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        <PersonNm>MARVELL NIX</PersonNm>
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        <PersonNm>FREDERICK OLSEN JR</PersonNm>
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        <PersonNm>LAWRENCE WIDMARK</PersonNm>
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        <PersonNm>CHARLES CLEMENT</PersonNm>
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        <OtherCompensationAmt>30722</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL NEUMEISTER</PersonNm>
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        <OtherCompensationAmt>22372</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL HARRIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT C WOLF</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DOUGLAS</PersonNm>
        <TitleTxt>VP, CHIEF LEGAL COUNSEL</TitleTxt>
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        <OtherCompensationAmt>18508</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEATHA MERCULIEFF</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHELLE A KOONTZ</PersonNm>
        <TitleTxt>VP, CHIEF HUMAN RESOURCES</TitleTxt>
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        <OtherCompensationAmt>1168</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID A BROWN</PersonNm>
        <TitleTxt>PHYSICIAN - ORTHOPEDIC</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LOREN E LAYBOURN</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERRENCE E BABB</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID J VASTOLA</PersonNm>
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        <PersonNm>GRACE T HWANG</PersonNm>
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          <BusinessName>
            <BusinessNameLine1Txt>RECEIVABLES OUTSOURCING LLC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1920 GREENSPRING DR SUITE 200</AddressLine1Txt>
            <CityNm>TIMONIUM</CityNm>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>3 FOLD COMMUNICATIONS</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHANGE HEALTHCARE RESOURCES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>XTEND HEALTHCARE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 W MAIN STREET SUITE 14</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 317</AddressLine1Txt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>185628</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>185628</TotalRevenueColumnAmt>
        <ExclusionAmt>185628</ExclusionAmt>
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        <Desc>ALL OTHER REVENUES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>516822</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>LITEHOUSE/FOOD SERVICE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>105018</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>621840</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>184801185</TotalRevenueColumnAmt>
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        <ProgramServicesAmt>886552</ProgramServicesAmt>
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        <ProgramServicesAmt>4276496</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>751929</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>68324</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6322560</ProgramServicesAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>4732565</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <EOYAmt>30942383</EOYAmt>
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        <EOYAmt>203983791</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
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        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
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      <RevenueNotReportedFinclStmtAmt>4923282</RevenueNotReportedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>SEARHC IS ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS A NONPROFIT, TAX-EXEMPT ORGANIZATION. SEARHC IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. UNDER THE PROVISIONS OF SUBCHAPTER S OF THE INTERNAL REVENUE CODE, SITKA PHYSICAL THERAPY, LLC, DOES NOT PAY FEDERAL AND STATE CORPORATE INCOME TAXES ON ITS TAXABLE INCOME. INSTEAD, SEARHC, AS SOLE MEMBERSHIP INTEREST OWNER OF SITKA PHYSICAL THERAPY, LLC, IS LIABLE FOR FEDERAL AND STATE INCOME TAXES. MANAGEMENT HAS DEEMED THE ACTIVITIES OF SITKA PHYSICAL THERAPY AS UNRELATED BUSINESS INCOME AND WILL REPORT EARNINGS OF SITKA PHYSICAL THERAPY, LLC IN ITS FEDERAL 990-T. SEARHC FOLLOWS THE PROVISIONS OF FASB ASC 740 INCOME TAXES, AND MANAGEMENT BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN. SEARHC'S FEDERAL INCOME TAX RETURNS (FORM 990) ARE SUBJECT TO POSSIBLE EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE EXPIRATION OF THE RELATED STATUTE OF LIMITATIONS ON THOSE TAX RETURNS, WHICH, IN GENERAL, HAVE A THREE-YEAR STATUTE OF LIMITATIONS. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS FOR THE YEARS ENDED SEPTEMBER 30, 2016 THROUGH 2018 IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES AND HAS DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS REQUIRED TO BE DISCLOSED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT PROVISION 4,732,565.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT PROVISION 4,732,565.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
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        <RecipientBusinessName>
          <BusinessNameLine1Txt>ANGOON COMMUNITY ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 328</AddressLine1Txt>
          <CityNm>ANGOON</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99820</ZIPCd>
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        <IRCSectionDesc>TRIBAL GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILKAT INDIAN VILLAGE</BusinessNameLine1Txt>
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          <CityNm>HAINES</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
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        <IRCSectionDesc>TRIBAL GOVERNMENT</IRCSectionDesc>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>CHILKOOT INDIAN ASSOCIATION</BusinessNameLine1Txt>
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        <IRCSectionDesc>TRIBAL GOVERNMENT</IRCSectionDesc>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>CRAIG TRIBAL ASSOCIATION</BusinessNameLine1Txt>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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        <IRCSectionDesc>TRIBAL GOVERNMENT</IRCSectionDesc>
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        <IRCSectionDesc>TRIBAL GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CENTRAL COUNCIL OF THE TLINGIT AND HAIDA INDIAN TRIBES OF ALASKA</BusinessNameLine1Txt>
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        <IRCSectionDesc>TRIBAL GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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      <RecipientTable>
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        <IRCSectionDesc>TRIBAL GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>SITKANS AGAINST FAMILY VIOLENCE</BusinessNameLine1Txt>
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      <RecipientTable>
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      <RecipientTable>
