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        <ReportableCompFromOrgAmt>109867</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATTY COTTLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>23000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAVINA BROCK</PersonNm>
        <TitleTxt>BOARD SECRET</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>20500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDEAN GORDON</PersonNm>
        <TitleTxt>BOARD VICE C</TitleTxt>
        <AverageHoursPerWeekRt>8.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>20000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARRIET SILVA</PersonNm>
        <TitleTxt>BOARD TREASU</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>19500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VERONICA DALTON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>19000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUNE DURGAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>19000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN ALLEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>18500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES JACK SR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>18500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINCOLN BEAN SR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>18500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE WIDMARK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>18000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNETTE BENNETT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>17500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOROTHY SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>17000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICE HILL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIDNEY EDENSHAW</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARVEL NIX</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>7000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LILY HUGHES</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA CADIENTE NELSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>8417840</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>540067</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>398</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>XTEND HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 W MAIN STREET SUITE 14</AddressLine1Txt>
            <CityNm>HENDERSONV</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37075</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING/CODING</ServicesDesc>
        <CompensationAmt>8269367</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAXIM HEALTHCARE SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>12558 COLLECTIONS CENTER DRIVE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>COLLECTIONS</ServicesDesc>
        <CompensationAmt>2824397</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>K&amp;L GATES LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1601 K STREET NW</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>200061600</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>829014</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAVIS WRIGHT TREMAINE LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>920 5TH AVENUE STE 3300</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>981041610</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEGAL SERVICES</ServicesDesc>
        <CompensationAmt>350601</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARBOR WEST CONSULTING</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5410 BELARUS STREET</AddressLine1Txt>
            <CityNm>DANVILLE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94506</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LEADERSHIP TRNG</ServicesDesc>
        <CompensationAmt>328446</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>25</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>26130</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>185884865</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>4322524</AllOtherContributionsAmt>
      <NoncashContributionsAmt>79094403</NoncashContributionsAmt>
      <TotalContributionsAmt>190233519</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>230730472</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>230730472</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>230730472</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>13063265</TotalRevenueColumnAmt>
        <ExclusionAmt>13063265</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1130912</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1130912</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1130912</TotalRevenueColumnAmt>
        <ExclusionAmt>1130912</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>218785402</SecuritiesAmt>
        <OtherAmt>3017623</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>218666671</SecuritiesAmt>
        <OtherAmt>1723485</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>118731</SecuritiesAmt>
        <OtherAmt>1294138</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1412869</TotalRevenueColumnAmt>
