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      <OtherActivities>0</OtherActivities>
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        <Identifier>EXPLANATION OF LOBBYING ACTIVITIES:</Identifier>
        <ReturnReference>PART II-B, LINE 1:</ReturnReference>
        <Explanation>LOBBYING ACTIVITIES INCLUDE: ADVOCACY ON STATE BUDGET AND HEALTH CARE MATTERS; INDIAN HEALTH SERVICE CONTRACT SUPPORT FUNDING; FEDERAL BUDGET SEQUESTRATION; AND TRIBAL HEALTH CARE MATTERS.</Explanation>
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        <BookValue>1333368</BookValue>
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        <Depreciation>18578353</Depreciation>
        <BookValue>40397912</BookValue>
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        <Depreciation>13363161</Depreciation>
        <BookValue>4151006</BookValue>
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        <BookValue>3268307</BookValue>
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        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X, LINE 2:</ReturnReference>
        <Explanation>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 STATUTES OF LIMITATIONS ON THOSE TAX RETURNS, WHICH, IN GENERAL, HAVE A THREE-YEAR STATUTE OF LIMITATIONS. MANAGEMENT HAS EVALUATED ITS TAX POSITIONS FOR YEARS ENDED SEPTEMBER 30, 2011 THROUGH 2013 IN CONFORMITY WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES AND HAS DETERMINED IT HAS NO UNCERTAIN TAX POSITIONS REQUIRED TO BE DISCLOSED.</Explanation>
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        <Title>PRESIDENT</Title>
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        <NamePerson>MATTHEW IONE</NamePerson>
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      <Form990ScheduleJPartII>
        <NamePerson>G TRUITT</NamePerson>
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        <NamePerson>HENRY GRASMEDER</NamePerson>
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        <TotalCompensationFilingOrg>303068</TotalCompensationFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM BEUTEL</NamePerson>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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        <NamePerson>ROBERT CROCHELT</NamePerson>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>ANN PATTERSON</NamePerson>
        <Title>PHYSICIAN ANESTHESIOLOGY</Title>
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        <BonusFilingOrg>0</BonusFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      <Form990ScheduleJPartII>
        <NamePerson>DONNA SMITH</NamePerson>
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        <BaseCompensationFilingOrg>292565</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>JERRY AINSWORTH</NamePerson>
        <Title>PHYSICIAN SURGEON</Title>
        <BaseCompensationFilingOrg>274000</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>12500</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>4047</NontaxableBenefitsFilingOrg>
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        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
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      <Form990ScheduleJPartIII>
        <ReturnReference>PART I, LINE 4A</ReturnReference>
        <Explanation>SEVERANCE PAYMENT - G.TRUITT, GENERAL COUNSEL, $41,995 SEVERANCE PAYMENT - BRENDA PARNELL, CFO, $12,000</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
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      <Form990ScheduleKPartI>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1>CITY OF KAKE ALASKA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>920038151</IssuerEIN>
        <DateIssued>2013-08-16</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>SCHEDULE 2, MASTER FINANCE AGREEMENT</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
        <PoolFinancing>0</PoolFinancing>
      </Form990ScheduleKPartI>
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        <BondReferenceCd>A</BondReferenceCd>
        <AmountRetired>4785398</AmountRetired>
        <TotalProceeds>10000000</TotalProceeds>
        <AmountUnspent>5310000</AmountUnspent>
        <CurrentRefunding>1</CurrentRefunding>
        <AdvanceRefunding>0</AdvanceRefunding>
        <FinalAllocationMade>1</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>1</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartVI>
        <Identifier>FORM 990, SCHEDULE K, PART I, COLUMN F</Identifier>
        <Explanation>PURPOSE OF BOND ISSUE: 1) REFUND A PRIOR ISSUE DATED SEPTEMBER 1, 2001 2) REFUND A PRIOR ISSUE DATED SEPTEMBER 1, 2008 3) FINANCE CAPITAL IMPROVEMENTS</Explanation>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <RealEstateCommercial>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>999468</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FAIR MARKET</MethodOfDeterminingRevenues>
      </RealEstateCommercial>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>0</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>EXPLANATION FOR NOT FILING FORM 990-T</Identifier>
        <ReturnReference>FORM 990, PART V, LINE 3B</ReturnReference>
        <Explanation>ORGANIZATION ACQUIRED AN S-CORPORATION SUBSIDARY DURING THIS FILING PERIOD AND HAS RECORDED BOOK INCOME FOR THAT SUBSIDARY. THE SUBSIDARY'S FISCAL YEAR HAS NOT ENDED WITH OR WITHIN THE FILING ORGANIZATIONS' FISCAL YEAR THEREFORE SUBSIDARY'S FORM K-1 WAS UNAVAILABLE FOR COMPLETION OF 990-T.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>THE ORGANIZATION'S COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING AND ENFORCING THE CONFLICT OF INTEREST POLICY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>SEARHC USES AN INDEPENDENT CONSULTANT TO CONDUCT AN ANNUAL SURVEY COMPARING JOBS/POSITIONS TO THOSE IN THE MARKET.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 18</ReturnReference>
        <Explanation>SEARHC MAKES ITS FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>NO DOCUMENTS AVAILABLE TO THE PUBLIC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>MEDICAL/LAB PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,410,648. MANAGEMENT AND GENERAL EXPENSES 14,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,425,048. ALL OTHER CONTRACTUAL: PROGRAM SERVICE EXPENSES 4,066,805. MANAGEMENT AND GENERAL EXPENSES 4,512,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,579,402.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>DURING THIS FILING PERIOD THERE WERE NO CHANGES TO EITHER AUDIT OVERSIGHT OR SELECTION PROCESSES.</Explanation>
      </GeneralExplanation>
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          <BusinessNameLine1>HEALING HAND FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3245 HOSPITAL DRIVE</AddressLine1>
          <City>JUNEAU</City>
          <State>AK</State>
          <ZIPCode>99801</ZIPCode>
        </AddressUS>
        <EIN>920177320</EIN>
        <PrimaryActivities>SECURE CHARITABLE FUNDS FOR PROVIDING HEALTH CARE</PrimaryActivities>
        <LegalDomicileState>AK</LegalDomicileState>
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        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
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      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>SITKA MEDICAL CLINIC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>700 KATLIAN STREET SUITE E</AddressLine1>
          <City>SITKA</City>
          <State>AK</State>
          <ZIPCode>99835</ZIPCode>
        </AddressUS>
        <EIN>920143882</EIN>
        <PrimaryActivity>MEDICAL CLINIC</PrimaryActivity>
        <LegalDomicileState>AK</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SOUTHEAST ALASKA REGIONAL HEALTH CORP</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>S</TypeOfEntity>
        <ShareOfEOYAssets>538615</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
        <ControlledOrg>1</ControlledOrg>
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      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
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      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
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      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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