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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARRIET BROUILLETTE</PersonNm>
        <TitleTxt>BOARD VICE C</TitleTxt>
        <AverageHoursPerWeekRt>8.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>20492</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNETTE BENNETT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>12155</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MORRIS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>11239</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUDEAN GORDON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>10883</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JUNE DURGAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>8974</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARVELL NIX</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>8869</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>8865</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LAVINA BROCK</PersonNm>
        <TitleTxt>BOARD SECRET</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>8788</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>8576</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>7483</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>6718</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>6136</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATTY COTTLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>4903</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOROTHY SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2909</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DELLA COBURN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2189</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SIDNEY EDENSHAW</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2066</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROSS NANNAUCK III</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>39</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN ALLEN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>7011792</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>492623</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>216</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>HENDERSONVILLE</CityNm>
            <StateAbbreviationCd>TN</StateAbbreviationCd>
            <ZIPCd>37075</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>BILLING/CODING</ServicesDesc>
        <CompensationAmt>2442896</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>1450684</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ECG MANAGEMENT CONSULTANTS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1111 THIRD AVE SUITE 2500</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PROJ MGMNT HER</ServicesDesc>
        <CompensationAmt>1104497</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>K&amp;L GATES LLP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 844255</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HLTH CARE CONSU</ServicesDesc>
        <CompensationAmt>507410</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOXHIRE FKA TOP ECHELON</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4883 DRESSLER RD NW STE 103</AddressLine1Txt>
            <CityNm>CANTON</CityNm>
            <StateAbbreviationCd>OH</StateAbbreviationCd>
            <ZIPCd>44718</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EMPLOYER CONSUL</ServicesDesc>
        <CompensationAmt>420094</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>19</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>102140823</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>3213261</AllOtherContributionsAmt>
      <NoncashContributionsAmt>3200000</NoncashContributionsAmt>
      <TotalContributionsAmt>105354084</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>136552999</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>136552999</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH SERVICE CONTRACTS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1630087</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1630087</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>138183086</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>2987811</TotalRevenueColumnAmt>
        <ExclusionAmt>2987811</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>264455</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>264455</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>264455</TotalRevenueColumnAmt>
        <ExclusionAmt>264455</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>64667493</SecuritiesAmt>
        <OtherAmt>675000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>60248413</SecuritiesAmt>
        <OtherAmt>774252</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>4419080</SecuritiesAmt>
        <OtherAmt>-99252</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>4319828</TotalRevenueColumnAmt>
        <ExclusionAmt>4319828</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>HOUSING REIMBURSEMENT</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>311190</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>311190</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REFUNDS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>302662</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>302662</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>FOOD SERVICE</Desc>
        <BusinessCd>621340</BusinessCd>
        <TotalRevenueColumnAmt>14433</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14433</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>628285</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>251737549</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>138811371</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>7572094</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>965760</TotalAmt>
        <ProgramServicesAmt>965760</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>5590665</TotalAmt>
        <ProgramServicesAmt>848045</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4742620</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>100004068</TotalAmt>
        <ProgramServicesAmt>71794625</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28209443</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>2092030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>807477</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>9144761</TotalAmt>
        <ProgramServicesAmt>5446726</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3698035</ManagementAndGeneralAmt>
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        <TotalAmt>6570412</TotalAmt>
        <ProgramServicesAmt>4535121</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2035291</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>776962</TotalAmt>
        <ManagementAndGeneralAmt>776962</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>194058</TotalAmt>
        <ManagementAndGeneralAmt>194058</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>67513</TotalAmt>
        <ManagementAndGeneralAmt>67513</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>126673</TotalAmt>
        <ManagementAndGeneralAmt>126673</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>17298973</TotalAmt>
        <ProgramServicesAmt>2895550</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14403423</ManagementAndGeneralAmt>
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      <AdvertisingGrp>
        <TotalAmt>536693</TotalAmt>
        <ProgramServicesAmt>72380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>464313</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>801528</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1240518</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>7142538</TotalAmt>
        <ProgramServicesAmt>125080</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7017458</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>11642471</TotalAmt>
        <ProgramServicesAmt>529746</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11112725</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>2368902</TotalAmt>
        <ProgramServicesAmt>1091738</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1277164</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>417521</TotalAmt>
        <ProgramServicesAmt>102873</ProgramServicesAmt>
        <ManagementAndGeneralAmt>314648</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>729279</TotalAmt>
        <ManagementAndGeneralAmt>729279</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>8539413</TotalAmt>
        <ManagementAndGeneralAmt>8539413</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>804841</TotalAmt>
        <ManagementAndGeneralAmt>804841</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/OTHER SUPPLIES</Desc>
        <TotalAmt>14522599</TotalAmt>
        <ProgramServicesAmt>10982497</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3540102</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PURCHASED REFERRED CARE</Desc>
        <TotalAmt>8757386</TotalAmt>
        <ProgramServicesAmt>7296443</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1460943</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>ALL OTHER EXPENSE</Desc>
        <TotalAmt>3924828</TotalAmt>
        <ProgramServicesAmt>496151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3428677</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MAINTENANCE/EQUIPMENT</Desc>
        <TotalAmt>2117768</TotalAmt>
