﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2009v1.4">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-01-12T14:11:37-06:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>CW Associates CPAS</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>700 Bishop Street Suite 1040</AddressLine1>
        <City>Honolulu</City>
        <State>HI</State>
        <ZIPCode>96813</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>990307152</EIN>
      <Name>
        <BusinessNameLine1>University Clinical Education &amp;</BusinessNameLine1>
        <BusinessNameLine2>Research Associates (UCERA)</BusinessNameLine2>
      </Name>
      <NameControl>UNIV</NameControl>
      <Phone>8085355975</Phone>
      <USAddress>
        <AddressLine1>677 Ala Moana Boulevard No 1003</AddressLine1>
        <City>HONOLULU</City>
        <State>HI</State>
        <ZIPCode>96813</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>PATRICIA BLANCHETTE</Name>
      <Title>Chief Operating Officer</Title>
      <Phone>8085355975</Phone>
      <DateSigned>2011-01-12</DateSigned>
      <AuthorizeThirdParty>1</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Mark A Hayes</Name>
      <Phone>8085311040</Phone>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="7">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <NameOfPrincipalOfficerPerson>Patricia Blanchette</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>677 Ala Moana Boulevard No 1003</AddressLine1>
        <City>HONOLULU</City>
        <State>HI</State>
        <ZIPCode>96813</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>26925753</GrossReceipts>
      <GroupReturnForAffiliates>0</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>www.ucera.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1993</YearFormation>
      <StateLegalDomicile>HI</StateLegalDomicile>
      <ActivityOrMissionDescription>To provide funding to build and sustain the infrastructure of the John A. Burns School of Medicine and its departments: fund research, education, and scholarly development; provide additional resources to recruit, retain, and develop qualified faculty at the University of Hawaii; provide clinical training and education to students of the University of Hawaii, and provide health care to the general public, with special attention to the poor and other underserved populations of Hawaii and the Pacific region.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>16</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>12</NbrIndependentVotingMembers>
      <TotalNbrEmployees>215</TotalNbrEmployees>
      <TotalNbrVolunteers>0</TotalNbrVolunteers>
      <TotalGrossUBI>0</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>0</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>648029</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>460366</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>24790162</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>26391283</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>64595</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>8867</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>143205</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>65237</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>25645991</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>26925753</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsCY>0</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>13253499</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>14225833</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>23692</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>14969944</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>11341857</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>28223443</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>25567690</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>-2577452</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>1358063</RevenuesLessExpensesCY>
      <TotalAssetsBOY>8897220</TotalAssetsBOY>
      <TotalAssetsEOY>9305721</TotalAssetsEOY>
      <TotalLiabilitiesBOY>3511908</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>2562346</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>5385312</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>6743375</NetAssetsOrFundBalancesEOY>
      <MissionDescription>UCERA is a non-profit organization established to further the mission and vision of the John A. Burns School of Medicine at the University of Hawaii (JABSOM). It contributes to JABSOM's goal of improving the health care status of the citizens of Hawaii and the Pacific by supporting the education, research and clinical activities of the School. It supports financial diversification of the School by developing revenue generating initiatives in collaboration with hospitals, government agencies and other entities.</MissionDescription>
      <SignificantNewProgramServices>0</SignificantNewProgramServices>
      <SignificantChange>0</SignificantChange>
      <Expense>19533831</Expense>
      <Revenue>26134874</Revenue>
      <Description>Clinical and professional services - 1) provide health care to the general public, with special attention to the poor and other underserved populations of Hawaii and the Pacific Region. 2) Specialty Clinics - multi-specialty faculty practice at clinics located at various sites. 3) Queen's Hospital and Hawaii Pacific Health/Kapiolani Hospital Contracts - provide faculty members to treat patients and to provide specialty clinical services to hospitals. 4) Veteran's Administration Specialty Clinics - provide specialist physicians to treat patients at the VA Medical &amp; Regional Outpatient Clinic. This population tends to be indigent and underserved. The VA Clinic is also a teaching site for the University of Hawaii John A. Burns School of Medicine and provides a base of teaching patients.</Description>
      <Activity2>
        <Expense>704960</Expense>
        <Description>Medical School and Faculty Support - Provide funding to build and sustain the infrastructure of the University of Hawaii John A. Burns School of Medicine and its Departments. Provide additional resources to recruit, retain, and develop qualified faculty at the University of Hawaii Medical School.</Description>
      </Activity2>
      <Activity3>
        <Expense>449719</Expense>
        <Revenue>256409</Revenue>
