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        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT CRAIN</PersonNm>
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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2038000</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>198673</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>59</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ADJ INTEGRATION SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>19409 99TH STREET COURT E</AddressLine1Txt>
            <CityNm>BONNEY LAKE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98391</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SUPPORT</ServicesDesc>
        <CompensationAmt>640224</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OCHIN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1881 SW NAITO PARKWAY</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>IT SERVICES</ServicesDesc>
        <CompensationAmt>592638</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERT HALF TALENT SOLUTIONS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>601 UNION STREET SUITE 4300</AddressLine1Txt>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASW CONSULTING SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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            <ZIPCd>98108</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>STRATUS INDEMAND INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
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          <USAddress>
            <AddressLine1Txt>PO BOX 675248</AddressLine1Txt>
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            <StateAbbreviationCd>MI</StateAbbreviationCd>
            <ZIPCd>48267</ZIPCd>
          </USAddress>
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        <ServicesDesc>INTERPRETER</ServicesDesc>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>13399572</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>13399572</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>12534334</TotalRevenueColumnAmt>
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      <GrossRentsGrp>
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      <RentalIncomeOrLossGrp>
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      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>201581</TotalRevenueColumnAmt>
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      <GrossAmountSalesAssetsGrp>
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      <GainOrLossGrp>
        <SecuritiesAmt>44896</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
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        <ExclusionAmt>44896</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>RISK POOL &amp; INCENTIVES</Desc>
        <BusinessCd>900099</BusinessCd>
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      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>50267</ExclusionAmt>
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        <ExclusionAmt>956622</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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      <OtherSalariesAndWagesGrp>
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      <PensionPlanContributionsGrp>
        <TotalAmt>777550</TotalAmt>
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        <FundraisingAmt>11657</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <FundraisingAmt>22122</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>126628</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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      <FeesForServicesOtherGrp>
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      <AdvertisingGrp>
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        <ProgramServicesAmt>6986</ProgramServicesAmt>
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      <OfficeExpensesGrp>
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      <OccupancyGrp>
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        <ProgramServicesAmt>527484</ProgramServicesAmt>
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        <ProgramServicesAmt>29465</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17541</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>59698</ProgramServicesAmt>
        <ManagementAndGeneralAmt>39421</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ManagementAndGeneralAmt>7357</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <Desc>MEDICAL SUPPLIES</Desc>
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        <ProgramServicesAmt>8753231</ProgramServicesAmt>
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        <Desc>TAXES</Desc>
        <TotalAmt>347888</TotalAmt>
        <ManagementAndGeneralAmt>347888</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <AccountsReceivableGrp>
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      <DonorRestrictionNetAssetsGrp>
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      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <TotalAmt>46320868</TotalAmt>
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      <Form990ScheduleAPartVIGrp>
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          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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        <EndYearBalanceAmt>83055</EndYearBalanceAmt>
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      <BuildingsGrp>
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      <TotalBookValueLandBuildingsAmt>11823006</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD-PARTY SETTLEMENTS</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE OBLIGATION</Desc>
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      <TotalLiabilityAmt>574718</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
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      <TotalRevenuePerForm990Amt>37406685</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>40047319</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>40047319</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ENDOWMENT FUNDS ARE ASSETS SET ASIDE AND RESTRICTED BY DONORS. THE INCOME GENERATED FROM THESE ASSETS IS USED TO FUND OPERATIONS OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>SRCH'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; HOWEVER, UNRELATED BUSINESS ACTIVITIES WOULD BE SUBJECT TO INCOME TAX. SINCE SRCH IS EXEMPT FROM FEDERAL INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. MANAGEMENT EVALUATED SRCH'S TAX POSITIONS AND CONCLUDED THAT SRCH HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS. ALL TAX-EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE, AND OTHER APPLICABLE STATE STATUTE 5, USUALLY FOR THREE YEARS SUBSEQUENT TO THE DATE OF THE RETURN WAS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRANDY TAYLOR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>216707</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>3845</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23982</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>249534</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MATTHEW LOGALBO</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>208381</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4682</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22479</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>235542</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EMILY FLYNN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>198441</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4537</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16502</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>219480</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NASYA SIERRA</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>193479</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15081</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>208560</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAURA ADLER</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>190314</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>4745</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6067</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>201126</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JASON OWENS</PersonNm>
        <TitleTxt>PAST EXEC DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>186738</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6331</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193069</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMIAH REENDERS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>186581</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>2606</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15241</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>204428</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMAR ALEM</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>165924</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>16250</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4127</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7275</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193576</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BESSIE CHI</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>172217</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5695</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15324</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>193236</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL CRAIG</PersonNm>
        <TitleTxt>COMMUNITY IMPACT DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>148026</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>5000</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>1148</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14796</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>168970</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA TREPTOW</PersonNm>
        <TitleTxt>INTERIM FINANCE DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>134192</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>10750</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>2537</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>21673</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>169152</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc5">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE CONSISTS OF THE BOARD CHAIR AND AT LEAST THREE OTHER BOARD MEMBERS. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY AS EXPRESSLY DELEGATED TO IT BY RESOLUTION OF THE BOARD IN THE GOVERNANCE OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CEO AND THE FINANCE TEAM WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. THE FORM 990 WILL BE PROVIDED TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS AT THEIR NEXT MEETING AFTER THE FORM 990 IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPLIANCE AND NON-COMPLIANCE WITH THE ORGANIZATIONS CONFLICT OF INTEREST POLICY ARE REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED DURING THE MONTHLY MEETINGS. BOARD MEMBERS SIGN A CONFLICT OF INTEREST FORM ANNUALLY. ANY MEMBER WITH A STATED CONFLICT OF INTEREST IS REVIEWED BY THE EXECUTIVE COMMITTEE. THE BOARD CHAIR DETERMINES THE EXTENT OF THE CONFLICT AND WHETHER THE CONFLICTED BOARD MEMBER SHOULD NOT VOTE ON AN ISSUE OR SHOULD RECUSE HIM OR HERSELF FROM THE DISCUSSION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO'S COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. EVERY TWO YEARS, THIS PROCESS IS ASSISTED BY AN INDEPENDENT COMPENSATION CONSULTANT AS WELL AS A MILLIMAN SURVEY THAT ASSESSES MARKET COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTOR OF FINANCE'S COMPENSATION IS REVIEWED BY THE CEO BASED ON A MILLIMAN SURVEY THAT ASSESSES MARKET COMPENSATION. THE BOARD THEN REVIEWS IT ALONG WITH ALL OTHER EMPLOYEES AS A GROUP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SRCH MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES 2,963,998 1,362,596 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>