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      <MissionDesc>TO ELEVATE THE QUALITY OF LIFE OF THE PEOPLE WE SERVE.</MissionDesc>
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      <Desc>THE KODIAK AREA NATIVE ASSOCIATION (KANA) PROVIDES HEALTHCARE SERVICES TO THE ALASKA NATIVE AND AMERICAN INDIAN PEOPLE OF THE KODIAK ISLAND REGION. THESE SERVICES INCLUDE: PRIMARY CARE MEDICAL SERVICES, DENTAL, COMMUNITY HEALTH AIDE/PRACTITIONER SERVICES, EMERGENCY MEDICAL SERVICE (EMS), ALCOHOL AND SUBSTANCE ABUSE, MENTAL HEALTH, IMMUNIZATIONS AND OTHER SPECIAL PROGRAMS DEVELOPED TO ENSURE A BROAD, COMPREHENSIVE CONTINUUM OF CARE FOR BENEFICIARIES OF THE INDIAN HEALTH SERVICE. KANA PROVIDES AND FACILITATES A WIDE RANGE OF SERVICES DIRECTLY AND IN COOPERATION WITH OTHER AGENCIES THROUGH FIELD CLINICS, REFERRALS AND OTHER ARRANGEMENTS WITH TRIBAL HEALTH ORGANIZATIONS. KANA PARTICIPATES IN THE GOVERNMENT PERFORMANCE AND RESULTS ACT (GPRA). THIS BENCHMARKING IS DONE TO ENSURE THAT THE PROGRAMS AND SERVICES PROVIDED BY KANA MEET OR EXCEED CLINICAL BEST PRACTICES. DURING THE GPRA YEAR 2009, WHICH ENDED JUNE 30, 2009, KANA WAS THE FIRST AND ONLY HEALTH CARE ORGANIZATION IN THE STATE TO HAVE MET ALL TWENTY-ONE OF THE IHS GPRA INDICATORS AND ONE OF ONLY FOUR IN THE NATION TO DO SO. DURING GPRA YEAR 2011, KANA WAS ONE OF ONLY THREE ORGANIZATIONS IN THE STATE TO MEET ALL INDICATORS. THIS WAS KANA'S THIRD CONSECUTIVE YEAR MEETING ALL INDICATORS. THIS ACCOMPLISHMENT IS TESTAMENT TO THE DEDICATION AND COMMITMENT OF KANA AND ITS STAFF TO PROVIDE THE HIGHEST QUALITY HEALTH AND SOCIAL SERVICES TO ITS BENEFICIARIES IN A RESPONSIBLE MANNER.</Desc>
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        <Desc>THE COMMUNITY SERVICES PROGRAM IS COMPRISED OF THE FOLLOWING COMPONENTS: TEMPORARY ASSISTANCE FOR NEEDY FAMILIES COMPREHENSIVE CASE MANAGEMENT IS PROVIDED FOR RECIPIENTS ON TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF). THIS INVOLVES JOB SEARCH ASSISTANCE, LIFE SKILLS, JOB COACHING AND SUPPORTIVE SERVICE, WHICH ENABLE PEOPLE TO REACH SELF SUFFICIENCY. "WORK FIRST" PHILOSOPHY IS BASED ON THE FUNDAMENTAL VALUE OF WORK AS A MEANS OF ENHANCING SELF-ESTEEM AND PROVIDING A GOOD ROLE MODEL TO CHILDREN. OUR OBJECTIVE IS ENSURING TANF CLIENTS REACH THE HIGHEST LEVEL OF ECONOMIC SELF SUFFICIENCY. DHHS SAFE/STABLE FAMILIES THE SERVICES TO BE PROVIDED THROUGH OUR CHILD AND FAMILY SERVICES PLAN INCLUDE TRAINING FOR THE CHILD WELFARE WORKFORCE, PARENTS, CHILDREN AND THE COMMUNITY AT LARGE; TRAINING AND TECHNICAL ASSISTANCE FOR COMMUNITY-BASED INITIATIVES TO IMPROVE THE WELFARE OF CHILDREN; AND IMPROVED ACCESS TO RESOURCES. OUR GOAL IS TO DEVELOP OPPORTUNITIES TO HELP ENSURE A WELL- QUALIFIED CHILD WELFARE WORKFORCE WITHIN THE KONIAG REGION. COMMUNITIES INCREASE AWARENESS, DIALOGUE, SKILLS AND COORDINATED RESOURCES ON CHILD ABUSE / NEGLECT. ASSIST COMMUNITIES DEVELOP VILLAGE-BASED PREVENTION AND INTERVENTION SERVICES FOR HIGH RISK FAMILIES TO PROMOTE THE SAFETY, PERMANENCE AND WELL-BEING OF ALL CHILDREN. DHHS FAMILY VIOLENCE KANA PROVIDES TRANSPORTATION BOTH TO AND FROM KODIAK ISLAND VILLAGES FOR SERVICES PROVIDED AT THE KODIAK WOMEN'S RESOURCE AND CRISIS CENTER/ SHELTER IN KODIAK. EVERY VICTIM IS ALSO PROVIDED WITH ADVOCACY COUNSELING. DOMESTIC VIOLENCE, SEXUAL ASSAULT, CHILD AND VULNERABLE ADULT ABUSE PREVENTION TRAINING WAS PROVIDED TO VILLAGE AND KODIAK AREA SERVICE PROVIDERS. NEWSPAPER/MEDIA ADVERTISEMENTS WERE MADE TO ANNOUNCE UPCOMING PREVENTION AND AWARENESS WORKSHOPS AND WELLNESS ACTIVITIES. ATTENDED AND PARTICIPATED IN QUARTERLY KODIAK HUMAN SERVICES MEETINGS IN KODIAK. ATTENDED AND PARTICIPATED IN THE MDT MULTIDISCIPLINARY TASKFORCE MEETINGS HELD IN KODIAK. THIS TASKFORCE IS INCLUSIVE OF NUMEROUS KODIAK AREA SERVICE PROVIDERS AND SEEKS TO COLLABORATE ON SERVICES IN OUR COMMUNITY WHILE ADDRESSING EXISTING AND EVOLVING THREATS IN OUR COMMUNITY. ECONOMIC DEVELOPMENT THE GOAL OF KANA'S ECONOMIC DEVELOPMENT GRANT IS THE ESTABLISHMENT OF A COMPREHENSIVE ECONOMIC DEVELOPMENT STRATEGY (CEDS) THAT WILL COMPLETELY ADDRESS THE REQUIREMENTS OF KODIAK ISLAND, WHILE TAKING INTO CONSIDERATION THE UNIQUE NEEDS OF EACH NATIVE VILLAGE. KANA WILL TAKE A BOTTOM UP APPROACH TO ACHIEVING THE