT REQUESTS TO ACCESS GRANT FUNDS. ALL REIMBURSEMENT REQUESTS ARE REVIEWED TO MAKE SURE THAT SPENDING IS IN COMPLIANCE WITH GRANT REQUIREMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 4, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II - LINE 1H ASSIST INDIVIDUALS IN NAVIGATING THE HEALTH CARE EXCHANGE</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc6">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MERRIMAN NANCY</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>168011</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10794</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>178805</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>TO PROVIDE ALASKA COMMUNITY HEALTH CENTERS AND OTHER PRIMARY CARE SAFETY NET PROVIDERS WITH TRAINING AND TECHNICAL ASSISTANCE SO THEY CAN DELIVER HIGH QUALITY HEALTH CARE TO PATIENTS. TO ASSIST ALASKANS IN DISCOVERING AND PURSUING HEALTH CAREERS. TO ASSIST ALASKANS IN EXPLORING OPTIONS FOR HEALTH CARE COVERAGE. TO PROACTIVELY ASSESS NEW POLICY AND REGULATIONS THAT COULD AFFECT PRIMARY CARE PROVIDERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>HRSA PCA - PROVIDED NUMEROUS OPPORTUNITIES FOR COMMUNITY HEALTH CENTER LEADERS AND STAFF TO INTERACT AND LEARN FROM ONE ANOTHER AND FROM EXPERTS IN THE FIELD ABOUT IMPROVING THE DELIVERY OF HEALTH CARE TO PATIENTS. DRAMATICALLY INCREASED THE NUMBER OF HEALTH CENTERS BEING RECOGNIZED FOR PCMH AND QUALITY ACCOMPLISHMENTS. HCCN - THE ALASKA QUALITY IMPROVEMENT NETWORK (AQUIN), ALASKAS HEALTH CENTER CONTROLLED NETWORK (HCCN) IS A PROJECT FUNDED UNDER THE HEALTH RESOURCES AND SERVICES WITH A GOAL OF IMPROVING THE QUALITY OF CARE AND HEALTH OUTCOMES AT COMMUNITY HEALTH CENTERS. AQUIN IS COMPRISED OF 10 PARTICIPATING HEALTH CENTERS FROM ACROSS THE STATE. THE AQUIN MODEL UTILIZES A CENTRAL DATA WAREHOUSE, FED DAILY BY HEALTH CENTERS' ELECTRONIC HEALTH RECORDS (EHR). THE PLATFORM HAS A PORTFOLIO OF TOOLS AND PRE- FORMATTED REPORTS THAT ALLOW SOPHISTICATED ANALYTICS TO BE PERFORMED, RESULTING IN ACTIONABLE INFORMATION USED TO IMPROVE QUALITY. THE OVERALL PURPOSE OF THE AQUIN IS QUALITY IMPROVEMENT FOR BETTER HEALTH OUTCOMES, INCREASED PATIENT AND FAMILY ENGAGEMENT AND LOWER COSTS. THE DATA WAREHOUSE AIMS TO STRENGTHEN QUALITY, EFFICIENCY, AND SAFETY THROUGH THE DATA-DRIVEN SUPPORT OF PCMH MODELS, OPTIMIZATION OF THE CLINICS EHRS, AND ATTAINMENT OF MEANINGFUL USE. SCAHEC - FACILITATED 300+ INDIVIDUALS IN EXPLORING HEALTH CARE CAREERS. APPRENTICESHIP - THE ORGANZIATION IS A SUBAWARDEE OF THE STATE OF ALASKA DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT (DOLWD), DIVISION OF EMPLOYMENT AND TRAINING SERVICES (DETS), UNDER THE "HEALTHY ALASKA THROUGH APPRENTICESHIP" GRANT FROM THE US DEPARTMENT OF LABOR. UNDER THIS FUNDING, APCA CREATED APPRENTICESHIP OPPORTUNITIES WITHIN THE HEALTH CARE SECTOR IN THE FOLLOWING OCCUPATIONS:COMMUNITY HEALTH WORKER (CHW), PROVIDES CARE COORDINATION FOR UNDERSERVED POPULATIONS, CLINICAL MEDICAL ASSISTANT (CMA); PROVIDES CLINICAL SUPPORT, MEDICAL ADMINISTRATIVE ASSISTANT (MAA); PROVIDES ADMINISTRATIVE SUPPORT