﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2019-01-21T06:41:09-06:00</ReturnTs>
    <TaxPeriodEndDt>2018-06-30</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>990303190</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CARBONARO CPAS &amp; MANAGEMENT GROUP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>1885 MAIN ST STE 408</AddressLine1Txt>
        <CityNm>WAILUKU</CityNm>
        <StateAbbreviationCd>HI</StateAbbreviationCd>
        <ZIPCd>96793</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-07-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>990222784</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>THE BAY CLINIC INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>BAYC</BusinessNameControlTxt>
      <PhoneNum>8089614071</PhoneNum>
      <USAddress>
        <AddressLine1Txt>450 KILAUEA AVE SUITE 105</AddressLine1Txt>
        <CityNm>HILO</CityNm>
        <StateAbbreviationCd>HI</StateAbbreviationCd>
        <ZIPCd>96720</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>HAROLD WALLACE</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>8089614071</PhoneNum>
      <SignatureDt>2019-01-08</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>GRETCHEN KREMEYER</PreparerPersonNm>
      <PTIN>P00768528</PTIN>
      <PhoneNum>8082425002</PhoneNum>
      <PreparationDt>2019-01-21</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>63.251.162.66</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2019-01-21</IPDt>
      <IPTm>06:41:09</IPTm>
      <IPTimezoneCd>CS</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>5DB4ED167CEFA25926BDE9CF16F70AC3A72AD597</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>B602D594AFD2B0B327E07A06F36CA6A7E42546D0</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2017</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="8">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc7">
      <PrincipalOfficerNm>HAROLD WALLACE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>450 KILAUEA AVE SUITE 105</AddressLine1Txt>
        <CityNm>HILO</CityNm>
        <StateAbbreviationCd>HI</StateAbbreviationCd>
        <ZIPCd>96720</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>17883292</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>BAYCLINIC.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1983</FormationYr>
      <LegalDomicileStateCd>HI</LegalDomicileStateCd>
      <ActivityOrMissionDesc>THE BAY CLINIC, INC. IS A NOT FOR PROFIT ORGANIZATION FORMED ON JANUARY 3, 1983 OPERATING HEALTH CLINICS IN HILO, PAHOA, KEA'AU AND KAU PROVIDING HIGH QUALITY, PATIENT-CENTERED, COMPREHENSIVE HEALTH CARE THAT IS AFFORDABLE, COORDINATED, CULTURALLY COMPETENT, AND COMMUNITY DIRECTED.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>10</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>10</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>232</TotalEmployeeCnt>
      <TotalVolunteersCnt>10</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>1950147</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>1652708</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>13689772</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>16078567</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>552</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-1328</CYInvestmentIncomeAmt>
      <CYOtherRevenueAmt>11994</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>15640471</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>17741941</CYTotalRevenueAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>10520030</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>11296074</CYSalariesCompEmpBnftPaidAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>79638</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>4704054</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>5193744</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>15224084</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>16489818</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>416387</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>1252123</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>9521654</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>13391727</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>1062713</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>3680663</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>8458941</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>9711064</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>THE BAY CLINIC, INC. IS A NOT FOR PROFIT ORGANIZATION FORMED ON JANUARY 3, 1983 OPERATING HEALTH CLINICS IN HILO, PAHOA, KEA'AU AND KAU PROVIDING HIGH QUALITY, PATIENT-CENTERED, COMPREHENSIVE HEALTH CARE THAT IS AFFORDABLE, COORDINATED, CULTURALLY COMPETENT, AND COMMUNITY DIRECTED.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>12421778</ExpenseAmt>
      <RevenueAmt>16078567</RevenueAmt>
      <Desc>THE BAY CLINIC, INC. IS A NETWORK OF FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS SERVING 21,492 ETHNICALLY DIVERSE PATIENTS WITH 68,961 VISITS IN THE DISTRICTS OF HILO, PUNA AND KAU IN EAST AND SOUTH HAWAII ISLAND. IN THE FISCAL YEAR ENDING 2018, THE BAY CLINIC, INC. CONTINUED TO EXPAND BEHAVIORAL HEALTH ACCESS FOR THE UNDERSERVED BY PROVIDING ADDITIONAL SERVICES. BAY CLINIC'S STATE-OF-THE-ART MOBILE HEALTH UNIT IS THE FIRST DUAL USE, PRIMARY MEDICAL AND DENTAL, VEHICLE IN THE STATE. THE UNIT EXPANDS ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES TO THE MOST REMOTE AND RURAL EAST HAWAI'I COMMUNITIES.</Desc>
      <TotalProgramServiceExpensesAmt>12421778</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc8">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>false</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc3">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc3">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc3">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc3">false</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc3">false</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc3">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc3">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc3">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc3">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc3">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc3">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc3">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc3">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc4">false</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc4">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc4">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc5">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 referenceDocumentId="RetDoc6">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc6">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>29</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <EmployeeCnt>232</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>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>10</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>10</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</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>
