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      <TotalExpensesPerForm990>70063609</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Schedule D, Part X, Line 2</Identifier>
        <Explanation>AHIP has adopted the provisions of FASB ASC 740-10, Accounting for Uncertainty in Income Taxes. As of December 31, 2011, no unrecognized tax provision or benefit exists. When tax returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would be ultimately sustained. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions taken are not offset or aggregated with other positions. Tax positions that meet the more-likely-than-not recognition threshold are measured as the largest amount of a tax benefit that is more than 50% likely of being realized upon settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above would be reflected as a liability for unrecognized tax benefits in the accompanying statement of financial position, along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Management believes there are no positions that would result in additional tax liability.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN IGNAGNI</NamePerson>
        <BaseCompensationFilingOrg>716161</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>931700</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>38884</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18375</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20474</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>1725594</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>38884</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES STELLAR</NamePerson>
        <BaseCompensationFilingOrg>435954</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>100000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>71078</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>8646</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>615678</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MIKE TUFFIN</NamePerson>
        <BaseCompensationFilingOrg>485249</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>100000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>76220</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19928</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>681397</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARY BETH DONAHUE</NamePerson>
        <BaseCompensationFilingOrg>482373</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>100000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>76770</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14922</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>674065</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CARMELLA BOCCHINO</NamePerson>
        <BaseCompensationFilingOrg>485447</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>130557</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>76220</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9681</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>701905</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT BORCHARDT</NamePerson>
        <BaseCompensationFilingOrg>88877</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>396756</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18375</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16551</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>520559</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>203484</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SCOTT STYLES</NamePerson>
        <BaseCompensationFilingOrg>440844</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>72659</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19650</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>533153</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CANDICE SCHALLER</NamePerson>
        <BaseCompensationFilingOrg>359052</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>100000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>60893</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20885</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>540830</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOSEPH MILLER</NamePerson>
        <BaseCompensationFilingOrg>448843</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>75000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18375</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19881</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>562099</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DANIEL DURHAM</NamePerson>
        <BaseCompensationFilingOrg>408715</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>18375</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>19650</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>446740</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK PRATT</NamePerson>
        <BaseCompensationFilingOrg>344228</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>50000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>4705</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14549</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>413482</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, part I, line 4b</Identifier>
        <ReturnReference>Participate in a supplemental nonqualified retirement plan</ReturnReference>
        <Explanation>The following contributions were made to the respective employees' 457(f) plan during the year ended December 31, 2011: Mike Tuffin $57,845 Mary Beth Donahue $58,395 Carmella Bocchino $36,084 Charles Stellar $28,635 Scott Styles $54,284 Candy Schaller $22,325 Susan Pisano $11,416</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, part I, line 1a</Identifier>
        <ReturnReference>Tax indemnification / gross up payments</ReturnReference>
        <Explanation>Karen Ignagni was paid, per her employment contract, $38,884 during the year endING December 31, 2011 for life insurance benefits. $13,991 of this amount was a gross up payment to cover applicable federal and state taxes.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Schedule J, Part I, Line 4A</Identifier>
