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        <PersonNm>VERNON TURNEY</PersonNm>
        <TitleTxt>CIO (THRU 1/24)</TitleTxt>
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        <OtherCompensationAmt>3301</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COLLEEN HAZEL</PersonNm>
        <TitleTxt>CHIEF HR OFFICER (THRU 3/24)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>37904</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2307</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE DOWLAND</PersonNm>
        <TitleTxt>CHIEF QUALITY OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>187303</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10186</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK KOOMSON</PersonNm>
        <TitleTxt>COO</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>200988</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17914</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK LAUTEREN</PersonNm>
        <TitleTxt>CHIEF INFORMATION OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29373</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE CULPEPPER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12508</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHEAL TOLLEY</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR/PHYSICIAN</TitleTxt>
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        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>402243</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>41706</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARLINA MENJIVAR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>40730</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MORGAN FIFE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39442</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOGAN MIMS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>402620</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>26211</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>COLE HEMMERLING</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>36903</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAMERON BECK</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>4615738</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>446845</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>66</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUVODIA LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>801 S STEVENS ST</AddressLine1Txt>
            <CityNm>SPOKANE</CityNm>
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          </USAddress>
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        <ServicesDesc>INFORMATION TECHNOLOGY SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>VVC HOLDING CORP</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 840952</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75284</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>512532</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>IPRO BUILDING SERVICES LLC</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3000 RIVERVIEW LN</AddressLine1Txt>
            <CityNm>MALAGA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98828</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>JANITORIAL SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SMALLIDGE AND COMPANY</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3020 27TH AVE W</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTEGRA IMAGING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>801 S STEVENS ST</AddressLine1Txt>
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            <ZIPCd>99204</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <CntrctRcvdGreaterThan100KCnt>6</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>7440153</GovernmentGrantsAmt>
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      <TotalContributionsAmt>7798991</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>30720749</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MANAGED CARE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>12975888</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>12975888</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CONTRACT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>79959</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>43776596</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1156342</TotalRevenueColumnAmt>
        <ExclusionAmt>1156342</ExclusionAmt>
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        <RealAmt>150</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>150</TotalRevenueColumnAmt>
        <ExclusionAmt>150</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      <GainOrLossGrp>
        <OtherAmt>521</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>521</TotalRevenueColumnAmt>
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        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>2749</ExclusionAmt>
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      <OtherRevenueTotalAmt>2749</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
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      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>2815</ProgramServicesAmt>
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        <ProgramServicesAmt>1639509</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>3734</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>103040</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>38519</ProgramServicesAmt>
        <ManagementAndGeneralAmt>75304</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>147605</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>599144</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1759555</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>65940</ProgramServicesAmt>
        <ManagementAndGeneralAmt>288671</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>108356</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48006</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>104385</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18488</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>264389</ProgramServicesAmt>
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        <EOYAmt>552254</EOYAmt>
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      <ExpensesSubtotalAmt>49630126</ExpensesSubtotalAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE DOWLAND</PersonNm>
        <TitleTxt>CHIEF QUALITY OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>187103</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7503</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>2683</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>197489</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE CULPEPPER</PersonNm>
        <TitleTxt>CHIEF HUMAN RESOURCES OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>179013</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>200</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12508</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191721</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>MOSES LAKE COMMUNITY HEALTH CENTER (MLCHC) HAS 11 BOARD MEMBERS WHO PARTICIPATE IN A MONTHLY BOARD MEETING. SOME OF THE BOARD MEMBERS ARE ALSO COMMITTEE MEMBERS WHO PARTICIPATE IN EITHER MONTHLY OR QUARTERLY MEETINGS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>UPON COMPLETION OF THE FORM 990, THE RETURN WILL BE REVIEWED IN DETAIL WITH THE BOARD FINANCE COMMITTEE AND THEN IN SUMMARY WITH THE BOARD OF DIRECTORS. UPON APPROVAL BY THE BOARD OF DIRECTORS, THE FINAL FORM 990 WILL BE SUBMITTED TO THE INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>INCLUDED IN THE POLICY ARE EMPLOYEES OR INDIVIDUALS ACTING ON BEHALF OF THE ORGANIZATION (MLCHC) AND OFFICERS ORBOARD MEMBERS. AT BOTH PRIVATE AND PERSONAL LEVEL, EMPLOYEES ARE PROHIBITED FROM USING THEIR POSITION TO BENEFIT FROM TRANSACTIONS OVER WHICH THEY HAVE INFLUENCE OR DECISION-MAKING AUTHORITY. CURRENT EMPLOYEES MUST PROMPTLY DISCLOSE ANY PERSONAL INTEREST CONFLICTS TO THEIR SUPERVISOR OR THE CHIEF COMPLIANCE OFFICER. MLCHC WILL TAKE APPROPRIATE STEPS TO MITIGATE OR REMOVE SUCH CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR THE CEO, THE BOARD OF DIRECTORS REVIEWS SALARY SURVEYS AND REGIONAL MARKET COMPARISONS TO DETERMINE APPROPRIATE COMPENSATION LEVELS. THE CONTRACT IS REVIEWED BY THE BOARD OF DIRECTORS EVERY THREE YEARS AND APPROVED BY THE ENTIRE BOARD. OTHER OFFICERS AND KEY EMPLOYEES ARE REVIEWED UTILIZING SALARY SURVEYS AND REGIONAL MARKET COMPARISONS AS WELL. THIS PROCESS IS LED BY THE CEO WITH THE ASSISTANCE OF THE HR DIRECTOR. COMPENSATION INFORMATION IS REVIEWED WITH THE BOARD CHAIR BY THE CEO. THE LAST COMPENSATION REVIEW WAS PERFORMED IN MARCH 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC DURING THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>