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        <ExclusionAmount>45730</ExclusionAmount>
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      <LessCostOthBasisSalesExpenses>
        <Other>23949</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
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      </GainOrLoss>
      <NetGainOrLossInvestments>
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      <NetIncomeFromFundraisingEvents>
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        <ExclusionAmount>58263</ExclusionAmount>
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        <ExclusionAmount>24810</ExclusionAmount>
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      <OtherRevenueMisc>
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        <BusinessCode>900099</BusinessCode>
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        <ExclusionAmount>3178</ExclusionAmount>
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      <OtherRevenueMisc>
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      <TotalRevenue>
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        <RelatedOrExemptFunctionIncome>34754596</RelatedOrExemptFunctionIncome>
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        <ManagementAndGeneral>20349</ManagementAndGeneral>
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      <FeesForServicesAccounting>
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        <ManagementAndGeneral>101375</ManagementAndGeneral>
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        <ManagementAndGeneral>206864</ManagementAndGeneral>
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        <ManagementAndGeneral>41997</ManagementAndGeneral>
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        <ManagementAndGeneral>8256</ManagementAndGeneral>
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        <ManagementAndGeneral>171116</ManagementAndGeneral>
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        <ProgramServices>386287</ProgramServices>
        <ManagementAndGeneral>46261</ManagementAndGeneral>
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        <Description>FOOD PURCHASES</Description>
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        <ProgramServices>1389534</ProgramServices>
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      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>346621</Total>
        <ProgramServices>346621</ProgramServices>
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      <OtherExpenses>
        <Description>MAINTENANCE</Description>
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      <OtherExpenses>
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      <TotalFunctionalExpenses>
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      <LandBuildingsEquipmentBasis>32062096</LandBuildingsEquipmentBasis>
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        <CurrentTaxYearMinus1Year>1142812</CurrentTaxYearMinus1Year>
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        <CurrentTaxYearMinus1Year>35864307</CurrentTaxYearMinus1Year>
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      <AmtsRecdFromDisqualPersons>
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      </AmtsRecdFromDisqualPersons>
      <AmtsFromSubstContributors>
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      </AmtsFromSubstContributors>
      <SupportFromDQPsEtc>
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      </SupportFromDQPsEtc>
      <PublicSupportTotal509>173426564</PublicSupportTotal509>
      <GrossInvestmentIncome509>
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        <CurrentTaxYearMinus1Year>46681</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>72741</CurrentTaxYear>
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        <CurrentTaxYear>36191081</CurrentTaxYear>
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      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
      <GeneralExplanation>SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: OTHER REVENUE INCLUDES THE SALES FROM VENDING MACHINES AND MEALS AT LTC FACILITIES.</GeneralExplanation>
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        <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>
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      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
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      <GrantsOtherOrganizationsAmount>3225</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>0</OtherActivities>
      <TotalLobbyingExpendituresIIB>3225</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BeginningOfYearBalance>532365</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>3801</InvestmentEarningsOrLosses>
        <OtherExpenditures>6400</OtherExpenditures>
        <EndOfYearBalance>529766</EndOfYearBalance>
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      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>535211</BeginningOfYearBalance>
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        <OtherExpenditures>9850</OtherExpenditures>
        <EndOfYearBalance>532365</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>549065</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>12596</InvestmentEarningsOrLosses>
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        <EndOfYearBalance>535211</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.00000</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>1</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>1</AreRelatedOrgsListedScheduleR>
