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        <TitleTxt>VP OPERATIONS, PROGRAMS &amp; MEMBER SERVICES</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>HOPE ARTHUR</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BRIAN KEGLEY</PersonNm>
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      <TotalOtherCompensationAmt>169741</TotalOtherCompensationAmt>
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            <BusinessNameLine1Txt>COSTRATEGIX LTD</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <FeesForServicesAccountingGrp>
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      <FeesForSrvcInvstMgmntFeesGrp>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>4679</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12509</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>1991</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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      <OccupancyGrp>
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        <ManagementAndGeneralAmt>74725</ManagementAndGeneralAmt>
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      <TravelGrp>
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        <ProgramServicesAmt>9651</ProgramServicesAmt>
        <ManagementAndGeneralAmt>25799</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>5170</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>11605</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>CONTRACTS</Desc>
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        <ProgramServicesAmt>170241</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>EVENTS</Desc>
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        <ManagementAndGeneralAmt>57279</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
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      <OtherExpensesGrp>
        <Desc>REGIONAL EMERGENCY PREP</Desc>
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        <ProgramServicesAmt>85308</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>2670753</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>4060533</EOYAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <FSAuditedBasisGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COLLABORATIVE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE. THE COLLABORATIVE WOULD BE SUBJECT TO UNRELATED BUSINESS INCOME; HOWEVER, MANAGEMENT DOES NOT BELIEVE THERE ARE ANY UNRELATED ACTIVITIES.</ExplanationTxt>
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        <TotalCompensationFilingOrgAmt>174227</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NICCI WEBER</PersonNm>
        <TitleTxt>VP HUMAN RESOURCES &amp; ADMIN</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>126150</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>5271</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8118</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>26585</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>166124</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JILL COLLET-RIESTER</PersonNm>
        <TitleTxt>VP OPERATIONS, PROGRAMS &amp; MEMBER SER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>140261</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>2563</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8400</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>910</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>152134</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION CEASED CONDUCTING FOLLOWING ACTIVITIES: 1. HEALTH INFORMATION EXCHANGE SERVICES. 2. RESALE AND OTHER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE STAFF WORKS WITH EXTERNAL TAX PROFESSIONALS TO DEVELOP THE 990 SUBMISSIONS. ONCE THE FORM IS PREPARED, IT IS REVIEWED BY THE FINANCE AND AUDIT COMMITTEES. IT IS THEN SHARED WITH THE FULL BOARD PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST DISCLOSURE FORM IS REQUIRED TO BE COMPLETED AND SIGNED BY THE BOARD OF TRUSTEES ANNUALLY. THE BOARD TRUSTEE MUST DISCLOSE IN WRITING ANY POTENTIAL CONFLICTS. ARRANGEMENTS THAT CREATE A CONFLICT WILL BE REVIEWED ON A CASE BY CASE BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE PERFORMS THE ANNUAL REVIEW OF THE EXECUTIVE DIRECTOR AND DETERMINES COMPENSATION. COMPENSATION SURVEYS AND STUDIES ALONG WITH A COMPENSATION CONSULTANT ARE USED TO PROVIDE INDEPENDENT DATA TO THE EXCUTIVE COMMITTEE. THE EXECUTIVE DIRECTOR ALSO UTILIZES MARKET DATA AND FORMAL REVIEW FOR STAFF.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 298,604. MANAGEMENT AND GENERAL EXPENSES 162,391. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 460,995.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>