        <Explanation>During the year Robert Borchardt was paid a severance in the amount of $190,766.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Scott Armstong</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OF AHIP &amp;</Relationship>
        <AmountOfTransaction>1280295</AmountOfTransaction>
        <DescriptionOfTransaction>PROFESSIONAL SERVICES:</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>PRESIDENT AND CEO OF</Relationship>
        <DescriptionOfTransaction>CDC FEDERAL GRANT PRE-</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>GROUP HEALTH COOPERATIVE</Relationship>
        <DescriptionOfTransaction>APPROVED VENDOR</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARY BRAINERD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OF AHIP &amp;</Relationship>
        <AmountOfTransaction>754319</AmountOfTransaction>
        <DescriptionOfTransaction>PROFESSIONAL SERVICES:</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>PRESIDENT AND CEO OF</Relationship>
        <DescriptionOfTransaction>CDC FEDERAL GRANT PRE-</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>HEALTHPARTNERS, INC.</Relationship>
        <DescriptionOfTransaction>APPROVED VENDOR</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SCOTT DOLFI</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OF AHIP &amp;</Relationship>
        <AmountOfTransaction>162262</AmountOfTransaction>
        <DescriptionOfTransaction>DENTAL PLAN ON BEHALF OF AHIP</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>EVP AND COO OF</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>THE GUARDIAN LIFE</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>INSURANCE COMPANY</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>GEORGE HALVORSON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OF AHIP &amp;</Relationship>
        <AmountOfTransaction>108998</AmountOfTransaction>
        <DescriptionOfTransaction>HEALTH INSURANCE PLAN ON</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>CHAIRMAN AND CEO OF</Relationship>
        <DescriptionOfTransaction>BEHALF OF AHIP</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>KAISER FOUNDATION HEALTH</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>PLAN, INC.</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MICHAEL MCCALLISTER</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OF AHIP &amp;</Relationship>
        <AmountOfTransaction>60010</AmountOfTransaction>
        <DescriptionOfTransaction>PROFESSIONAL SERVICES:</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>CHAIRMAN &amp; CEO OF</Relationship>
        <DescriptionOfTransaction>PRISM CONTRACT PRE-APPROVED</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>HUMANA, INC</Relationship>
        <DescriptionOfTransaction>VENDOR</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>DANIEL NEARY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD MEMBER OF AHIP &amp;</Relationship>
        <AmountOfTransaction>63898</AmountOfTransaction>
        <DescriptionOfTransaction>SHORT AND LONG TERM DISABILITY</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>CHAIRMAN &amp; CEO OF</Relationship>
        <DescriptionOfTransaction>INSURANCE ON BEHALF OF AHIP</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>MUTUAL OF OMAHA INSURANCE</Relationship>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>ERIC SCHULTZ</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>BOARD CHAIR OF AHIP &amp;</Relationship>
        <AmountOfTransaction>2105633</AmountOfTransaction>
        <DescriptionOfTransaction>PROFESSIONAL SERVICES:</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>PRESIDENT &amp; CEO OF</Relationship>
        <DescriptionOfTransaction>CDC FEDERAL GRANT PRE-</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>HARVARD PILGRIM HEALTH</Relationship>
        <DescriptionOfTransaction>APPROVED VENDOR</DescriptionOfTransaction>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>-</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>CARE INSTITUTE</Relationship>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>governance</Identifier>
        <ReturnReference>PART VI, section B, question 15</ReturnReference>
        <Explanation>The board maintains formal processes and procedures for determining compensation for the President of the Organization. Comparative salary information is provided to a compensation committee, which is composed of our Chairman, past Chairman &amp; incoming Chairman. When major changes are made in the compensation package, the Committee has deemed it necessary to employ outside compensation consultants to review and make recommendations to the Committee based on their findings.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>governance</Identifier>
        <ReturnReference>PART VI, section C, question 19</ReturnReference>
        <Explanation>The Organization's governing documents, conflict of interest policy, and IRS form 990 tax return are available upon request by telephone or in writing. The Organization's audited financial statements are not available to the Public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>governance</Identifier>
        <ReturnReference>PART VI, section B, question 11</ReturnReference>
        <Explanation>Various AHIP departments will compile the necessary data to be supplied to our tax return preparers. Once assembled, this information is reviewed by the Executive Director of Finance and the legal department of the Organization. In addition, the designated Executive VP reviews key sections of this data. When A DRAFT OF THE 990 IS RECEIVED FROM TAX RETURN PREPARER, IT IS REVIEWED BY THE SENIOR VP of PUBLIC AFFAIRS AND THE CHAIR OF THE BOARD OF DIRECTORS. ONCE REVIEWED BY THE CEO AND THE AHIP CHAIR, THE RETURN IS FILED WITH THE IRS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>governance</Identifier>
        <ReturnReference>PART VI, section B, question 12</ReturnReference>