        <Description>Research Support - Project Title-Transformative Learning: Patterns of Psychophysiologic Reponse in Technology Enabled Learning and Intervention Systems. This research hypothesizes that biometric data can identify and predict the arousal patterns associated with tobacco use behavior, and that patterns of cue reactivity will allow is to differentiate between psychological and physiological arousal in smokers.</Description>
      </Activity3>
      <ActivityOther>
        <Expense>556109</Expense>
        <Description>Educational Support - 1) provide education and clinical training for the University of Hawaii Medical School students. 2) International Training Program - provide international medical students and residents with U.S. training experiences at the University of Hawaii John A. Burns School of Medicine. 3) Dean-Standardized Patients - provide simulated patients for clinical skills training and examinations for School of Medicine students and residents.</Description>
      </ActivityOther>
      <TotalOfOtherProgramServiceExp>556109</TotalOfOtherProgramServiceExp>
      <TotalProgramServiceExpense>21244619</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="RetDoc1039100001">1</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="RetDoc1234500001">1</ScheduleBRequired>
      <PoliticalActivities>0</PoliticalActivities>
      <LobbyingActivities>0</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="RetDoc1040000001">0</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="RetDoc1040000001">0</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="RetDoc1040000001">0</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="RetDoc1040000001">0</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="RetDoc1040000001">1</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinancialStmt>
      <School>0</School>
      <ForeignOffice>0</ForeignOffice>
      <ForeignActivities>0</ForeignActivities>
      <MoreThan5000KToOrganizations>0</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>0</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>0</ProfessionalFundraising>
      <FundraisingActivities>0</FundraisingActivities>
      <Gaming>0</Gaming>
      <Hospital>0</Hospital>
      <GrantsToOrganizations>0</GrantsToOrganizations>
      <GrantsToIndividuals>0</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="RetDoc1042400001">1</ScheduleJRequired>
      <TaxExemptBonds>0</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="RetDoc1042800001">0</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="RetDoc1042800001">0</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="RetDoc1042800001">0</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="RetDoc1042800001">0</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="RetDoc1042800001">1</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="RetDoc1042800001">0</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>0</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>0</DeductibleContributionsOfArt>
      <Terminated>0</Terminated>
      <PartialLiquidation>0</PartialLiquidation>
      <DisregardedEntity>0</DisregardedEntity>
      <RelatedEntity>0</RelatedEntity>
      <RelatedOrgControlledEntity>0</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg>0</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership>0</ActivitiesConductedPartnership>
      <ScheduleORequired>1</ScheduleORequired>
      <NumberFormsTransmittedWith1096>59</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <NumberOfEmployees>215</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>1</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>0</UnrelatedBusinessIncome>
      <ForeignFinancialAccount>0</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>0</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>0</TaxablePartyNotification>
      <NonDeductibleContributions>0</NonDeductibleContributions>
      <QuidProQuoContributions>0</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>0</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>0</FundsToPayPremiums>
      <PremiumsPaid>0</PremiumsPaid>
      <NbrVotingGoverningBodyMembers>16</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>12</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>0</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>0</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>0</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>0</MaterialDiversionOrMisuse>
      <MembersOrStockholders>0</MembersOrStockholders>
      <ElectionOfBoardMembers>0</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>0</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>1</MinutesOfGoverningBody>
      <MinutesOfCommittees>1</MinutesOfCommittees>
      <OfficerMailingAddress>0</OfficerMailingAddress>
      <LocalChapters>0</LocalChapters>
      <Form990ProvidedToGoverningBody>1</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>1</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>1</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>1</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>1</WhistleblowerPolicy>
      <DocumentRetentionPolicy>1</DocumentRetentionPolicy>
      <CompensationProcessCEO>1</CompensationProcessCEO>
      <CompensationProcessOther>1</CompensationProcessOther>
      <InvestmentInJointVenture>0</InvestmentInJointVenture>
      <StatesWhereCopyOfReturnIsFiled>HI</StatesWhereCopyOfReturnIsFiled>
      <OtherWebsite>X</OtherWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NameBusiness>
          <BusinessNameLine1>Joseph Adriano</BusinessNameLine1>
        </NameBusiness>
        <TelephoneNumber>8084694959</TelephoneNumber>
        <AddressUS>
          <AddressLine1>677 ALA MOANA BLVD 1003</AddressLine1>
          <City>Honolulu</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Lynnae Sauvage</NamePerson>
        <Title>DIRECTOR/EMPLOYEE</Title>
        <AverageHoursPerWeek>48.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>258991</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6938</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>NEAL PALAFOX</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Roseanne Harrigan</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Stephen Kalani Brady</NamePerson>
        <Title>DIRECTOR/EMPLOYEE</Title>
        <AverageHoursPerWeek>30.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>25099</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>753</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kheng See Ang</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Kathryn Inkinen</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jerris Hedges</NamePerson>
        <Title>PRESIDENT</Title>