GOAL OF A VIABLE CEDS DOCUMENT. WITH THIS IN MIND WE HAVE BEGUN BY ASSEMBLING ALL THE VALUABLE WORK THAT HAS ALREADY BEEN COMPLETED IN THE FORM OF COMMUNITY AND ECONOMIC DEVELOPMENT PLANS. THE NEXT STEP WILL BE ACHIEVING A DIALOGUE IN EACH VILLAGE INCLUSIVE OF ALL PARTIES INTERESTED IN ITS ECONOMIC FUTURE. WE WILL WORK FORWARD TO ACHIEVE CONSENSUS ON THE PRIORITIES OF THE VILLAGE. WHEN WE HAVE FINALIZED THE NEEDS OF THE SMALLER VILLAGE COMPONENTS THEY WILL BE MERGED TO FORM ONE CEDS DOCUMENT FOR THE REGION OF KODIAK. THIS CEDS DOCUMENT CAN BE USED BY THE ENTIRE REGION AS A VALUABLE TOOL TO ADVOCATE FOR THEIR SPECIFIC NEED. BIA ICWA SERVICE DELIVERY IS TO THE NATIVE VILLAGE OF AKHIOK WHICH HAS A POPULATION OF 74. -INCREASE THE AWARENESS OF CHILD ABUSE AND NEGLECT OF CHILDREN THROUGH REGULAR ITINERANT VILLAGE VISITS AS WELL AS OFFERING A REGIONAL CHILD ABUSE PREVENTION SUMMIT ANNUALLY. -ASSIST WITH IDENTIFYING STRATEGIES THAT CAN HELP THE COMMUNITY DEAL WITH THE HIGH RATE OF SUBSTANCE ABUSE AND LACK OF JOBS. -PROVIDE ON-SITE SUPPORT FOR THOSE AT-RISK FAMILIES AND CHILDREN INCLUDING PARENTING, DISSEMINATION OF RESOURCES, COUNSELING, AND REFERRALS. -COLLABORATE WITH LOCAL LEADERSHIP AND REGIONAL AGENCIES TO BETTER ADDRESS AND RESPOND TO THE NEEDS OF THE CHILDREN AND FAMILIES IN THE VILLAGE THAT ARE IN CRISIS. STATE OF ALASKA ICWA COMPLIANCE SERVICES ENCOMPASS ALL OF KODIAK ISLAND. -INCREASE THE NUMBER OF STATE LICENSED AND UNLICENSED RELATIVE FOSTER HOMES. -PROVIDE NECESSARY SERVICES TO RETAIN AND SUPPORT NATIVE LICENSED AND UNLICENSED RELATIVE FOSTER HOMES. -PROVIDE ALL LICENSED AND UNLICENSED RELATIVE FOSTER HOME PARENTS CULTURALLY APPROPRIATE MATERIALS THAT WILL SUPPORT AND ENHANCE UNDERSTANDING OF CHILD DEVELOPMENT, TRAUMA AND GUIDANCE. -PROVIDE JOINT HOME VISITATION SERVICES WITH OCS FOR LICENSED AND UNLICENSED RELATIVE FOSTER CARE PARENTS AS REQUESTED. -MEET WITH VILLAGE TRIBAL COUNCILS TO ENCOURAGE COLLABORATION. -PROVIDE ADVERTISING CAMPAIGN DURING FOSTER CARE AWARENESS MONTH, INCLUDING PUBLIC SAFETY ANNOUNCEMENTS, NEWSPAPER ARTICLE REGARDING FOSTER PARENTING, FLYERS, ETC. BIA SOCIAL SERVICES SERVICES ARE PROVIDED FOR THE VILLAGES OF AKHIOK AND OLD HARBOR. -SERVICES PROVIDED INCLUDED GENERAL ASSISTANCE, BURIAL ASSISTANCE AND SOCIAL SERVICES. -DIRECT SERVICES ARE PROVIDED BY ITINERANT STAFF AND INCLUDE OUTREACH, INTERVENTION, CASE MANAGEMENT AND REFERRAL SERVICES TO CHILDREN AND FAMILIES. -PREVENTION OUTREACH IS ACCOMPLISHED THROUGH INVOLVEMENT WITH VILLAGE-BASED HEALTH FAIRS AND SUMMER SPIRIT CAMPS. ANTHC STATEWIDE TRAINING FUNDING IS RECEIVED FROM ANTHC AND WITH THESE FUNDS WE ASSIST IN HOSING REGIONAL TRAINING THAT FOCUSES ON WATER OPERATORS TRAINING AS WELL AS VARIOUS TRAININGS PERTINENT TO RURAL GOVERNMENT AND UTILITIES PROVIDED BY THE RURAL UTILITY BUSINESS ADVISOR. ELDER NUTRITION &amp; CAREGIVER PROGRAMS THE KODIAK AREA NATIVE ASSOCIATION ADMINISTERS A VARIETY OF GRANTS THAT TOGETHER SUPPORT NUTRITION AND CAREGIVER SERVICES TO THE ELDERS RESIDING ON KODIAK ISLAND, INCLUDING THE SIX OUTLYING VILLAGES. THESE SERVICES ENCOMPASS BOTH CONGREGATE AND HOME DELIVERED MEALS AS WELL AS CAREGIVER SERVICES. COORDINATED INFORMATION IS DISSEMINATED AND TRAINING PROVIDED AS WELL AS DIRECT SUPPORTIVE CARE AND ASSISTANCE FOR ELDER PERSONS WITH ALZHEIMER'S DISEASE OR RELATED DISORDERS, AND THE FRAIL AND ELDERLY. NON-MEDICAL CUSTODIAL CARE AND COORDINATION OF CHORE AND RESPITE SERVICES IS PROVIDED.</Desc>
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        <Desc>PUBLIC SAFETY - THE VILLAGE PUBLIC SAFETY OFFICER PROGRAM IS DESIGNED TO TRAIN AND EMPLOY INDIVIDUALS RESIDING IN THE VILLAGE AS FIRST RESPONDERS TO PUBLIC SAFETY EMERGENCIES SUCH AS SEARCH AND RESCUE, FIRE PROTECTION, EMERGENCY MEDICAL ASSISTANCE, CRIME PREVENTION AND BASIC LAW ENFORCEMENT. PROTECTION, EMERGENCY MEDICAL ASSISTANCE, CRIME PREVENTION AND BASIC LAW ENFORCEMENT.</Desc>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Margaret Roberts</PersonNm>
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        <ReportableCompFromOrgAmt>15500</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Speridon Simeonoff Sr</PersonNm>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Alex Panamaroff Jr</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Phyllis Amodo</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Watson</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Teuber</PersonNm>