        <ProgramServicesAmt>909817</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1207951</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <ProgramServicesAmt>49935680</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-49935680</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>207185637</TotalAmt>
        <ProgramServicesAmt>160921790</ProgramServicesAmt>
        <ManagementAndGeneralAmt>46263847</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>2055606</BOYAmt>
        <EOYAmt>822682</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>45788621</BOYAmt>
        <EOYAmt>18503000</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>7893419</BOYAmt>
        <EOYAmt>8061761</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>15916607</BOYAmt>
        <EOYAmt>20170260</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>1728377</BOYAmt>
        <EOYAmt>2141892</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2017966</BOYAmt>
        <EOYAmt>1818377</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>190586910</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>65012347</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>98486534</BOYAmt>
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      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 4, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>PART II, LINE 1, COLUMN (H) - HEALTHY IS HERE PROGRAM PROVIDES FUNDING TO MEMBER TRIBAL ORGANIZATIONS FOR THE PURPOSE OF FUNDING LOCAL HEALTH RELATED PROJECTS IN EACH COMMUNITY. ORGANIZATIONS REPORT BACK ON THE USE AND IMPACT OF FUNDING RECEIVED.</ExplanationTxt>
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>false</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
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      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>CHARLES CLEMENT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>961696</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>33000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16452</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>1011148</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL NEUMEISTER</PersonNm>
        <TitleTxt>SENIOR EXECUTIVE VP</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>33000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7964</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>769766</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRENCE E BABB</PersonNm>
        <TitleTxt>PHYSICIAN - OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>646544</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16947</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>677491</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID A BROWN</PersonNm>
        <TitleTxt>PHYSICIAN - ORTHOPED</TitleTxt>
        <BaseCompensationFilingOrgAmt>565993</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13059</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1897</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>580949</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOREN E LAYBOURN</PersonNm>
        <TitleTxt>PHYSICIAN - RADIOLOG</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>14000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17497</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>520393</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL HARRIS</PersonNm>
        <TitleTxt>CHIEF FINANCE OFFR</TitleTxt>
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        <DeferredCompensationFlngOrgAmt>21548</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1713</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>517379</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ELLIOT J BRUHL</PersonNm>
        <TitleTxt>VP, CHIEF MEDICAL OF</TitleTxt>
        <BaseCompensationFilingOrgAmt>471284</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11292</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>8627</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>491203</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LYNN PRYSUNKA</PersonNm>
        <TitleTxt>PHYSICAN-FAMILY</TitleTxt>
        <BaseCompensationFilingOrgAmt>429052</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11775</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14793</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>455620</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL DOUGLAS</PersonNm>
        <TitleTxt>VP, CHIEF LEGAL COUN</TitleTxt>
        <BaseCompensationFilingOrgAmt>398319</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31644</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15241</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>445204</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBERT C WOLF</PersonNm>
        <TitleTxt>VP, CHIEF OPERATING</TitleTxt>
        <BaseCompensationFilingOrgAmt>390918</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>29213</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14604</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>434735</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL SPARKS</PersonNm>
        <TitleTxt>PHYSICAN-SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>386713</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15293</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>416006</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEATHA MERCULIEFF</PersonNm>
        <TitleTxt>VP, EXECUTIVE ADMINI</TitleTxt>
        <BaseCompensationFilingOrgAmt>360510</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28984</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15117</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>404611</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHELLE A KOONTZ</PersonNm>
        <TitleTxt>VP, CHIEF HUMAN RESO</TitleTxt>
        <BaseCompensationFilingOrgAmt>271290</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>31832</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15030</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>318152</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ERIC GETTIS</PersonNm>
        <TitleTxt>VP, CLINICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>250784</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>28984</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15117</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>294885</TotalCompensationFilingOrgAmt>
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        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH CLUB MEMBERSHIP INCLUDED IN VP EMPLOYMENT CONTRACTS AS HEALTH BENEFIT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
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        </IssuerName>
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        <BondIssuedDt>2013-08-16</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>TO REFUND PREVIOUS BOND AND OTHER DEBT AND FOR CONSTRUCTION AND NEW EQUIPMENT.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <IssuanceCostsFromProceedsAmt>41513</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>5314458</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>4644029</OtherSpentProceedsAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>false</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>CITY OF KAKE, ALASKA TO REFUND PREVIOUS BOND AND OTHER DEBT AND FOR CONSTRUCTION AND NEW EQUIPMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc8">
      <RealEstateOtherGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>3200000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>APPRAISED VALUE</MethodOfDeterminingRevenuesTxt>
      </RealEstateOtherGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="RetDoc9">
      <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 2020, SEARHCS OUTPATIENT CLINICS PROVIDED SERVICES TO SOUTHEAST ALASKA RESIDENTS IN 144,805 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 LIFE STYLE 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 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SEARHC GOVERNING BOARD DELEGATES AUTHORITY TO AN EXECUTIVE COMMITTEE COMPRISED OF THE BOARD PRESIDENT, VICE PRESIDENT, SECRETARY, TREASURER AND THREE MEMBERS AT LARGE. THIS COMMITTEE IS AUTHORIZED TO MAKE DECISIONS ON BEHALF OF THE GOVERNING BOARD, EXCEPT FOR HIRING/FIRING OF EXECUTIVE LEADERSHIP DECISIONS, WHICH THE ENTIRE BOARD MUST VOTE ON.</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 BOARD PRIOR TO FILING WITH INTERNAL REVENUE SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'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.</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 -1,639,732 DOUBTFUL ACCOUNTS PROVISION 1,639,732</ExplanationTxt>
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          <BusinessNameLine1Txt>HEALING HAND FOUNDATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3100 CHANNEL DRIVE SUITE 300</AddressLine1Txt>
          <CityNm>JUNEAU</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99801</ZIPCd>
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          <CityNm>JUNEAU</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99801</ZIPCd>
        </USAddress>
        <EIN>920171508</EIN>
        <PrimaryActivitiesTxt>PHYSICAL T</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AK</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>S CORP</EntityTypeTxt>
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      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
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        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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</Return>