        <AverageHoursPerWeek>10.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DANNY TAKANISHI</NamePerson>
        <Title>Treasurer/EMPLOYEE</Title>
        <AverageHoursPerWeek>17.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>70000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELIZABETH TAM</NamePerson>
        <Title>VICE PRESIDENT</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>james burns</NamePerson>
        <Title>secretary</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>arnar Magnusson</NamePerson>
        <Title>CMO/EMPLOYEE</Title>
        <AverageHoursPerWeek>16.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>71683</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>kamal masaki</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAUL RUDOY</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANTHONY PS GUERRERO</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JEFFREY KILLEEN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN HOLZMAN</NamePerson>
        <Title>DIRECTOR</Title>
        <AverageHoursPerWeek>1.00</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Patricia Blanchette</NamePerson>
        <Title>COO/EMPLOYEE</Title>
        <AverageHoursPerWeek>40.00</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>230705</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6936</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Barry Carlton</NamePerson>
        <Title>ASST PROF/EMPLOYEE</Title>
        <AverageHoursPerWeek>58.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>289626</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>3881</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Janet Burlingame</NamePerson>
        <Title>ASST PROF/EMPLOYEE</Title>
        <AverageHoursPerWeek>42.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>288424</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7560</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>George Graham III</NamePerson>
        <Title>ASST PROF/EMPLOYEE</Title>
        <AverageHoursPerWeek>48.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>296432</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7327</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Keith Terada</NamePerson>
        <Title>ASSOC PROF/EMPLOYEE</Title>
        <AverageHoursPerWeek>48.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>336467</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7941</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Hao Chih Ho</NamePerson>
        <Title>ASST PROF/EMPLOYEE</Title>
        <AverageHoursPerWeek>60.00</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>290700</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>8697</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2158127</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>50033</TotalOtherCompensation>
      <NumberIndividualsGT100K>31</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
      <TotalCompGT150K>1</TotalCompGT150K>
      <CompensationFromOtherSources>0</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>University OF HAWAII</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2555 Dole Street</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96822</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN/ADMIN COMP</DescriptionOfServices>
        <Compensation>6420007</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Research Corp of Univ of Hawaii</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2800 Woodlawn Dr Ste 200</AddressLine1>
            <City>Honolulu</City>
            <State>HI</State>
            <ZIPCode>96822</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PhysiciAN/ADMIN COMP</DescriptionOfServices>
        <Compensation>439890</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>King and Spalding LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 116133</AddressLine1>
            <City>Atlanta</City>
            <State>GA</State>
            <ZIPCode>303686133</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Legal Services</DescriptionOfServices>
        <Compensation>406380</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Kaeo Rad LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4348 Waialae Avenue</AddressLine1>
            <City>Honolulu</City>
            <State>HI</State>
            <ZIPCode>96816</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>IT Management Services</DescriptionOfServices>
        <Compensation>203008</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>SH CONSULTING LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1003 BISHOP ST STE 1180</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96813</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>REVENUE CYCLE CONSULTING</DescriptionOfServices>
        <Compensation>173869</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>6</NumberOfContractorsGT100K>
      <GovernmentGrants>46100</GovernmentGrants>
      <AllOtherContributions>414266</AllOtherContributions>
      <TotalContributions>460366</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Specialty Clinics</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>12098734</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>12098734</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Queens Medical Center</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>7225478</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7225478</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Hawaii Pacific Health</Description>
        <BusinessCode>621110</BusinessCode>
        <TotalRevenueColumn>3760444</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3760444</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Other Contracts</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2933082</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2933082</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Fees and contract from</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>256409</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>256409</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>117136</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>117136</RelatedOrExemptFunctionIncome>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>26391283</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>8867</TotalRevenueColumn>
        <ExclusionAmount>8867</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>65237</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>65237</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>65237</TotalRevenueColumn>
