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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>30500</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATTY COTTLE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>24500</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>21000</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>20000</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>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>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES JACK SR</PersonNm>
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        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>19000</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>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICE HILL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA JACKSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARVEL NIX</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>DOROTHY SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>17500</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>17500</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>15500</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>14000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>11438022</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>378158</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>447</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ASKW-DAVIS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6591 A STREET SUITE 300</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99518</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CO</ServicesDesc>
        <CompensationAmt>83239044</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DAWSON CONSTRUCTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 30920</AddressLine1Txt>
            <CityNm>BELLINGHAM</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CO</ServicesDesc>
        <CompensationAmt>20172197</CompensationAmt>
      </ContractorCompensationGrp>
      <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>13386070</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NORTHERN POWERLINE CONSTRUCTOR</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>301 W NORTHERN LIGHTS BLVD</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99503</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CO</ServicesDesc>
        <CompensationAmt>4090478</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ABBOTT CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>3408 1ST AVENUE S SUITE 101</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98134</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION CO</ServicesDesc>
        <CompensationAmt>2263535</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>80</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>48157</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>108574159</GovernmentGrantsAmt>
      <TotalContributionsAmt>108622316</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>280069931</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>280069931</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>280069931</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>12890188</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>6119</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>12884069</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>856675</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>856675</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>856675</TotalRevenueColumnAmt>
        <ExclusionAmt>856675</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>99360905</SecuritiesAmt>
        <OtherAmt>573883</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>100000000</SecuritiesAmt>
        <OtherAmt>167391</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>-639095</SecuritiesAmt>
        <OtherAmt>406492</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-232603</TotalRevenueColumnAmt>
        <ExclusionAmt>-232603</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER MISC REFUNDS/REVENU</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1161864</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1161864</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>LEGAL SETTLEMENT PROCEEDS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>803335</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>803335</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DENALI HEALTHCARE SOLUTIONS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>-2395</TotalRevenueColumnAmt>
        <UnrelatedBusinessRevenueAmt>-2395</UnrelatedBusinessRevenueAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>1962804</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>404169311</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>282041249</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>-2395</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>13508141</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>121659</TotalAmt>
        <ProgramServicesAmt>121659</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>3203756</TotalAmt>
        <ProgramServicesAmt>3203756</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>10125032</TotalAmt>
        <ProgramServicesAmt>2130134</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7994898</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>172248548</TotalAmt>
        <ProgramServicesAmt>119912021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52336527</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>5242889</TotalAmt>
        <ProgramServicesAmt>2991958</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2250931</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>11707920</TotalAmt>
        <ProgramServicesAmt>7161683</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4546237</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>10478459</TotalAmt>
        <ProgramServicesAmt>6648136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3830323</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>458890</TotalAmt>
        <ProgramServicesAmt>7025</ProgramServicesAmt>
        <ManagementAndGeneralAmt>451865</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>238834</TotalAmt>
        <ManagementAndGeneralAmt>238834</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>178033</TotalAmt>
        <ManagementAndGeneralAmt>178033</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>1116267</TotalAmt>
        <ManagementAndGeneralAmt>1116267</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>23551832</TotalAmt>
        <ProgramServicesAmt>2053610</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21498222</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>567567</TotalAmt>
        <ProgramServicesAmt>69744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>497823</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>2761241</TotalAmt>
        <ProgramServicesAmt>615511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2145730</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>11216640</TotalAmt>