      <StatesWhereCopyOfReturnIsFldCd>HI</StatesWhereCopyOfReturnIsFldCd>
      <OtherWebsiteInd>X</OtherWebsiteInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>THE BAY CLINIC INC</PersonNm>
        <PhoneNum>8089614071</PhoneNum>
        <USAddress>
          <AddressLine1Txt>450 KILAUEA AVE SUITE 105</AddressLine1Txt>
          <CityNm>HILO</CityNm>
          <StateAbbreviationCd>HI</StateAbbreviationCd>
          <ZIPCd>96720</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN OKINAKA</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHARYN DAUB</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNNE ENRIQUES</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRANDEE MENINO</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAIPO DYE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA DOUGHTY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KENNETH GOODENOW</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL MCMINIMY</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL MALANI</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL MCGEE</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISSY CAPATI</PersonNm>
        <TitleTxt>MEDICAL DIRE</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>186322</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>44035</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL BRADY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163609</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34048</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL TREECE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>163032</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15587</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TAMARA TODD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>173347</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36240</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAUNA PAYLOR</PersonNm>
        <TitleTxt>DEPUTY MEDIC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>162663</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>53689</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HAROLD WALLACE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>329600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36733</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1178573</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>220332</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>12</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>UNIVERSITY HEALTH PARTNERS OF HAWAII</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 31000</AddressLine1Txt>
            <CityNm>HONOLULU</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>968495647</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT OBGYN</ServicesDesc>
        <CompensationAmt>278570</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY LINK CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 276</AddressLine1Txt>
            <CityNm>NEWMAN LAKE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99025</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONTRACT CFO</ServicesDesc>
        <CompensationAmt>246027</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OSIS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 772852</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606772825</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COMPUTER SPPRT</ServicesDesc>
        <CompensationAmt>206783</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HAWAII INVESTIGATIONS AND SECURITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>688 KINOOLE ST SUITE 217</AddressLine1Txt>
            <CityNm>HILO</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96720</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>201383</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>3T CLEANING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>151 KUAKOLA PLACE</AddressLine1Txt>
            <CityNm>HILO</CityNm>
            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96720</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL</ServicesDesc>
        <CompensationAmt>159012</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>7002</FundraisingAmt>
      <GovernmentGrantsAmt>1196090</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>449616</AllOtherContributionsAmt>
      <NoncashContributionsAmt>280304</NoncashContributionsAmt>
      <TotalContributionsAmt>1652708</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>14088742</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14088742</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>GOVERNMENT CONTRACTS</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>1825920</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1825920</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>PCMH LEVEL 3 AWARD</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>115068</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>115068</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>QUALITY PERFORMANCE INCENTIVE</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>33345</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>33345</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL RECORDS INCOME</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>13207</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13207</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>2285</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>2285</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>16078567</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>878</TotalRevenueColumnAmt>
        <ExclusionAmt>878</ExclusionAmt>