        <ExclusionAmount>65237</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <TotalRevenue>
        <TotalRevenueColumn>26925753</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>26391283</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>74104</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>671844</Total>
        <ProgramServices>556032</ProgramServices>
        <ManagementAndGeneral>115055</ManagementAndGeneral>
        <Fundraising>757</Fundraising>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>11786237</Total>
        <ProgramServices>9754530</ProgramServices>
        <ManagementAndGeneral>2018426</ManagementAndGeneral>
        <Fundraising>13281</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>213717</Total>
        <ProgramServices>186377</ProgramServices>
        <ManagementAndGeneral>27340</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>756980</Total>
        <ProgramServices>512458</ProgramServices>
        <ManagementAndGeneral>244522</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>797055</Total>
        <ProgramServices>654928</ProgramServices>
        <ManagementAndGeneral>142127</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>342049</Total>
        <ProgramServices>2424</ProgramServices>
        <ManagementAndGeneral>339625</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>19925</Total>
        <ManagementAndGeneral>19925</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>74319</Total>
        <ProgramServices>72317</ProgramServices>
        <ManagementAndGeneral>21</ManagementAndGeneral>
        <Fundraising>1981</Fundraising>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>642496</Total>
        <ProgramServices>441148</ProgramServices>
        <ManagementAndGeneral>200244</ManagementAndGeneral>
        <Fundraising>1104</Fundraising>
      </OfficeExpenses>
      <Occupancy>
        <Total>1350655</Total>
        <ProgramServices>977220</ProgramServices>
        <ManagementAndGeneral>371388</ManagementAndGeneral>
        <Fundraising>2047</Fundraising>
      </Occupancy>
      <ConferencesMeetings>
        <Total>266686</Total>
        <ProgramServices>229493</ProgramServices>
        <ManagementAndGeneral>36989</ManagementAndGeneral>
        <Fundraising>204</Fundraising>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>212553</Total>
        <ProgramServices>162503</ProgramServices>
        <ManagementAndGeneral>49776</ManagementAndGeneral>
        <Fundraising>274</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>161479</Total>
        <ProgramServices>59845</ProgramServices>
        <ManagementAndGeneral>101077</ManagementAndGeneral>
        <Fundraising>557</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>Purchased services</Description>
        <Total>7945950</Total>
        <ProgramServices>7470060</ProgramServices>
        <ManagementAndGeneral>473282</ManagementAndGeneral>
        <Fundraising>2608</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous Expense</Description>
        <Total>248279</Total>
        <ProgramServices>103564</ProgramServices>
        <ManagementAndGeneral>143922</ManagementAndGeneral>
        <Fundraising>793</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Bad Debt Expense</Description>
        <Total>44002</Total>
        <ProgramServices>44002</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues and Membership</Description>
        <Total>33464</Total>
        <ProgramServices>17718</ProgramServices>
        <ManagementAndGeneral>15660</ManagementAndGeneral>
        <Fundraising>86</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>25567690</Total>
        <ProgramServices>21244619</ProgramServices>
        <ManagementAndGeneral>4299379</ManagementAndGeneral>
        <Fundraising>23692</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>870</BOY>
        <EOY>25870</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2842449</BOY>
        <EOY>4319127</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>4226937</BOY>
        <EOY>3459947</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>394173</BOY>
        <EOY>341830</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1900625</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>917540</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>859060</BOY>
        <EOY>983085</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>496000</BOY>
        <EOY>98000</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>77731</BOY>
        <EOY>77862</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>8897220</BOY>
        <EOY>9305721</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>2910779</BOY>
        <EOY>1818671</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>601129</BOY>
        <EOY>743675</EOY>
      </DeferredRevenue>
      <TotalLiabilities>
        <BOY>3511908</BOY>
        <EOY>2562346</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>4652129</BOY>
        <EOY>6186689</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>733183</BOY>
        <EOY>556686</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>5385312</BOY>
        <EOY>6743375</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>8897220</BOY>
        <EOY>9305721</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GiftsGrantsContribReceived509>
        <CurrentTaxYearMinus4Years>1059818</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>990236</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>1021280</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>648029</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>460366</CurrentTaxYear>
        <Total>4179729</Total>
      </GiftsGrantsContribReceived509>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>14406709</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>20303974</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>23755489</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>24790162</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>26274147</CurrentTaxYear>
        <Total>109530481</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>15466527</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>21294210</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>24776769</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25438191</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>26734513</CurrentTaxYear>
        <Total>113710210</Total>
      </Total509>
      <AmtsRecdFromDisqualPersons>