        <TitleTxt>President/CEO</TitleTxt>
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        <ReportableCompFromOrgAmt>538597</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>59005</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Margie Bezona</PersonNm>
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        <OtherCompensationAmt>12523</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tammy Hansen</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mike Pfeffer</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Elise Pletnikoff</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sam Chelmo</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Rhonda Beal</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Carrie Randolph</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Anna Stevens</PersonNm>
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      <ContractorCompensationGrp>
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          <USAddress>
            <AddressLine1Txt>PO BOX 3706</AddressLine1Txt>
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            <StateAbbreviationCd>OR</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>BDO USA LLP</PersonNm>
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          <USAddress>
            <AddressLine1Txt>770 KENMOORE SE SUITE 300</AddressLine1Txt>
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        </ContractorAddress>
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        <BusinessCd>624100</BusinessCd>
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        <TotalRevenueColumnAmt>132101</TotalRevenueColumnAmt>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <OtherAmt>-12423</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-12423</TotalRevenueColumnAmt>
        <ExclusionAmt>-12423</ExclusionAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <GamingGrossIncomeAmt>3761354</GamingGrossIncomeAmt>
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        <ExclusionAmt>83692</ExclusionAmt>
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      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncomeOrLossGrp>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>158378</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
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        <TotalRevenueColumnAmt>77212</TotalRevenueColumnAmt>
        <ExclusionAmt>77212</ExclusionAmt>
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        <UnrelatedBusinessRevenueAmt>204236</UnrelatedBusinessRevenueAmt>
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      <GrantsToDomesticOrgsGrp>
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      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>482501</ProgramServicesAmt>
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      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>256121</ProgramServicesAmt>
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        <ProgramServicesAmt>301454</ProgramServicesAmt>
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        <ProgramServicesAmt>843990</ProgramServicesAmt>
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        <ProgramServicesAmt>567389</ProgramServicesAmt>
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        <ProgramServicesAmt>10717</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>105160</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ProgramServicesAmt>41689</ProgramServicesAmt>
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        <ProgramServicesAmt>474283</ProgramServicesAmt>
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        <ProgramServicesAmt>573190</ProgramServicesAmt>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>20988741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1694495</ManagementAndGeneralAmt>
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        <EOYAmt>53210</EOYAmt>
