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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
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        <CurrentTaxYearMinus3YearsAmt>505189</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>921765</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>732554</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>993936</CurrentTaxYearAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 1 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Organizations Mission To promote and support quality healthcare throughout the Pacific Islands. The Association consists of six U.S-affiliated Pacific Island jurisdictions American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, the Federated States of Micronesia, the Republic of the Marshall Islands, and the Republic of Palau, each of which has been designated by the U.S. Federal Government as a medically underserved area, Core members consist of nonprofit, multi-service community health centers and associations from the Pacific Islands.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Classes of Members or Stockholders. The Organization has members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>Election of Members and Their Rights. The Organizations members elect the members of the Board of Directors.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Organizations Process to Review Form 990. The Organization provided a copy of this Form 990 to the Executive Committe for their individual review prior to submission. Any questions or coments raised by the Executive Comittee were addressed by the Executive Director by email. The entire Board members will have the opportunity to review this Form 990 and raise questions in person at the annual Board meeting to be held in August of next year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation Process for Top Official. The salary of the Executive Director is set, reviewed and approved by the Board of Directors. The Board reviews comparable salaries biannually of other Executive Directors of primary care associations nationally conducted by the Centers for Primary Health Care Solutions, LLC. The Board conducts a performance evaluation of the Executive Director annually. This is documented via Board Meeting minutes and retention of the Executive Director annual evaluation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for Officers. The process for determining the salaries and benefits of other employees includes approval by the Board of Directors of the salary range for each position. Comparable salaries and benefits are reviewed by the Board biannually based on a review of primary care associations nationally conducted by the Centers for Primary Health Care Solutions, LLC. The Executive Director is responsible for hiring the other employees and determining the salaries within the range approved by the Board. The salaries are documented via employement letters with each employee. This process was last undertaken in 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing Document Disclosure Explanation. Ther Organization makes its governing documents and financial statements available to the public by providing copies on request or inspection at the Organizations Office.</ExplanationTxt>
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</Return>