      </InvestmentIncomeGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>2206</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-2206</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-2206</TotalRevenueColumnAmt>
        <ExclusionAmt>-2206</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>151139</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>7002</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>139145</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>11994</TotalRevenueColumnAmt>
        <ExclusionAmt>11994</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17741941</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16078567</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>10666</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>373232</TotalAmt>
        <ManagementAndGeneralAmt>373232</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>8708646</TotalAmt>
        <ProgramServicesAmt>7046339</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1599244</ManagementAndGeneralAmt>
        <FundraisingAmt>63063</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>186983</TotalAmt>
        <ProgramServicesAmt>145591</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39979</ManagementAndGeneralAmt>
        <FundraisingAmt>1413</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1333092</TotalAmt>
        <ProgramServicesAmt>1036862</ProgramServicesAmt>
        <ManagementAndGeneralAmt>286170</ManagementAndGeneralAmt>
        <FundraisingAmt>10060</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>694121</TotalAmt>
        <ProgramServicesAmt>545149</ProgramServicesAmt>
        <ManagementAndGeneralAmt>143870</ManagementAndGeneralAmt>
        <FundraisingAmt>5102</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>210898</TotalAmt>
        <ManagementAndGeneralAmt>210898</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>34168</TotalAmt>
        <ManagementAndGeneralAmt>34168</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>38150</TotalAmt>
        <ManagementAndGeneralAmt>38150</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>876265</TotalAmt>
        <ProgramServicesAmt>733382</ProgramServicesAmt>
        <ManagementAndGeneralAmt>142883</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>369061</TotalAmt>
        <ProgramServicesAmt>253027</ProgramServicesAmt>
        <ManagementAndGeneralAmt>116034</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1543269</TotalAmt>
        <ProgramServicesAmt>1265000</ProgramServicesAmt>
        <ManagementAndGeneralAmt>278269</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>188000</TotalAmt>
        <ProgramServicesAmt>62927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>125073</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>439009</TotalAmt>
        <ProgramServicesAmt>264408</ProgramServicesAmt>
        <ManagementAndGeneralAmt>174601</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>11548</TotalAmt>
        <ProgramServicesAmt>2614</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8934</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>PATIENT SUPPLIES</Desc>
        <TotalAmt>766976</TotalAmt>
        <ProgramServicesAmt>766976</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT LEASE &amp; RENTAL</Desc>
        <TotalAmt>253135</TotalAmt>
        <ProgramServicesAmt>124604</ProgramServicesAmt>
        <ManagementAndGeneralAmt>128531</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>STAFF TRAINING &amp; DEVELOPM</Desc>
        <TotalAmt>125391</TotalAmt>
        <ProgramServicesAmt>60004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65387</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES AND SUBSCRIPTIONS</Desc>
        <TotalAmt>93039</TotalAmt>
        <ProgramServicesAmt>31768</ProgramServicesAmt>
        <ManagementAndGeneralAmt>61271</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>244835</TotalAmt>
        <ProgramServicesAmt>83127</ProgramServicesAmt>
        <ManagementAndGeneralAmt>161708</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>16489818</TotalAmt>
        <ProgramServicesAmt>12421778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3988402</ManagementAndGeneralAmt>
        <FundraisingAmt>79638</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4350626</BOYAmt>
        <EOYAmt>5446231</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>42693</BOYAmt>
        <EOYAmt>805627</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>367175</BOYAmt>
        <EOYAmt>300566</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>580530</BOYAmt>
        <EOYAmt>486925</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>126248</BOYAmt>
        <EOYAmt>150669</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>9735301</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3643827</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3973228</BOYAmt>
        <EOYAmt>6091474</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>81154</BOYAmt>
        <EOYAmt>110235</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>9521654</BOYAmt>
        <EOYAmt>13391727</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1014869</BOYAmt>
        <EOYAmt>1010227</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>10000</BOYAmt>
        <EOYAmt>191941</EOYAmt>
      </DeferredRevenueGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <EOYAmt>2450000</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <UnsecuredNotesLoansPayableGrp>
        <BOYAmt>7691</BOYAmt>
        <EOYAmt>5629</EOYAmt>
      </UnsecuredNotesLoansPayableGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>30153</BOYAmt>
        <EOYAmt>22866</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1062713</BOYAmt>
        <EOYAmt>3680663</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>8454209</BOYAmt>
        <EOYAmt>9706332</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TemporarilyRstrNetAssetsGrp>
        <BOYAmt>4732</BOYAmt>
        <EOYAmt>4732</EOYAmt>
      </TemporarilyRstrNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>8458941</BOYAmt>
        <EOYAmt>9711064</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>9521654</BOYAmt>
        <EOYAmt>13391727</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1252123</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">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>1319772</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1241843</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>1469518</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1950147</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1652708</CurrentTaxYearAmt>