        <ExclusionAmt>1412869</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>LEGAL SETTLEMENT PROCEEDS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1622222</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1622222</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER MISC REFUNDS/REVENU</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1109946</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1109946</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>2732168</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>439303205</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>233462640</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>15607046</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>7911788</TotalAmt>
        <ProgramServicesAmt>7911788</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>5099428</TotalAmt>
        <ProgramServicesAmt>5099428</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>7282530</TotalAmt>
        <ProgramServicesAmt>2484643</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4797887</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>155207169</TotalAmt>
        <ProgramServicesAmt>107253560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>47953609</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>4466584</TotalAmt>
        <ProgramServicesAmt>3078619</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1387965</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>11139171</TotalAmt>
        <ProgramServicesAmt>6469774</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4669397</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>8877095</TotalAmt>
        <ProgramServicesAmt>6011175</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2865920</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1525306</TotalAmt>
        <ProgramServicesAmt>17699</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1507607</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>209023</TotalAmt>
        <ManagementAndGeneralAmt>209023</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>199750</TotalAmt>
        <ManagementAndGeneralAmt>199750</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>1285516</TotalAmt>
        <ManagementAndGeneralAmt>1285516</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>27604754</TotalAmt>
        <ProgramServicesAmt>6328125</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21276629</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>820500</TotalAmt>
        <ProgramServicesAmt>191794</ProgramServicesAmt>
        <ManagementAndGeneralAmt>628706</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>4632039</TotalAmt>
        <ProgramServicesAmt>1481202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3150837</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>9265964</TotalAmt>
        <ProgramServicesAmt>773173</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8492791</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>10941996</TotalAmt>
        <ProgramServicesAmt>675618</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10266378</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>4222307</TotalAmt>
        <ProgramServicesAmt>2365655</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1856652</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>729737</TotalAmt>
        <ProgramServicesAmt>116457</ProgramServicesAmt>
        <ManagementAndGeneralAmt>613280</ManagementAndGeneralAmt>
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      <InterestGrp>
        <TotalAmt>7796273</TotalAmt>
        <ManagementAndGeneralAmt>7796273</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>13745000</TotalAmt>
        <ManagementAndGeneralAmt>13745000</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>1868959</TotalAmt>
        <ManagementAndGeneralAmt>1868959</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/OTHER PROG SUPPLY</Desc>
        <TotalAmt>22027014</TotalAmt>
        <ProgramServicesAmt>20319475</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1707539</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ALL OTHER EXPENSE</Desc>
        <TotalAmt>9033054</TotalAmt>
        <ProgramServicesAmt>3057195</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5975859</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED REFERRED CARE</Desc>
        <TotalAmt>3576946</TotalAmt>
        <ProgramServicesAmt>3544715</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32231</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE/EQUIPMENT</Desc>
        <TotalAmt>3481155</TotalAmt>
        <ProgramServicesAmt>1491671</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1989484</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <ProgramServicesAmt>72179437</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-72179437</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>322949058</TotalAmt>
        <ProgramServicesAmt>250851203</ProgramServicesAmt>
        <ManagementAndGeneralAmt>72097855</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>7687943</BOYAmt>
        <EOYAmt>12428545</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>5163661</BOYAmt>
        <EOYAmt>47463109</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>9881585</BOYAmt>
        <EOYAmt>7430343</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>25005212</BOYAmt>
        <EOYAmt>27409081</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>2605925</BOYAmt>
        <EOYAmt>2604910</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>3121729</BOYAmt>
        <EOYAmt>5370626</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>504195536</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>94560907</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>224909846</BOYAmt>
