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      <Form990PartVIISectionAGrp>
        <PersonNm>Willie Goodwin</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Ann Wilson</PersonNm>
        <TitleTxt>Past Counc Memb</TitleTxt>
        <AverageHoursPerWeekRt>12.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>5400</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Iyatunguk</PersonNm>
        <TitleTxt>Past Counc Memb</TitleTxt>
        <AverageHoursPerWeekRt>12.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2300</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Colleen Sheldon</PersonNm>
        <TitleTxt>Past Counc Memb</TitleTxt>
        <AverageHoursPerWeekRt>12.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>5600</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ely Cyrus</PersonNm>
        <TitleTxt>Past Counc Memb</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>3000</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kirk Oviok</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ian Erlich</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Nathan Kotch</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>250040</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lucy Nelson</PersonNm>
        <TitleTxt>Vice Pres/CFO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Barbara Janitacheck</PersonNm>
        <TitleTxt>Tribal Admin</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Timothy Schuerch</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Donald Marquardt</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Harvey Lesser</PersonNm>
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        <ReportableCompFromOrgAmt>110822</ReportableCompFromOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kohhei Nakagawa</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromOrgAmt>184005</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Gwayi-Chore</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Torres-Semprit</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <ContractorCompensationGrp>
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          <PersonNm>Freddy Kaniki</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>7301 Burnet Rd 102225</AddressLine1>
            <City>Austin</City>
            <State>TX</State>
            <ZIPCode>78757</ZIPCode>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Sterling Healthcare Service</BusinessNameLine1>
          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>2301 River Road Suite 300</AddressLine1>
            <City>Louisville</City>
            <State>KY</State>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Lithocore LLC</BusinessNameLine1>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>20280 Gileswood Farm Lane</AddressLine1>
            <City>Purcellville</City>
            <State>VA</State>
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          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Hobbs Strauss Dean &amp; Walker</BusinessNameLine1>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1>2021 L St NW Suite 700</AddressLine1>
            <City>Washington</City>
            <State>DC</State>
            <ZIPCode>20037</ZIPCode>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1>Island Telemedicine Inc</BusinessNameLine1>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1>PO Box 683</AddressLine1>
            <City>Waimea</City>
            <State>HI</State>
            <ZIPCode>96796</ZIPCode>
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        </ContractorAddress>
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      <TotalContributionsAmt>60421522</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
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      <RoyaltiesRevenueGrp>
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      <NetGainOrLossInvestmentsGrp>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncomeFromGamingGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <NetIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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        <ExclusionAmt>25000000</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>Other</Desc>
        <BusinessCd>624100</BusinessCd>
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      <OtherRevenueTotalAmt>25470871</OtherRevenueTotalAmt>
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        <ExclusionAmt>25111058</ExclusionAmt>
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        <ProgramServicesAmt>2701317</ProgramServicesAmt>
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      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>1076456</TotalAmt>
        <ProgramServicesAmt>1076456</ProgramServicesAmt>
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      <BenefitsToMembersGrp>
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        <ManagementAndGeneralAmt>163185</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>7090836</ProgramServicesAmt>
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      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
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      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
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        <ProgramServicesAmt>324226</ProgramServicesAmt>
        <ManagementAndGeneralAmt>78298</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>27218</ProgramServicesAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ProgramServicesAmt>897858</ProgramServicesAmt>
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        <ProgramServicesAmt>332753</ProgramServicesAmt>
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        <ProgramServicesAmt>4625351</ProgramServicesAmt>
        <ManagementAndGeneralAmt>657105</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2664506</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>467</ProgramServicesAmt>
        <ManagementAndGeneralAmt>863170</ManagementAndGeneralAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>672058</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>605137</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3212690</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>2015962</ProgramServicesAmt>
        <ManagementAndGeneralAmt>198957</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>1922067</ProgramServicesAmt>
        <ManagementAndGeneralAmt>134319</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Program supplies</Desc>
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        <ProgramServicesAmt>1543634</ProgramServicesAmt>
        <ManagementAndGeneralAmt>152343</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>20388104</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-15885650</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>91494040</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2165303</ManagementAndGeneralAmt>
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      <CashNonInterestBearingGrp>
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        <EOYAmt>1755078</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1734336</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>2805717</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>6649380</EOYAmt>
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      <ReceivablesFromOfficersEtcGrp>
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      <RcvblFromDisqualifiedPrsnGrp>
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      <OthNotesLoansReceivableNetGrp>