        <TotalAmt>7633988</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>15007848</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>14899501</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14183243</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>13689772</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16078567</CurrentTaxYearAmt>
        <TotalAmt>73858931</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>16327620</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16141344</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15652761</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15639919</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17731275</CurrentTaxYearAmt>
        <TotalAmt>81492919</TotalAmt>
      </Total509Grp>
      <PublicSupportTotal509Amt>81492919</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>1190</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>151</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>581</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>552</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>878</CurrentTaxYearAmt>
        <TotalAmt>3352</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>1190</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>151</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>581</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>552</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>878</CurrentTaxYearAmt>
        <TotalAmt>3352</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <NetIncomeFromOtherUBIGrp>
        <CurrentTaxYearMinus2YearsAmt>3479</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearAmt>10994</CurrentTaxYearAmt>
        <TotalAmt>14473</TotalAmt>
      </NetIncomeFromOtherUBIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>99169</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>530</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>160</CurrentTaxYearMinus2YearsAmt>
        <TotalAmt>99859</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>16427979</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>16142025</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15656981</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>15640471</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>17743147</CurrentTaxYearAmt>
        <TotalAmt>81610603</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99860</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99490</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00000</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00000</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART III, LINE 12</FormAndLineReferenceDesc>
        <ExplanationTxt>2013 OTHER INCOME 99,169 2014 OTHER INCOME 530 2015 OTHER INCOME 160</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1" />
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1050040</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1050040</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>4329423</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>514494</DepreciationAmt>
        <BookValueAmt>3814929</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>1127570</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>859680</DepreciationAmt>
        <BookValueAmt>267890</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2612498</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2133905</DepreciationAmt>
        <BookValueAmt>478593</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>615770</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>135748</DepreciationAmt>
        <BookValueAmt>480022</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>6091474</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITALIZED LEASE</Desc>
        <Amt>22866</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>22866</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>17883292</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>141351</OtherRevenueAmt>
      <RevenueNotReportedAmt>141351</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>17741941</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>17741941</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16631169</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>141351</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>141351</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16489818</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>16489818</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>(ASC 740) THE BAY CLINIC, INC. IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3), AND EXEMPT FROM STATE INCOME TAXES UNDER SECTION 237-23(B) OF THE HAWAI'I REVISED STATUTES. THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS REQUIRED. THE ACCOUNTING STANDARD FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE CLINIC MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE CLINIC AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBTI). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEAR 2018 AND 2017. THE CLINIC FILES ITS FORMS 990 IN THE U.S. FEDERAL JURISDICTION AND THE OFFICE OF THE STATE'S ATTORNEY GENERAL FOR THE STATE OF HAWAI'I. THE CLINIC IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR FISCAL YEARS BEFORE 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 139,145 LOSS ON DISPOSAL 2,206</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 139,145 LOSS ON DISPOSAL 2,206</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>GALA</Event1Nm>
        <GrossReceiptsEvent1Amt>158141</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>7002</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>151139</GrossRevenueEvent1Amt>
        <CashPrizesEvent1Amt>601</CashPrizesEvent1Amt>
        <NonCashPrizesEvent1Amt>5356</NonCashPrizesEvent1Amt>
        <RentFacilityCostsEvent1Amt>76188</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>37216</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>12493</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>7291</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>158141</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>7002</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>151139</GrossRevenueTotalEventsAmt>
