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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK OLSEN JR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>3045</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>BUSTER SHEPPARD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>240</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE WIDMARK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>2760</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES CLEMENT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>720134</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28878</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PRAVEEN MEKALA</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>352773</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20464</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL NEUMEISTER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>395572</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20697</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DOUGLAS</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>212517</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15946</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEATHA MERCULIEFF</PersonNm>
        <TitleTxt>VP/EXECUTIVE ADMINISTRATIO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>185295</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13396</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL HARRIS</PersonNm>
        <TitleTxt>INTERIM CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN A LANG</PersonNm>
        <TitleTxt>PHYSICIAN - GENERAL SURGEON</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>464766</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13514</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOREN ELAYBOURN</PersonNm>
        <TitleTxt>PHYSICIAN - RADIOLOGIST</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>444005</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>28811</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRENCE E BABB</PersonNm>
        <TitleTxt>PHYSICIAN - OB/GYN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>442765</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>30597</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA L MCPHERSON</PersonNm>
        <TitleTxt>PHYSICIAN - GENERAL SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>349117</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22474</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY Z AINSWORTH</PersonNm>
        <TitleTxt>PHYSICIAN - ENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>329938</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17273</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>3962759</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>212050</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>10</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RECEIVABLES OUTSOURCING LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1920 GREENSPRING DR SUITE 200</AddressLine1Txt>
            <CityNm>TIMONIUM</CityNm>
            <StateAbbreviationCd>MD</StateAbbreviationCd>
            <ZIPCd>21093</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PAYMENT POSTING/BILLING</ServicesDesc>
        <CompensationAmt>1321795</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>3 FOLD COMMUNICATIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2031 K STREET</AddressLine1Txt>
            <CityNm>SACRAMENTO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95811</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MARKETING/COMMUNITY OUTREACH SERVICES</ServicesDesc>
        <CompensationAmt>1195172</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALTEGRA HEALTH</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 572490</AddressLine1Txt>
            <CityNm>MURRAY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84157</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CHARGE CODING SERVICES</ServicesDesc>
        <CompensationAmt>694297</CompensationAmt>
      </ContractorCompensationGrp>
      <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>PAYMENT POSTING/BILLING</ServicesDesc>
        <CompensationAmt>643193</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>K2 VENTURES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 317</AddressLine1Txt>
            <CityNm>ISSAQUAH</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98027</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ACCTG SYSTEM DESIGN AND REIMPLEMENTATION</ServicesDesc>
        <CompensationAmt>509427</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>79805200</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>15016270</AllOtherContributionsAmt>
      <NoncashContributionsAmt>7423432</NoncashContributionsAmt>
      <TotalContributionsAmt>94821470</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>87499035</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>87499035</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>87499035</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1061565</TotalRevenueColumnAmt>
        <ExclusionAmt>1061565</ExclusionAmt>
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      <GrossRentsGrp>
        <RealAmt>111118</RealAmt>
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      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
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      <RentalIncomeOrLossGrp>
        <RealAmt>111118</RealAmt>
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      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>111118</TotalRevenueColumnAmt>
        <ExclusionAmt>111118</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
        <OtherAmt>49340</OtherAmt>
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      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>3848</OtherAmt>
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      <GainOrLossGrp>
        <OtherAmt>45492</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>45492</TotalRevenueColumnAmt>
        <ExclusionAmt>45492</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>ALL OTHER REVENUES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>1119900</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1119900</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>LITEHOUSE/FOOD SERVICE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>88061</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>88061</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueTotalAmt>1207961</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>184746641</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>88706996</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>1218175</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>750000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2393275</TotalAmt>
        <ManagementAndGeneralAmt>2393275</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>50342787</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17758455</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1449162</ProgramServicesAmt>
        <ManagementAndGeneralAmt>604744</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
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        <ProgramServicesAmt>4381975</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1741532</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>3070100</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1141002</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>706</ProgramServicesAmt>
        <ManagementAndGeneralAmt>428288</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>4680</ProgramServicesAmt>
        <ManagementAndGeneralAmt>197038</ManagementAndGeneralAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>56960</ManagementAndGeneralAmt>
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      <FeesForSrvcInvstMgmntFeesGrp>
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        <ManagementAndGeneralAmt>175960</ManagementAndGeneralAmt>
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        <TotalAmt>14999182</TotalAmt>
        <ProgramServicesAmt>7451343</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7547839</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>110442</ProgramServicesAmt>
        <ManagementAndGeneralAmt>636056</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1225329</ProgramServicesAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>69629</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1925385</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>620209</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2426962</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>5455108</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2407180</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>129836</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>283745</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>5160505</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>724986</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>8135806</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>9464891</TotalAmt>
        <ManagementAndGeneralAmt>9464891</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>ALL OTHER EXPENSES</Desc>
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        <ProgramServicesAmt>565345</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1362409</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>310336</ProgramServicesAmt>