      <Land>
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        <BookValue>61951</BookValue>
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      <Buildings>
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      <OtherLiabilities>
        <Description>ACCRUED PAYROLL</Description>
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      <OtherLiabilities>
        <Description>DEFERRED PENSION COSTS</Description>
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      <OtherLiabilities>
        <Description>ACCRUED VACATION</Description>
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      <OtherLiabilities>
        <Description>ACCRUED POST-RETIREMENT COST</Description>
        <Amount>1876724</Amount>
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      <TotalOfAmounts>9202129</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <Explanation>HALE MAKUA FOUNDATION, A SUPPORTING ORGANIZATION, HOLDS AN ENDOWMENT FUND THAT REPRESENTS AMOUNTS HELD IN PERPETUITY WITH ALL INCOME EARNED TO BE USED FOR FINANCIAL ASSISTANCE TO THOSE PARTICIPATING IN HALE MAKUA HEALTH SERVICES' ADULT DAY HEALTH PROGRAM.</Explanation>
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        <GrossReceiptsTotal>189824</GrossReceiptsTotal>
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        <EntertainmentTotalEvents>6224</EntertainmentTotalEvents>
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      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <CompensationSurvey>X</CompensationSurvey>
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      <Form990ScheduleJPartII>
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      <GeneralExplanation>
        <Identifier>CHANGES IN PROGRAM SERVICES</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 3</ReturnReference>
        <Explanation>DURING 2010, HALE MAKUA HEALTH SERVICES DETERMINED THAT IT WOULD DISCONTINUE THE OPERATIONS OF THE MAUI PACE PROGRAM DUE TO THE INABILITY TO INCREASE PROGRAM ENROLLMENT. THE BOARD APPROVED A PLAN TO EXIT THE OPERATIONS OF THE MAUI PACE PROGRAM IN 2010. A LOSS ON DISCONTINUED OPERATIONS IS REPORTED IN THE AUDITED FINANCIAL STATEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 2</Identifier>
        <Explanation>MITCH MITCHELL &amp; ROY SAKAMOTO, BUSINESS RELATIONSHIP</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 IS COMPILED BY THE DIRECTOR OF FINANCIAL SERVICES AND REVIEWED BY THE CEO AND CFO. IN ADDITION, THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TAX CONSULTANT FOR FURTHER REVIEW AND PREPARATION. PRIOR TO SUBMISSION OF THE ELECTRONIC FORM 990, A HARD COPY VERSION OF THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION REQUIRES THAT OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE THE CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. FORMS ARE REVIEWED AND MAINTAINED BY THE EXECUTIVE ASSISTANT/MARKETING MANAGER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>HALE MAKUA HEALTH SERVICES HAS ESTABLISHED AND MAINTAINS A COMPENSATION PROGRAM, WHICH ENSURES EACH EXECUTIVE'S PAY WILL BE EXTERNALLY COMPETITIVE, INTERNALLY EQUITABLE, AND FAIRLY ADMINISTERED. IT IS THE COMPANY'S POLICY TO PAY EXECUTIVES AT OR ABOVE THE RATES PAID BY COMPARABLE HEALTHCARE INSTITUTIONS. COMPENSATION FOR THE FOLLOWING POSITIONS IS DETERMINED IN ACCORDANCE WITH THE COMPANY'S FORMAL, WRITTEN EXECUTIVE COMPENSATION PROGRAM (ECP): CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF HUMAN RESOURCES OFFICER/CHIEF COMPLIANCE OFFICER, DIRECTOR OF HOME HEALTH BY HALE MAKUA, ADMINISTRATOR-KAHULUI, AND ADMINISTRATOR-WAILUKU. THE EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE (ECC). THE ECC IS COMPOSED OF FOUR BOARD DIRECTORS, INCLUDING THE BOARD CHAIR. IN ACCORDANCE WITH THE ECP, SALARY RANGES FOR ALL EXECUTIVE POSITIONS ARE DETERMINED BY A THIRD PARTY CONSULTING FIRM. SALARY RANGES TARGET BASE SALARIES AT THE MEDIAN OF A NATIONAL PEER GROUP ON NON-FOR-PROFIT HEALTHCARE ORGANIZATIONS COMPARABLE IN SIZE AND COMPLEXITY TO THE COMPANY. THE EXECUTIVE SALARY RANGES WERE LAST UPDATED BY THE INDEPENDENT CONSULTANTS AND APPROVED BY THE BOARD, EFFECTIVE JANUARY 1, 2008. IN ACCORDANCE WITH THE ECP, THE CEO DETERMINES, WITHIN THE ESTABLISHED RANGES, THE ANNUAL SALARY OF ALL OTHER EXECUTIVES LISTED ABOVE. THESE DETERMINATIONS ARE REVIEWED BY BOTH THE ECC AND THE BOARD.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>DONATED SERVICES AND USE OF FACILITIES: -85,493.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>NO CHANGE IN PROCESS FROM PRIOR YEAR.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HALE MAKUA FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>472 KAULANA STREET</AddressLine1>
          <City>KAHULUI</City>
          <State>HI</State>
          <ZIPCode>96732</ZIPCode>
        </AddressUS>
        <EIN>990302635</EIN>
        <PrimaryActivities>FOUNDATION</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)TYPE II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HMHS CORP (FKA HALE MAKUA HELATH SERVICE CORP)</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>472 KAULANA STREET</AddressLine1>
          <City>KAHULUI</City>
          <State>HI</State>
          <ZIPCode>96732</ZIPCode>
        </AddressUS>
        <EIN>990298823</EIN>
        <PrimaryActivity>HOLDING CO.</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>-695</ShareOfTotalIncome>
        <ShareOfEOYAssets>4509</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>HALE MAKUA FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>6400</AmountInvolved>
        <MethodOfAmtDetermination>CASH</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>