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          <AddressLine1Txt>PO BOX 21989</AddressLine1Txt>
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          <StateAbbreviationCd>AK</StateAbbreviationCd>
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      <RecipientTable>
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          <AddressLine1Txt>PO BOX 794</AddressLine1Txt>
          <CityNm>WRANGELL</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99929</ZIPCd>
        </USAddress>
        <CashGrantAmt>7496</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION TO PURCHASE EQUIPMENT - ZOLL AUTOPULSE</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>19</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING FISCAL YEAR 2018, SEARHC PROVIDED ASSISTANCE TO MEMBER TRIBAL ORGANIZATIONS FOR THE PURPOSE OF FUNDING LOCAL HEALTH RELATED PROJECTS IN EACH COMMUNITY. TRIBAL ORGANIZATIONS WERE ASKED TO PROVIDE NARRATIVE REPORTS ON THE USE AND IMPACT OF THE FUNDING RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>0</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES CLEMENT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17222</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>848734</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL NEUMEISTER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>565391</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL HARRIS</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2462</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>273</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>302162</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL DOUGLAS</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>8171</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>294554</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEATHA MERCULIEFF</PersonNm>
        <TitleTxt>VP, EXECUTIVE ADMINISTRATION</TitleTxt>
        <BaseCompensationFilingOrgAmt>240612</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8894</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7617</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>257123</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID A BROWN</PersonNm>
        <TitleTxt>PHYSICIAN - ORTHOPEDIC</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>13054</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>5404</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>510783</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOREN E LAYBOURN</PersonNm>
        <TitleTxt>PHYSICIAN - RADIOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>458499</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17087</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>489086</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRENCE E BABB</PersonNm>
        <TitleTxt>PHYSICIAN - OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>354485</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19148</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>387133</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID J VASTOLA</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>332160</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>362320</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GRACE T HWANG</PersonNm>
        <TitleTxt>PHYSICIAN - FAMILY</TitleTxt>
        <BaseCompensationFilingOrgAmt>331514</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12531</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6761</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>350806</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTH CLUB MEMBERSHIP IS INCLUDED IN VICE PRESIDENTS EMPLOYMENT CONTRACTS AS HEALTH BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD OF DIRECTORS ONLY APPROVE COMPENSATION AND CHANGES FOR CEO/PRESIDENT. ALL OTHER VP COMPENSATION IS APPROVED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARLES CLEMENT - 108,879 DANIEL NEUMEISTER - 54,754 LEATHA MERCULIEF - 21,027 MICHAEL DOUGLAS - 12,021</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF KAKE ALASKA</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>920038151</BondIssuerEIN>
        <BondIssuedDt>2013-08-16</BondIssuedDt>
        <IssuePriceAmt>10000000</IssuePriceAmt>
        <PurposeDesc>TO REFUND PREVIOUS BOND &amp; OTHER DEBT AND FOR CONSTRUCTION AND NEW EQUIPMENT</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>4616184</RetiredAmt>
        <TotalProceedsAmt>10000000</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>41513</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>5314458</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>4644029</OtherSpentProceedsAmt>
        <CurrentRefundingInd>1</CurrentRefundingInd>
        <AdvanceRefundingInd>0</AdvanceRefundingInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>0</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>0</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEARHC'S FORM 990 WILL BE REVIEWED BY THE CHIEF FINANCIAL OFFICER PRIOR TO FILING. A COPY WILL BE PROVIDED TO THE BOARD AT THEIR NEXT REGULAR MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, 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, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>SEARHC USES AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL SURVEY COMPARING JOBS/POSITIONS TO THOSE IN THE MARKET IN 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>SEARHC MAKES ITS FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, 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, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENT CARE AND ANCILLARY SERVICE CONTRACTS FOR DIRECT PATIENT CARE: PROGRAM SERVICE EXPENSES 4,923,171. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,923,171. HOSPITAL &amp; CLINC ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 135,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,376. BILLING/CODING AND OTHER SUPPORT MANAGEMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,115,770. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,115,770. SUPPORT MGMT &amp; TECHNOLOGY SYSTEMS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,864,145. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,864,145.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THIS FILING PERIOD THERE WERE NO CHANGES TO EITHER AUDIT OVERSIGHT OR SELECTION PROCESSES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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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>SECURE CHARITABLE FUNDS FOR PROVIDING HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AK</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SITKA PHYSICAL THERAPY</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3100 CHANNEL DRIVE STE 300</AddressLine1Txt>
          <CityNm>JUNEAU</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99801</ZIPCd>
        </USAddress>
        <EIN>920171508</EIN>
        <PrimaryActivitiesTxt>PHYSICAL THERAPY SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AK</LegalDomicileStateCd>
        <EntityTypeTxt>S</EntityTypeTxt>
        <ShareOfEOYAssetsAmt>52086</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>SITKA PHYSICAL THERAPY</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>R</TransactionTypeTxt>
        <InvolvedAmt>710000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>NEGOTIATED PURCHASE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>