        <CashPrizesTotalEventsAmt>601</CashPrizesTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>5356</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>76188</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>37216</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>12493</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>7291</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>139145</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>11994</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc5">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>false</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <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>CHRISSY CAPATI</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>181770</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4552</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12688</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>31347</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230357</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL BRADY</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>160000</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>3609</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10048</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>197657</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL TREECE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>162918</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>114</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>15587</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>178619</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMARA TODD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>170373</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>2974</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>12883</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23357</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209587</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAUNA PAYLOR</PersonNm>
        <TitleTxt>DEPUTY MEDICAL DIR.</TitleTxt>
        <BaseCompensationFilingOrgAmt>158270</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4393</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29689</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>216352</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HAROLD WALLACE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>287750</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>41850</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12733</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>366333</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>FIRST-CLASS OR CHARTER TRAVEL - THE CHIEF EXECUTIVE OFFICER HAS TO FLY FIRST CLASS DUE TO SEVERAL FACTORS. THE MAIN FACTOR RELATES TO THE LENGTH OF THE TRAVEL. THE MAJORITY OF HIS TRAVEL IS BETWEEN THE MAINLAND AND HAWAII. THE LENGTH OF THE FLIGHTS, COMBINED WITH THE 6' 4" HEIGHT OF THE INDIVIDUAL, MAKES THESE FLIGHTS EXTREMELY UNCOMFORTABLE AND UNBEARABLE GIVEN THE AVAILABLE SPACE IN COACH. AT NO TIME ARE ANY GRANTS OR CONTRIBUTIONS CHARGED FOR THE CHIEF EXECUTIVE OFFICER'S FIRST CLASS TRAVEL. THIS HAS NOT BEEN TREATED AS TAXABLE COMPENSATION TO THE CEO. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - THE ORGANIZATION MAINTAINS A MEMBERSHIP AT A LOCAL SOCIAL CLUB FOR THE PURPOSES OF MEALS WITH PROSPECTIVE AND ACTIVE EMPLOYEES, DONORS, AND BUSINESS ASSOCIATES. THE MEMBERSHIP IS UNDER THE NAME OF THE CHIEF EXECUTIVE OFFICER. DUE TO THE LIMITED AVAILABILITY OF DINING OPPORTUNITIES IN THE LOCAL AREA, THE BOARD OF DIRECTORS FEELS IT IS IMPORTANT TO HAVE THIS OPPORTUNITY AVAILABLE FOR SUCH BUSINESS PURPOSES. THIS HAS NOT BEEN TREATED AS TAXABLE COMPENSATION AS IT IS USED ONLY FOR BUSINESS PURPOSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAY CLINIC, INC. DOES NOT HAVE A WRITTEN REIMBURSEMENT POLICY. HOWEVER, THE CEO AND THE BOARD HAVE A WRITTEN EMPLOYMENT CONTRACT, WHICH INCLUDES ACCOMMODATION FOR SPECIAL TRAVEL REQUIREMENTS THAT IS BASED ON A COMPENSATION SURVEY, AMONG OTHER THINGS, OF COMPARABLE POSITIONS, AND IS APPROVED BY THE BOARD OF DIRECTORS. CHARGES RELATED TO THE SOCIAL CLUB ARE SUBJECT TO THE SAME REVIEW/APPROVAL PROCESS AS OTHER EXPENDITURES AND ARE PAID DIRECTLY TO THE SOCIAL CLUB.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc6">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>365</ContributionCnt>
        <NoncashContributionsRptF990Amt>274948</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR MARKET VALUE</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>AUCTION ITEMS</Desc>
        <ContributionCnt>25</ContributionCnt>
        <NoncashContributionsRptF990Amt>5356</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 - ORGANIZATION'S MISSION</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAY CLINIC, INC. IS A NOT FOR PROFIT ORGANIZATION FORMED ON JANUARY 3, 1983 OPERATING HEALTH CLINICS IN HILO, PAHOA, KEA'AU AND KAU PROVIDING HIGH QUALITY, PATIENT-CENTERED, COMPREHENSIVE HEALTH CARE THAT IS AFFORDABLE, COORDINATED, CULTURALLY COMPETENT, AND COMMUNITY DIRECTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEW THE FORM 990 AND PRESENT IT TO THE FINANCE COMMITTEE COMPOSED OF MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CLINIC ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH IS PRESENTED IN THE EMPLOYEE HANDBOOK. ALL EMPLOYEES ARE EXPECTED TO ADHERE TO THIS POLICY. THE ORGANIZATION REVIEWS THIS POLICY WITH NEW HIRES. MANAGEMENT MONITORS EMPLOYEES ON ANY ISSUE THAT MAY INVOLVE A CONFLICT OF INTEREST. AN ANNUAL DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER AND MONITORED BY THE BOARD CHAIRPERSON. IF A CONFLICT ARISES, THE ASSOCIATED BOARD PERSON MUST RECUSE THEMSELVES FROM VOTING ON RELATED MATTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON THE ORGANIZATION'S BUDGET, MARKET DATA FOR THE POSITION, COMPARABLE STUDIES OF SIMILAR ENTITIES, AND THE LOCAL COMPENSATION RATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPENSATION FOR KEY EMPLOYEES AND OFFICERS IS DETERMINED BY THE ORGANIZATION'S BUDGET, MARKET DATA FOR THE POSITION, COMPARABLE STUDIES OF SIMILAR ENTITIES, AND THE LOCAL COMPENSATION RATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS AVAILABLE UPON REQUEST AS WELL AS ON GUIDESTAR.ORG. ALL OTHER GOVERNING DOCUMENTS AND POLICIES, INCLUDING THE CONFLICT OF INTEREST POLICY, IS AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 139,145 LOSS ON DISPOSAL 2,206 FUNDRAISING EXPENSES -139,145 LOSS ON DISPOSAL -2,206</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>