        <CurrentTaxYear>10000</CurrentTaxYear>
        <Total>10000</Total>
      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
        <CurrentTaxYearMinus3Years>161564</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>137310</CurrentTaxYearMinus2Years>
        <Total>298874</Total>
      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
        <CurrentTaxYearMinus3Years>161564</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>137310</CurrentTaxYearMinus2Years>
        <CurrentTaxYear>10000</CurrentTaxYear>
        <Total>308874</Total>
      </SupportFromDQPsEtc>
      <PublicSupportTotal509>113401336</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>98395</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>232850</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>255753</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>207800</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>74104</CurrentTaxYear>
        <Total>868902</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>98395</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>232850</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>255753</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>207800</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>74104</CurrentTaxYear>
        <Total>868902</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYear>117136</CurrentTaxYear>
        <Total>117136</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>15564922</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>21527060</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>25032522</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>25645991</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>26925753</CurrentTaxYear>
        <Total>114696248</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.98870</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.97910</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00760</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00850</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Equipment>
        <OtherCostOrOtherBasis>1777565</OtherCostOrOtherBasis>
        <Depreciation>898415</Depreciation>
        <BookValue>879150</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>123060</OtherCostOrOtherBasis>
        <Depreciation>19125</Depreciation>
        <BookValue>103935</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>983085</TotalOfBookValueLandBuildings>
      <TotalRevenue>26925753</TotalRevenue>
      <TotalExpenses>25567690</TotalExpenses>
      <ExcessOrDeficitForYear>1358063</ExcessOrDeficitForYear>
      <TotalAdjustments>0</TotalAdjustments>
      <ExcessOrDeficitPerFS>1358063</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>27102250</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>176497</OtherRevenues>
      <RevenueNotRptdF990>176497</RevenueNotRptdF990>
      <RevenueSubtotal>26925753</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>26925753</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>25567690</TotExpensesEtcAuditedFinclStmt>
      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>25567690</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>25567690</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
        <Explanation>Changes in temporarily restricted net assets: 176497.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Lynnae Sauvage</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>258991</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6938</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>265929</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Patricia Blanchette</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>230705</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6936</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>237641</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Barry Carlton</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>289626</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3881</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>293507</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Janet Burlingame</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>288424</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7560</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>295984</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>George Graham III</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>296432</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7327</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>303759</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Keith Terada</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>336467</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7941</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>344408</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Hao Chih Ho</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>268285</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>22415</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8697</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>299397</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>elmer tam jr member of Kaeo RAD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>family member of elizabeth tam, m.d., current officer/director</Relationship>
        <AmountOfTransaction>212829</AmountOfTransaction>
        <DescriptionOfTransaction>services as Chief Information Officer (consultant). The payment to Elmer Tam, Jr. is to his company, Kaeo RAD, LLC, of which he pays for personnel cost and other operating cost of the company.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>Finance reviews the information, figures and other details of Form 990. The Chief Financial Officer presents the Form 990 to the Finance Committee Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>The Board members sign annually a conflict of interest statement and are provided with the policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>The Board reviews compensation using national comparators including the Medical Group Management Association (MGMA), Association of American Medical Colleges (AAMC), and Sullivan &amp; Cotter compensation benchmarks.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII, Section A, Line 1a</Identifier>
        <Explanation>The board members received compensation from the organization as employees and not as board members.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>