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        <EOYAmt>17606294</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>807710</EOYAmt>
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      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>205992</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rhonda Beal</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>155538</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>1448</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16184</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>173170</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Carrie Randolph</PersonNm>
        <TitleTxt>Dentist</TitleTxt>
        <BaseCompensationFilingOrgAmt>131402</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9795</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15909</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>157106</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <GrntAsstBnftInterestedPrsnGrp>
        <PersonNm>ALYSSA BRENTESON</PersonNm>
        <RelationshipWithOrgTxt>DAUGHTER OF BOARD MEMBER</RelationshipWithOrgTxt>
        <CashGrantAmt>1500</CashGrantAmt>
        <TypeOfAssistanceTxt>SCHOLARSHIP</TypeOfAssistanceTxt>
        <AssistancePurposeTxt>EDUCATION SCHOLARSHIP</AssistancePurposeTxt>
      </GrntAsstBnftInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ASHLEE HINER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>37783</TransactionAmt>
        <TransactionDesc>WAGES AND BENEFITS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JAELENE CHRISTOFFERSON</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>36448</TransactionAmt>
        <TransactionDesc>WAGES AND BENEFITS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>SPERIDON SIMEONOFF JR</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>65026</TransactionAmt>
        <TransactionDesc>WAGES AND BENEFITS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>ANDREA-RAE KNOWLES</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE PART V</RelationshipDescriptionTxt>
        <TransactionAmt>35722</TransactionAmt>
        <TransactionDesc>WAGES AND BENEFITS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART IV, LINE 1B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DAUGHTER OF AL CRATTY, JR - BOARD MEMBER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DAUGHTER OF CHERYL CHRISTOFFERSON - BOARD MEMBER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART IV, LINE 3B:</FormAndLineReferenceDesc>
        <ExplanationTxt>SON OF SPERIDON SIMEONOFF, SR - BOARD MEMBER</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE L, PART IV, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>GRANDDAUGHTER OF ALEX PANAMAROFF, JR - BOARD MEMBER</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>KANA'S BENEFICIARIES (MEMBERS) ELECT THE MEMBERS OF THE BOARD OF DIRECTORS AND CAN PARTICIPATE IN THE ORGANIZATIONS PROGRAMS IF ELIGIBILITY REQUIREMENTS ARE MET.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>KANA'S BENEFICIARIES (MEMBERS) ELECT THE MEMBERS OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING THE FORM 990, THE DOCUMENT IS REVIEWED BY THE CFO AND PRESIDENT. AFTER ANY CHANGES HAVE BEEN MADE BASED ON THIS REVIEW, COPIES OF THE COMPLETED DOCUMENT ARE DISTRIBUTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS AND THEN THE FORM 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR DIRECTORS ARE REQUIRED TO RESUBMIT THEIR DECLARATION OF CONFLICT OF INTERESTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A:</FormAndLineReferenceDesc>
        <ExplanationTxt>The KANA Board of Directors determines compensation of the CEO by evaluating market conditions and salary surveys.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>AT THE ORGANIZATION'S ANNUAL MEETING, COPIES OF THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE MADE AVAILABLE FOR PUBLIC REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:MEDICAL SERVICES TOTAL FEES:2224811</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:CONTRACTOR SERVICES TOTAL FEES:1271574</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 PART IX LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIPTION:IPA/MOA TOTAL FEES:718822</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>