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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES PHILLIPS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAWRENCE WIDMARK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>3720</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES CLEMENT</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>555979</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27801</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PRAVEEN MEKALA</PersonNm>
        <TitleTxt>VP &amp; CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA SEARLS</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20776</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL NEUMEISTER</PersonNm>
        <TitleTxt>CHIEF OPERATING OFFICER</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>282871</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>20086</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL DOUGLAS</PersonNm>
        <TitleTxt>CHIEF LEGAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>174986</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9274</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT CROCHELT</PersonNm>
        <TitleTxt>PHYSICIAN SURGEON</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>333475</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18134</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN PATTERSON</PersonNm>
        <TitleTxt>PHYSICIAN ANESTHESIOLOGY</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>329098</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>27439</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA SMITH</PersonNm>
        <TitleTxt>PHYSICIAN SURGEON</TitleTxt>
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        <ReportableCompFromOrgAmt>308111</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19297</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JERRY AINSWORTH</PersonNm>
        <TitleTxt>PHYSICIAN SURGEON</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>300058</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>15532</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICE HEATON-SHEUFELT</PersonNm>
        <TitleTxt>PHYSICIAN SURGEON</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>276463</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>18964</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>2912915</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>177303</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>94</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMFORCE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6475 SUGARLOAF PARKWAY</AddressLine1Txt>
            <CityNm>DULUTH</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30097</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>CODING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>XTEND HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>500 WEST MAIN STREET SUITE 14</AddressLine1Txt>
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            <ZIPCd>37075</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PAYMENT POSTING/BILLING</ServicesDesc>
        <CompensationAmt>558136</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WILDERNESS MEDICAL STAFFING</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 616</AddressLine1Txt>
            <CityNm>HOMER</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
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          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL LOCUM PROVIDERS</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BE SMITH</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT 300 PO BOX 219241</AddressLine1Txt>
            <CityNm>KANSAS CITY</CityNm>
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            <ZIPCd>64121</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>PLACEMENT/CONSULTING SERVICES</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>INTEGRATED HEALTHCARE STRATEGIES</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT 41173 PO BOX 650823</AddressLine1Txt>
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          </USAddress>
        </ContractorAddress>
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      <GovernmentGrantsAmt>77341611</GovernmentGrantsAmt>
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        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>40452131</RelatedOrExemptFuncIncomeAmt>
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        <ExclusionAmt>72714</ExclusionAmt>
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        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>1000000</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>LITEHOUSE/FOOD SERVICE</Desc>
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        <RelatedOrExemptFuncIncomeAmt>187813</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>SITKA MEDICAL CENTER</Desc>
        <BusinessCd>624100</BusinessCd>
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        <UnrelatedBusinessRevenueAmt>5271</UnrelatedBusinessRevenueAmt>
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      <MiscellaneousRevenueGrp>
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        <RelatedOrExemptFuncIncomeAmt>266953</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <UnrelatedBusinessRevenueAmt>5271</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>549733</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
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        <ManagementAndGeneralAmt>1825847</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>200449</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>28723</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>172183</ProgramServicesAmt>
        <ManagementAndGeneralAmt>367590</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>296032</ProgramServicesAmt>
        <ManagementAndGeneralAmt>873811</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>12807</ProgramServicesAmt>
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        <ProgramServicesAmt>356714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1571506</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>6398965</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1516679</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>25122</ProgramServicesAmt>
        <ManagementAndGeneralAmt>56551</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>2944</ProgramServicesAmt>
        <ManagementAndGeneralAmt>301059</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>3580070</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>489717</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <ManagementAndGeneralAmt>3584165</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>566034</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
        <ProgramServicesAmt>26997411</ProgramServicesAmt>
        <ManagementAndGeneralAmt>-26997411</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>100286350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11806819</ManagementAndGeneralAmt>
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        <EOYAmt>8819561</EOYAmt>
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        <EOYAmt>5316921</EOYAmt>
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        <EOYAmt>53236454</EOYAmt>
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        <EOYAmt>1999080</EOYAmt>
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        <EOYAmt>125466221</EOYAmt>
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        <EOYAmt>27577311</EOYAmt>
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      <FSAuditedInd>1</FSAuditedInd>
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      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>65732992</CurrentTaxYearMinus2YearsAmt>
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        <ExplanationTxt>PATIENT CARE AND ANCILLARY SERVICE CONTRACTS FOR DIRECT PATIENT CARE: PROGRAM SERVICE EXPENSES 9,091,856. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,091,856. PROFESSIONAL SERVICE CONTRACTS TO SUPPORT MANAGEMENT AND TECHNOLOGY SYSTEM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,001,948. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,001,948.</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>3245 HOSPITAL DRIVE</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>
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        <PublicCharityStatusTxt>509(A)(3)</PublicCharityStatusTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>SITKA MEDICAL CENTER</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3245 HOSPITAL DRIVE</AddressLine1Txt>
          <CityNm>JUNEAU</CityNm>
          <StateAbbreviationCd>AK</StateAbbreviationCd>
          <ZIPCd>99801</ZIPCd>
        </USAddress>
        <EIN>920143882</EIN>
        <PrimaryActivitiesTxt>MEDICAL CLINIC</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>AK</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>SOUTHEAST ALASKA REGIONAL HEALTH CORP</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>S</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>64817</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>484250</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <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>85305</InvolvedAmt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>