IN HEALTH CENTERS, AND BILLING AND CODING SPECIALIST (BCS); PROVIDES BILLING AND CODING SERVICES. CMS NAVIGATOR PROGRAM - ASSISTED OVER 12,000 ALASKANS IN EXPLORING WAYS TO OBTAIN HEALTH CARE COVERAGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS IS COMPOSED OF THE BOARD OFFICERS AND THE CHAIRS OF THE MEMBERSHIP SUPPORT COMMITTEE AND ADVOCACY COMMITTEE. THE EXECUTIVE COMMITTEE HAS ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION. HOWEVER, THE EXECUTIVE COMMITTEE DOES NOT HAVE THE AUTHORITY OF THE BOARD IN REFERENCE TO:A. AMENDING THE ARTICLES OF INCORPORATION; B. APPROVING A PLAN OF MERGER OR CONSOLIDATION;C. RECOMMENDING TO THE MEMBERS THE SALE, LEASE, OR EXCHANGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION OTHER THAN IN THE USUAL AND REGULAR COURSE OF ITS BUSINESS; D. RECOMMENDING TO THE MEMBERS A VOLUNTARY DISSOLUTION OF THE CORPORATION OR A REVOCATION THEREOF; E. AMENDING, ALTERING, OR REPEALING THE BYLAWS OR ADOPTING NEW BYLAWS; F. FILLING VACANCIES IN OR REMOVING MEMBERS OF THE BOARD OF DIRECTORS; AND G. HIRING AND TERMINATION OF EXECUTIVE DIRECTOR. ANY AND ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE PRESENTED AND RATIFIED AT THE NEXT FULL BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CFO POSITION IS PROVIDED THROUGH A SERVICE AGREEMENT WITH CLIFTONLARSONALLEN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATIONAL MEMBERSHIP IS AVAILABLE TO ANY ALASKAN ENTITY FUNDED UNDER THE PUBLIC HEALTH ACT, SECTION 330 OR ALASKAN FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKE BASED IN ALASKA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH ORGANIZATIONAL MEMBER APPOINTS ONE INDIVIDUAL TO THE BOARD OF DIRECTORS. THIS INDIVIDUAL IS THE ORGANIZATIONAL MEMBER'S CEO, EXECUTIVE DIRECTOR, HEALTH DIRECTOR, OR THEIR DESIGNEE. TWO ADDITIONAL BOARD POSITIONS ARE APPOINTED BY MAJORITY VOTE OF THE ORGANIZATIONAL MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE THE 990 IN FILED IT IS REVIEWED BY THE CFO AND THE FINANCE COMMITTEE CHAIR AND IS APPROVED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO BOARD MEMBERS, OFFICERS, AND EMPLOYEES. BOARD MEMBERS ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. A CONFLICT OF INTEREST, OR THE PERCEPTION OF A CONFLICT, ARE DISCLOSED TO THE BOARD OF DIRECTORS. WHEN ANY SUCH INTEREST BECOMES A MATTER OF BOARD ACTION, THE DIRECTOR WITH A CONFLICT DOES NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER AND IS NOT COUNTED IN THE QUORUM FOR A MEETING AT WHICH BOARD ACTION IS TO BE TAKEN ON THE INTEREST. THE DIRECTOR MAY, HOWEVER, BRIEFLY STATE A POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS FROM THE BOARD. THE MINUTES OF ALL ACTIONS TAKEN ON SUCH MATTERS CLEARLY REFLECT THAT THESE REQUIREMENTS HAVE BEEN MET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS REVIEW THE EXECUTIVE DIRECTOR'S COMPENSATION ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND EXECUTIVE DIRECTOR REVIEW COMPENSATION ON AN ANNUAL BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER FEES 789,427 72,630 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>