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      </OthNotesLoansReceivableNetGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>662030</BOYAmt>
        <EOYAmt>705731</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
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        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <TakeIntoAccountOthersInputInd>false</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>false</CHNAReportWidelyAvailableInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <AllNeedsAddressedInd>true</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <Form4720FiledInd>false</Form4720FiledInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100.0000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>200.0000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>Maniilaq Health Center</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>11</FacilityNum>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CHNAConductedYr>13</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>false</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>false</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>false</CHNAReportWidelyAvailableInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <AllNeedsAddressedInd>true</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <Form4720FiledInd>false</Form4720FiledInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100.0000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>200.0000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <PostedInAdmissionOfficeInd>X</PostedInAdmissionOfficeInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitReportToCreditAgencyInd>X</PermitReportToCreditAgencyInd>
        <CollectionActivitiesInd>true</CollectionActivitiesInd>
        <ReportingToCreditAgencyInd>X</ReportingToCreditAgencyInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>true</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 4 - List Other Hospital Facilities that Jointly Conducted Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Ambler ClinicBuckland ClinicDeering ClinicKiana ClinicKobuk ClinicNoatak ClinicNoorvik ClinicSelawik ClinicShungnak ClinicKivalina ClinicPoint Hope Clinic</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 18e - Other Actions Took Before Any Collection Actions</FormAndLineReferenceDesc>
        <ExplanationTxt>Send notice with bills/invoices.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 18e - Other Actions Took Before Any Collection Actions</FormAndLineReferenceDesc>
        <ExplanationTxt>Send notice with bills/invoices.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 20d - Other Billing Determination of Individuals Without Insurance</FormAndLineReferenceDesc>
        <ExplanationTxt>Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 20d - Other Billing Determination of Individuals Without Insurance</FormAndLineReferenceDesc>
        <ExplanationTxt>Charges established or published using standard charge rates adjusted for geological differences. Sliding fee schedule used based on percentage of FPL. Native beneficiary status for adjusting charges to qualified Alaskan Natives/ American Indians.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 22 - Charge Patients Amount Equal Gross Charge for Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 22 - Charge Patients Amount Equal Gross Charge for Services</FormAndLineReferenceDesc>
        <ExplanationTxt>Non-Beneficiary/Beneficiary patients without a payer and who are ineligible for discounted services are billed for full charge of services.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>1</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1>Utuqqunaat Inaat-Long Term Care Facility</BusinessNameLine1>
          </BusinessName>
          <USAddress>
            <AddressLine1>PO Box 256</AddressLine1>
            <City>Kotzebue</City>
            <State>AK</State>
            <ZIPCode>99752</ZIPCode>
          </USAddress>
          <FacilityTxt>A long term care nursing wing co-located with the Maniilaq Health Center in Kotzebue, AK. The Elder</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Accounts receivable include amounts from Grantors and Third Party Payers, primarily insurance companies. Accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a provision for bad debt expense and an adjustment to a valuation allowance based on its assessment of the current status of individual accounts. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to accounts receivable.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 8 - Explanation Of Shortfall As Community Benefit</FormAndLineReferenceDesc>
        <ExplanationTxt>Maniilaq files the method E cost report that utilizes an ancillary cost ratio to develop costs for Medicare apportionment.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors is a community based board, which meets every 2 months.Patient Surveys.Health indicators such as in Regional Profile.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients are informed during the time of Registration.Financial counselors assist with applications for Medicaid/Medicare.Sliding fee scale for eligibility (income based).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Serve residents in 12 communities of large geographically remote region. Each of the 12 clinics are located in each community. Maniilaq utilizes itinerate providers. Maniilaq funded patient travel to allow correct level of care is significant portion of budget.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>Maniilaq is the sole provider of Health and Social Services in the region. New and expanded facilities provide space for health services expansions and improved services. (i.e. New skilled nursing facilities, physical therapy suite, expanded/specialty services).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - States Where Community Benefit Report Filed</FormAndLineReferenceDesc>
        <ExplanationTxt>AK</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI" softwareId="13000170" softwareVersion="2013v4.0">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Buckland IRA Council</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>10 Virginia Ave</AddressLine1>
          <City>Buckland</City>
          <State>AK</State>
          <ZIPCode>99727</ZIPCode>
        </USAddress>
        <RecipientEIN>920073693</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>30465</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Deering IRA Council</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 36089</AddressLine1>
          <City>Deering</City>
          <State>AK</State>
          <ZIPCode>99736</ZIPCode>
        </USAddress>
        <RecipientEIN>920063782</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>55668</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Kiana Traditional Council</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 69</AddressLine1>
          <City>Kiana</City>
          <State>AK</State>
          <ZIPCode>99749</ZIPCode>
        </USAddress>
        <RecipientEIN>920061730</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>36410</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Kivalina IRA Council</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 50051</AddressLine1>
          <City>Kivalina</City>
          <State>AK</State>
          <ZIPCode>99750</ZIPCode>
        </USAddress>
        <RecipientEIN>920064993</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>114366</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Kobuk Traditional Council</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 51039</AddressLine1>