        <EOYAmt>409634629</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <BOYAmt>459000896</BOYAmt>
        <EOYAmt>367451599</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <InvestmentsProgramRelatedGrp>
        <EOYAmt>25500</EOYAmt>
      </InvestmentsProgramRelatedGrp>
      <IntangibleAssetsGrp>
        <BOYAmt>9732421</BOYAmt>
        <EOYAmt>15979277</EOYAmt>
      </IntangibleAssetsGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4842659</BOYAmt>
        <EOYAmt>7439968</EOYAmt>
      </OtherAssetsTotalGrp>
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        <ExplanationTxt>FORM 990, SCHEDULE J, PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PLAN BUT DID NOT RECEIVE PAYMENTS DURING THIS REPORTING PERIOD: CHARLES CLEMENT DANIEL HARRIS JACQUELINE AYLSWORTH MICHAEL DOUGLAS GEORGE BENNING ERIC GETTIS LEATHA MERCULIEFF JOSEPH JUNGWIRTH ELLIOT J. BRUHL</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc7">
      <RealEstateCommercialGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>79094403</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>APPRAISED VALUE</MethodOfDeterminingRevenuesTxt>
      </RealEstateCommercialGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, SCHEDULE M, PART I, LINE 16 (B) AND (C): 1) RECEIVED NON-CASH CONTRIBUTION OF LAND/BUILDINGS FROM JUNEAU YOUTH SERVICES VALUED AT 4,309,224 AS A RESULT OF AN ASSET TRANSFER AGREEMENT. 2) RECEIVED NON-CASH CONTRIBUTION OF LAND/BUILDINGS FROM U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, INDIAN HEALTH SERVICES, AS PERMITTED BY PUBLIC LAW 117-266, VALUED AT 74,785,178.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>OUTPATIENT SERVICES - THIS PROGRAM PROVIDES PRIMARY HEALTH CARE SERVICES TO MOST COMMUNITIES OF SOUTHEAST ALASKA. THESE INCLUDE PHYSICIAN, MID-LEVEL, AND COMMUNITY HEALTH AIDE PROVIDERS AND TRAINING, ENVIRONMENTAL HEALTH, HEALTH PROMOTION AND PREVENTIVE SERVICES, FAMILY SERVICES, REMOTE MAINTENANCE SERVICES, AND EMERGENCY MEDICAL SERVICES. CLINIC LOCATIONS INCLUDE ANGOON, HAINES, HYDABURG, JUNEAU, WRANGELL, KAKE, KASAAN, KLAWOCK, KLUKWAN, PELICAN, SITKA, HOONAH AND THORNE BAY. ADDITIONAL PRIMARY CARE AND/OR SPECIALIST SERVICES ARE PROVIDED IN PETERSBURG, SKAGWAY, AND YAKUTAT. IN FISCAL YEAR 2023, SEARHCS OUTPATIENT CLINICS PROVIDED SERVICES TO SOUTHEAST ALASKA RESIDENTS IN 178,011 OUTPATIENT VISITS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES PROVIDED INCLUDE BEHAVIORAL HEALTH SERVICES INCLUDING RURAL SUBSTANCE ABUSE, RURAL MENTAL HEALTH, SOCIAL SERVICES, AND MENTAL HEALTH OUTPATIENT SERVICES; DENTAL SERVICES ARE PROVIDED TO MOST SOUTHEAST ALASKA COMMUNITIES. SERVICES INCLUDE ROUTINE ADULT AND CHILD DENTAL CARE, PATIENT EDUCATION, DENTAL DISEASE PREVENTION, EMERGENCY CARE AND ORTHODONTICS; REGIONAL PREVENTION SERVICES FOCUSING ON HEALTH LIFESTYLE CHANGES, EDUCATION AND PREVENTION; AND PURCHASED/REFERRED CARE PROGRAM WHICH PROVIDES ELIGIBLE BENEFICIARIES WITH ACCESS TO ACUTE, TERTIARY AND QUATERNARY CLINICAL CARE SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEARHCS FORM 990 WILL BE REVIEWED BY THE CHIEF FINANCIAL OFFICER PRIOR TO FILING. A COPY WILL BE PROVIDED TO THE FULL BOARD AT THE NEXT REGULAR MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OGANIZATION'S COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING AND ENFORCING THE CONFLICT OF INTEREST POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>SEARHC USES AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL SURVEY COMPARING JOBS/POSITIONS TO THOSE IN THE MARKET. THE LAST REVIEW WAS COMPLETED IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>DOUBTFUL ACCOUNTS PROVISION -3,633,302 DOUBTFUL ACCOUNTS PROVISION 3,633,302</ExplanationTxt>
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          <ZIPCd>99801</ZIPCd>
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        <PrimaryActivitiesTxt>SUPPORTING</PrimaryActivitiesTxt>
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          <ZIPCd>99801</ZIPCd>
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          <BusinessNameLine1Txt>DENALI HEALTHCARE SOLUTIONS LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>90 VOLUNTEER DRIVE SUITE 200</AddressLine1Txt>
          <CityNm>HENDERSONVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37075</ZIPCd>
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        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfEOYAssetsAmt>25500</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
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      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>THE WALKER FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>7781511</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALING HAND FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>26130</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>SCH R, PART II, LINE 1, COLUMN (B): WALKER FOUNDATION IS A SUPPORTING CHARITABLE ORGANIZATION OF SEARHC WHOSE PURPOSE IS TO PROMOTE THE HEALTH AND WELFARE OF THE WRANGELL ALASKA COMMUNITY. AS OF SEPTEMBER 30, 2023, WALKER FOUNDATION WILL NO LONGER OPERATE AS A SUPPORTING ORGANIZATION OF SEARHC. SCH R, PART II, LINE 2, COLUMN (B): HEALING HAND FOUNDATION IS A CHARITABLE ORGANIZATION THAT PROVIDES ASSISTANCE TO HELP MEET SOME OF THE UNFUNDED MEDICAL AND HEALTH CARE RELATED NEEDS OF SEARHC BENEFICIARIES AND VETERANS. SCH R, PART III, LINE 1(B) PRIMARY ACTIVITY: PRIMARY ACTIVITY IS REVENUE CYCLE MANAGEMENT (RCM)</ExplanationTxt>
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  </ReturnData>
</Return>