        <ProgramServicesAmt>1068708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10147932</ManagementAndGeneralAmt>
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      <OccupancyGrp>
        <TotalAmt>9429699</TotalAmt>
        <ProgramServicesAmt>696112</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8733587</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>4962270</TotalAmt>
        <ProgramServicesAmt>2922887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2039383</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>718990</TotalAmt>
        <ProgramServicesAmt>93976</ProgramServicesAmt>
        <ManagementAndGeneralAmt>625014</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>4550443</TotalAmt>
        <ManagementAndGeneralAmt>4550443</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>17309415</TotalAmt>
        <ProgramServicesAmt>312799</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16996616</ManagementAndGeneralAmt>
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      <InsuranceGrp>
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        <ProgramServicesAmt>844</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2254191</ManagementAndGeneralAmt>
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        <Desc>MEDICAL/EQUIP SUPPLIES</Desc>
        <TotalAmt>35560210</TotalAmt>
        <ProgramServicesAmt>28558400</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7001810</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>PURCHASED REFERRED CARE</Desc>
        <TotalAmt>6858049</TotalAmt>
        <ProgramServicesAmt>6687877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>170172</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>RECRUITMENT/TRAINING</Desc>
        <TotalAmt>5001372</TotalAmt>
        <ProgramServicesAmt>1083472</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3917900</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>ALL OTHER EXPENSE</Desc>
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        <ProgramServicesAmt>54916</ProgramServicesAmt>
        <ManagementAndGeneralAmt>829698</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <ProgramServicesAmt>80288004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-80288004</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>266683232</ProgramServicesAmt>
        <ManagementAndGeneralAmt>74064432</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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        <EOYAmt>76010</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>21038986</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
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        <EOYAmt>7768053</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>27409081</BOYAmt>
        <EOYAmt>30546178</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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        <EOYAmt>2996322</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>5370626</BOYAmt>
        <EOYAmt>5999899</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>655669191</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>111364899</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>409634629</BOYAmt>
        <EOYAmt>544304292</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
        <BOYAmt>367451599</BOYAmt>
        <EOYAmt>369404532</EOYAmt>
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      <InvestmentsProgramRelatedGrp>
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        <EOYAmt>25500</EOYAmt>
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      <IntangibleAssetsGrp>
        <BOYAmt>15979277</BOYAmt>
        <EOYAmt>16599277</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>7439968</BOYAmt>
        <EOYAmt>13185592</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>903237587</BOYAmt>
        <EOYAmt>1011944641</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>68286818</BOYAmt>
        <EOYAmt>69855771</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>21774340</BOYAmt>
        <EOYAmt>14480900</EOYAmt>
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      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>304230909</BOYAmt>
        <EOYAmt>304319721</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>1128516</BOYAmt>
        <EOYAmt>8520314</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>395420583</BOYAmt>
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        <TotalCompensationFilingOrgAmt>436628</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <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>
    <IRS990ScheduleO documentId="RetDoc7">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING FISCAL YEAR 2024, SEARHC'S BOARD AUTHORIZED AND APPROVED THE HEALING HAND FOUNDATION (HHF) AS AN AFFILIATE ORGANIZATION, AND BECAME THE SOLE CORPORATE MEMBER OF HHF. THE PURPOSE OF HHF IS TO ASSIST WITH THE UNFUNDED MEDICAL AND HEALTHCARE NEEDS OF SEARHC BENEFICIARIES AND VETERANS. ALL HHF FINANCIAL ACTIVITY IS INCLUDED IN SEARHC'S AUDITED FINANCIAL STATEMENTS. HHF MAINTAINS IT'S STATUS AS SEPARATE NON-PROFIT ENTITY FOR TAX PURPOSES AND FILES A SEPARATE 990 FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 2024, SEARHCS OUTPATIENT CLINICS PROVIDED SERVICES TO SOUTHEAST ALASKA RESIDENTS IN 183,143 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 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 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 HIRED A COMPENSATION ANALYST IN JUNE 2024 TO PERFORM MARKET REVIEWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc8">
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>HEALING HAND FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3100 CHANNEL DRIVE SUITE 300</AddressLine1Txt>
          <CityNm>JUNEAU</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99801</ZIPCd>
        </USAddress>
        <EIN>920177320</EIN>
        <PrimaryActivitiesTxt>SUPPORTING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501C3</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHEAST</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>ALASKA REGIONAL HEALTH CONSORTIUM</BusinessNameLine2Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>DENALI HEALTHCARE SOLUTIONS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>90 VOLUNTEER DRIVE SUITE 200</AddressLine1Txt>
          <CityNm>HENDERSONVILLE</CityNm>
          <StateAbbreviationCd>TN</StateAbbreviationCd>
          <ZIPCd>37075</ZIPCd>
        </USAddress>
        <EIN>932311043</EIN>
        <PrimaryActivitiesTxt>PURCHASING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>DE</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-2395</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>23105</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</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>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALING HAND FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>48157</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DENALI HEALTHCARE SOLUTIONS LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>25000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>