          <City>Kobuk</City>
          <State>AK</State>
          <ZIPCode>99751</ZIPCode>
        </USAddress>
        <RecipientEIN>920069649</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>28029</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Native Village of Ambler</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 47</AddressLine1>
          <City>Ambler</City>
          <State>AK</State>
          <ZIPCode>99786</ZIPCode>
        </USAddress>
        <RecipientEIN>920069127</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>65873</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Native Village of Noatak</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 89</AddressLine1>
          <City>Noatak</City>
          <State>AK</State>
          <ZIPCode>99761</ZIPCode>
        </USAddress>
        <RecipientEIN>920041806</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>263216</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ICWA program expenses</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Native Village of Pt Hope</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 109</AddressLine1>
          <City>Point Hope</City>
          <State>AK</State>
          <ZIPCode>99760</ZIPCode>
        </USAddress>
        <RecipientEIN>920012633</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>40450</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiatives</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Native Village of Selawik</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>59 North Tundra St</AddressLine1>
          <City>Selawik</City>
          <State>AK</State>
          <ZIPCode>99770</ZIPCode>
        </USAddress>
        <RecipientEIN>920049770</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>88340</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Noorvik IRA Council</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 209</AddressLine1>
          <City>Noorvik</City>
          <State>AK</State>
          <ZIPCode>99763</ZIPCode>
        </USAddress>
        <RecipientEIN>920065223</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>1062579</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>BIA Road Construction</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>North Slope Borough</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 69</AddressLine1>
          <City>Barrow</City>
          <State>AK</State>
          <ZIPCode>99723</ZIPCode>
        </USAddress>
        <RecipientEIN>920042378</RecipientEIN>
        <IRCSectionDesc>Municiple Government</IRCSectionDesc>
        <CashGrantAmt>93478</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Tobacco use prevention services</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>NW Arctic Borough</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 1110</AddressLine1>
          <City>Kotzebue</City>
          <State>AK</State>
          <ZIPCode>99752</ZIPCode>
        </USAddress>
        <RecipientEIN>920116661</RecipientEIN>
        <IRCSectionDesc>Municiple Government</IRCSectionDesc>
        <CashGrantAmt>259066</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Village Initiative funds from IHS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1>Shungnak IRA</BusinessNameLine1>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1>PO Box 73064</AddressLine1>
          <City>Shungnak</City>
          <State>AK</State>
          <ZIPCode>99773</ZIPCode>
        </USAddress>
        <RecipientEIN>920061970</RecipientEIN>
        <IRCSectionDesc>Indian Tribe</IRCSectionDesc>
        <CashGrantAmt>558547</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>ICWA program expenses</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>13</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>TANF-Temp Assist for Needy Families</GrantTypeTxt>
        <RecipientCnt>368</RecipientCnt>
        <CashGrantAmt>51301</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>NFAP - Native Family Ass. Program</GrantTypeTxt>
        <RecipientCnt>4252</RecipientCnt>
        <CashGrantAmt>593352</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>The planning department applies for grant awards that may benefit programs or individuals within the Maniilaq service area. All grants are provisioned and monitored in accordance with the grant agreement and compliance requirements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="13000170" softwareVersion="2013v4.0">
      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <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>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barbara Janitacheck</PersonNm>
        <TitleTxt>Tribal Admin</TitleTxt>
        <BaseCompensationFilingOrgAmt>166368</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166368</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Donald Marquardt</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>162363</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21761</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>184124</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Torres-Semprit</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>209231</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>209231</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Ian Erlich</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>261664</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>151548</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>413212</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kohhei Nakagawa</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>184005</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>184005</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lucy Nelson</PersonNm>
        <TitleTxt>Vice Pres/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>183774</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>183774</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Gwayi-Chore</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>212625</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>212625</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Nathan Kotch</PersonNm>
        <TitleTxt>Vice President</TitleTxt>
        <BaseCompensationFilingOrgAmt>250040</BaseCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>250040</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="13000170" softwareVersion="2013v4.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Ian Erlich</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Former Off.</RelationshipDescriptionTxt>
        <TransactionAmt>107000</TransactionAmt>
        <TransactionDesc>Contract Services</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="13000170" softwareVersion="2013v4.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The return is reviewed by the Executive Director before it is filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Officers, Directors and employees are required to review annually. Any violations are reported to the HR department and dealt with in that manner.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>In accordance with personnel policy, each I'd has a range and step amount for experience and the HR department determines the amount for each via executive committee meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>In accordance with personnel policy, each I'd has a range and step amount for experience and the HR department determines the amount for each via executive committee meetings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Upon request</ExplanationTxt>
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