        <Explanation>The following is a summary of how the Organization monitors and enforces conflicts of interest as it applies to officers and directors ("AHIP individuals"): 1. Monitoring. The Corporate Secretary and/or CEO will be responsible for monitoring the compliance with and the effectiveness of the Conflicts of Interest Policy for AHIP Officers and Directors and shall provide regular reports to the Governance Committee concerning the same. As part of such responsibilities, the Corporate Secretary and/or the CEO shall undertake or supervise the undertaking of the following actions: (a) Annually prepare the list of AHIP Individuals who shall be subject to the reporting requirements of the annual disclosure form; (b) Supervise the distribution, collection and review of forms; (c) Prepare the lists to track and organize the information gathered on the forms submitted and take other necessary measures to facilitate the timely identification of conflicts and accurate reporting on AHIP's annual IRS Form 990 information return; (d) Prepare an update form to allow for changes or updates to the annual form to be returned within 60 days of any such change or update; (e) Monitor procedures to ensure that once a conflict of interest is identified, proceedings comply with the procedures set forth in sections 2, 3, and 4 below; and (f) Address any deficiencies or measures for improvement of the procedures under this Policy with the Executive Committee. 2. Resolution of Conflicts by AHIP CEO and Corporate Secretary. When conflicts or potential conflicts arise, they should be evaluated thoroughly by the Corporate Secretary and/or CEO. Conflicts or potential conflicts of interest should be resolved, if possible, by the AHIP Individual involved and the Corporate Secretary and/or the CEO. Resolutions could include: (a) Taking no action; (b) Assuring full disclosure to the Board of Directors ("Board") and other individuals covered by this Policy; (c) Asking the person to recuse himself or herself from participation in related discussions or decisions within AHIP; or (d) Asking the person to resign from his or her AHIP position, or if the person refuses to resign, subjecting him or her to removal procedures. 3. Conflicts Which Cannot Be Resolved by AHIP CEO and Corporate Secretary. If any conflict or potential conflict cannot be resolved by the AHIP Individual involved and the Corporate Secretary and the CEO, the matter shall be resolved by the Executive Committee, which should report any such conflict or potential conflict and its resolution to the Board as soon as practicable. The Board shall ratify or alter the action of the Executive Committee with respect to any conflict or potential conflict. 4. Conflicts Involving AHIP CEO. If any conflict or potential conflict of interest involves the CEO, the matter in the first instance shall be referred to and resolved by the Executive Committee, with review by the Board. 5. Compliance. If the Board has reasonable cause to believe that an AHIP Individual has failed to comply with this Policy, the Board may counsel the AHIP Individual regarding such failure and, if the issue is not resolved to the Board's satisfaction, may consider additional corrective action as appropriate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Advocacy - Schedule O</Identifier>
        <Explanation>Part IX, Statement of Functional Expenses, Line 24b and Schedule C, Political Campaign and Lobbying Activities, Part III-B, Line 2a. In 2011 AHIP incurred expenses to advocacy organizations as part of its advocacy efforts on issues associated with reform of the nation's health care system. Expenses were incurred to organizations that generally aligned with AHIP's views on health care--namely, that reform must: build on the employer-based system; ensure that those who like their current coverage can keep it; make health care coverage more affordable for individuals, families and employers; restructure health care delivery to promote quality, value and better health outcomes; and put the health care system on a path that is fiscally responsible and sustainable. Activities performed by organizations to which AHIP incurred expenses included grassroots outreach, education and mobilization; print, online, and broadcast advertising; and coalition building efforts. AHIP did not control or direct any of these activities. AHIP has disclosed these expenses on Part IX, line 24b - Advocacy, in order to make clear that these expenses were unencumbered; accordingly AHIP is not reporting these expenses on Part IX, Line 1 as grant or other assistance, or on Part IX, Line 11d as a lobbying fee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 5</Identifier>
        <ReturnReference>Form 990, PART XI, LINE 5</ReturnReference>
        <Explanation>UNREALIZED GAIN ON INVESTMENT 339,308</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part VI, Section A, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 4</ReturnReference>
        <Explanation>AHIP RECENTLY UPDATED ITS BYLAWS. KEY UPDATES ADDRESSED: -QUORUMS AT MEMBERSHIP MEETINGS; -RESPONSIBILITIES OF THE BOARD AND MEMBERSHIP; -BOARD SIZE AND COMPOSITION; AND -BOARD COMMITTEE RESPONSIBILITIES AND COMPOSITION</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>COUNCIL FOR AFFORDABLE QUALITY HEALTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 PENNSYLVANIA AVE NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20004</ZIPCode>
        </AddressUS>
        <EIN>911930832</EIN>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>CA</LegalDomicileState>
        <ExemptCodeSection>501(c)(6)</ExemptCodeSection>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AHIP FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>601 PENNSYLVANIA AVE NW</AddressLine1>
          <City>WASHINGTON</City>
          <State>DC</State>
          <ZIPCode>20004</ZIPCode>
        </AddressUS>
        <EIN>521910811</EIN>
        <PrimaryActivities>EDUCATION</PrimaryActivities>
        <LegalDomicileState>DE</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(a)(1)</PublicCharityStatus>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>