        <ManagementAndGeneralAmt>879649</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>117809252</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26670252</ManagementAndGeneralAmt>
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        <EOYAmt>30446483</EOYAmt>
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        <EOYAmt>7982063</EOYAmt>
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        <EOYAmt>5278424</EOYAmt>
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        <EOYAmt>1283531</EOYAmt>
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        <EOYAmt>3209749</EOYAmt>
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        <EOYAmt>39210262</EOYAmt>
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        <EOYAmt>2272563</EOYAmt>
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        <EOYAmt>181026273</EOYAmt>
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        <EOYAmt>18357778</EOYAmt>
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        <EOYAmt>1464292</EOYAmt>
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        <EOYAmt>6362705</EOYAmt>
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        <EOYAmt>2172828</EOYAmt>
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        <EOYAmt>28357603</EOYAmt>
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        <EOYAmt>152668670</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>152668670</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>181026273</EOYAmt>
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      <NetUnrlzdGainsLossesInvstAmt>2444004</NetUnrlzdGainsLossesInvstAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERALIZED FEES TO OUTSIDE LOBBYISTS FOR LOBBYING, GOVERNMENTAL RELATIONS, FEDERAL AND STATE BUDGETARY AND HEALTHCARE MATTERS.</ExplanationTxt>
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        <BookValueAmt>2624431</BookValueAmt>
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        <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. 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, 2015 THROUGH 2017 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 XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT PROVISION 9,464,891.</ExplanationTxt>
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      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ANGOON COMMUNITY ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 328</AddressLine1Txt>
          <CityNm>ANGOON</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99820</ZIPCd>
        </USAddress>
        <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>CHILKAT INDIAN VILLAGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <CityNm>HAINES</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
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        </USAddress>
        <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>CHILKOOT INDIAN ASSOCIATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO BOX 490</AddressLine1Txt>
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          <StateAbbreviationCd>AK</StateAbbreviationCd>
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        <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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          <CityNm>CRAIG</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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          <CityNm>JUNEAU</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
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        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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          <StateAbbreviationCd>AK</StateAbbreviationCd>
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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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          <CityNm>KAKE</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
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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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          <StateAbbreviationCd>AK</StateAbbreviationCd>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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          <CityNm>PETERSBURG</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
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        <CashGrantAmt>50000</CashGrantAmt>
        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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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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        <PurposeOfGrantTxt>HEATHLY IS HERE GRANT TO PROMOTE HEALTHY ACTIVITIES IN THE COMMUNITIES THAT SEARHC SERVES.</PurposeOfGrantTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL NEUMEISTER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>395572</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7447</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>416269</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL DOUGLAS</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8816</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7130</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>228463</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEATHA MERCULIEFF</PersonNm>
        <TitleTxt>VP/EXECUTIVE ADMINISTRATIO</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6732</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6664</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>198691</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN A LANG</PersonNm>
        <TitleTxt>PHYSICIAN - GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>464766</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13514</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>478280</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LOREN ELAYBOURN</PersonNm>
        <TitleTxt>PHYSICIAN - RADIOLOGIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>444005</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15561</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>472816</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRENCE E BABB</PersonNm>
        <TitleTxt>PHYSICIAN - OB/GYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>442765</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>17347</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>473362</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA L MCPHERSON</PersonNm>
        <TitleTxt>PHYSICIAN - GENERAL SURGEON</TitleTxt>
        <BaseCompensationFilingOrgAmt>349117</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10713</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>11761</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>371591</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JERRY Z AINSWORTH</PersonNm>
        <TitleTxt>PHYSICIAN - ENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>329938</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>13250</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>4023</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>347211</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, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRAVEEN MEKALA - 182,394 CHARLES CLEMENT - 86,442 DANIEL NEUMEISTER - 30,843</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <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>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>3637295</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>
      </TaxExemptBondsProceedsGrp>
      <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>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <RealEstateOtherGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>7218254</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR VALUE OF ASSETS</MethodOfDeterminingRevenuesTxt>
      </RealEstateOtherGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>INVENTORY</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>205178</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FAIR VALUE OF ASSETS</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>0</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>0</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE CURRENT REPORTING PERIOD ALASKA ISLAND COMMUNITY SERVICES, A HEALTH SERVICE NON-PROFIT ENTITY, MERGERED WITH SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (SEARHC) THEREBY ENHANCING THE SERVICES THAT SEARHC PROVIDES TO THE WRANGELL ALASKA COMMUNITY AND OTHER COMMUNITIES WITHIN SOUTHEAST ALASKA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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 3,705,345. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,705,345. HOSPITAL &amp; CLINC ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 3,745,998. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,745,998. BILLING/CODING AND OTHER SUPPORT MANAGEMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,547,839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,547,839.</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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      <IdRelatedTaxExemptOrgGrp>
        <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>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</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>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HEALING HAND FOUNDATION</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>85000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
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