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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>348889</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSEPH COYLE</PersonNm>
        <TitleTxt>SENIOR MEDICAL INFORMATICIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>268387</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>55152</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>335181</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ADAM CARROLL</PersonNm>
        <TitleTxt>DIRECTOR OF DATA</TitleTxt>
        <BaseCompensationFilingOrgAmt>230638</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>66835</BonusFilingOrganizationAmount>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW ABRAMS</PersonNm>
        <TitleTxt>VP OF INDUSTRY DEVELOPMENTS</TitleTxt>
        <BaseCompensationFilingOrgAmt>163815</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>8533</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>THOMAS BEAL</PersonNm>
        <TitleTxt>VP OF INFORMATICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>311001</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14085</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>325086</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>IHC HEALTH SERVICES</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>MEMBER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>OPERATIONAL</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>6900000</OriginalPrincipalAmt>
        <BalanceDueAmt>7867853</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SSM HEALTHCARE</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>MEMBER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>OPERATIONAL</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>6900000</OriginalPrincipalAmt>
        <BalanceDueAmt>7871520</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>PRESBYTERIAN HEATH CARE SERVICES</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>MEMBER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>OPERATIONAL</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>6900000</OriginalPrincipalAmt>
        <BalanceDueAmt>7875055</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>KAISER FOUNDATION HEALTH PLAN</BusinessNameLine1Txt>
        </BusinessName>
        <RelationshipWithOrgTxt>MEMBER</RelationshipWithOrgTxt>
        <LoanPurposeTxt>OPERATIONAL</LoanPurposeTxt>
        <LoanToOrganizationInd>X</LoanToOrganizationInd>
        <OriginalPrincipalAmt>6900000</OriginalPrincipalAmt>
        <BalanceDueAmt>7801901</BalanceDueAmt>
        <DefaultInd>0</DefaultInd>
        <BoardOrCommitteeApprovalInd>1</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>1</WrittenAgreementInd>
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      <TotalBalanceDueAmt>31416329</TotalBalanceDueAmt>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2023, GRAPHITE HEALTH BEGAN DEVELOPMENT OF ITS S2 STANDARD, A NEW STANDARD WHICH ENCODES OPERATIONAL SEMANTICS OF HEALTH DATA, ENABLING PROCESS AUTOMATION AND INTEROPERABILITY FOR FRICTIONLESS COMPUTING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING 2023, GRAPHITE HEALTH CONTINUED DEVELOPMENT OF ITS APPLICATION MARKETPLACE. HOWEVER, MARKETPLACE DEVELOPMENT IS DEPENDENT ON COMPLETION OF THE PLATFORM. AS A RESULT, MORE EMPHASIS WAS PLACED ON PLATFORM DEVELOPMENT DURING THAT PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>GRAPHITE HEALTH'S GOVERNING DOCUMENTS ALLOW FOR THREE CLASSES OF MEMBERS: GOVERNING, FOUNDING, AND SUBSCRIBING. EACH CLASS HAS DISTINCT RIGHTS AND PRIVILEGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH GOVERNING MEMBER HAS THE RIGHT TO NOMINATE ONE INDIVIDUAL TO SERVE ON GRAPHITE HEALTH'S BOARD OF DIRECTORS. GOVERNING MEMBERS ALSO HAVE THE RIGHT TO SELECT ONE INDIVIDUAL TO SIT ON EACH OF ITS ADVISORY COMMITTEES. FOUNDING MEMBERS HAVE NO VOTING RIGHTS AS THOSE ARE CONFERRED UPON THE GOVERNING MEMBERS. FOUNDING MEMBERS HAVE THE RIGHT TO DESIGNATE INDIVIDUALS TO SERVE ON THE THREE ADVISORY COMMITTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETE COPY OF FORM 990 WAS SENT TO ALL BOARD MEMBERS FOR REVIEW AND COMMENTS PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTORS, OFFICERS AND OTHER SENIOR LEADERS HAVE BEEN PROVIDED TRAINING ON THE CONFLICT OF INTEREST POLICY, ARE SURVEYED FOR POSSIBLE CONFLICTS OF INTEREST AND REQUIRED TO DISCLOSE ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>GRAPHITE HEALTH RETAINS INDEPENDENT COMPENSATION CONSULTANTS TO DEVELOP COMPENSATION RANGES AND REBUTTABLE PRESUMPTION OF REASONABLENESS OPINIONS FOR ALL SENIOR EXECUTIVES. OFFERS TO THESE LEVELS OF EMPLOYEES MUST BE APPROVED BY THE BOARD OF DIRECTORS. IT ALSO EMPLOYS INDEPENDENT CONSULTANTS, COMPENSATION SURVEYS, AND OFFERS FROM SIMILAR INSTITUTIONS TO DETERMINE THE COMPENSATION FOR ALL OTHER EMPLOYEES.</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 UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, LINE 13</FormAndLineReferenceDesc>
        <ExplanationTxt>GRAPHITE HEALTH HAS A WHISTLEBLOWER POLICY WHICH EACH EMPLOYEE IS REQUIRED TO READ AND ACKNOWLEDGE THAT THEY HAVE READ IT.</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 UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>ADMINISTRATIVE CONSULTING: PROGRAM SERVICE EXPENSES 148,791. MANAGEMENT AND GENERAL EXPENSES 51,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 199,879. DEVELOPMENT AND ENGINEERING: PROGRAM SERVICE EXPENSES 684,002. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 684,002. MARKET ANALYSIS: PROGRAM SERVICE EXPENSES 86,842. MANAGEMENT AND GENERAL EXPENSES 1,256,620. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,343,462. RECRUITING: PROGRAM SERVICE EXPENSES 173,493. MANAGEMENT AND GENERAL EXPENSES 45,858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,351. POLICY CONSULTING: PROGRAM SERVICE EXPENSES 90,276. MANAGEMENT AND GENERAL EXPENSES 149,752. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,028.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>