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        <ReportableCompFromOrgAmt>137963</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29486</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAYENNA HEATHER</PersonNm>
        <TitleTxt>1ST VICE CHA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>86700</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HARDY MATILDA</PersonNm>
        <TitleTxt>2ND VICE CHA</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>41600</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NINGEULOOK MOLLY</PersonNm>
        <TitleTxt>EXECUTIVE ME</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>39750</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OKBOAK SARAH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>39000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES MARY D</PersonNm>
        <TitleTxt>BOARD TREASU</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>37500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MURRAY FREDERICK</PersonNm>
        <TitleTxt>EXECUTIVE ME</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>37500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAKARUK ANGELA MENADELOOK</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>37050</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SOUTHALL FRIEDA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>37000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILSON BERDA</PersonNm>
        <TitleTxt>BOARD SECRET</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>36150</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEYES JOANNE</PersonNm>
        <TitleTxt>EXECUTIVE ME</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>36000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FITKA ALICE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>34500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BAHNKE KEVIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>34500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROOKOK PRESTON</PersonNm>
        <TitleTxt>EXECUTIVE ME</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>34500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>UNGWILLUK JR RODNEY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>34500</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BROWN CHARLIE</PersonNm>
        <TitleTxt>EXECUTIVE ME</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>33050</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEITH ROBERT</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>33000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OTTON ROSEMARY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>33000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMAKTOOLIK WILMA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>25000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE RUDOLPH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>12001</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHNSON ELIZABETH</PersonNm>
        <TitleTxt>BOARD TREASU</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>9550</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NASHOANAK SR MORRIS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>6000</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ABOWALUK CAROL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAYMOND JARED</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KOKEOK NANCY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>OZENNA REBECCA</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>7165368</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>624971</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>358</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CORNERSTONE GENERAL CONTRACTORS INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1049 W 5TH AVE STE 200</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99501</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GEN CONTRACTOR</ServicesDesc>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PAUG-VIK DEVELOPMENT CORP</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6250 TUTTLE PLACE STE 5</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99507</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GEN CONTRACTOR</ServicesDesc>
        <CompensationAmt>5045271</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>WILDERNESS MEDICAL STAFFING INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 30729</AddressLine1Txt>
            <CityNm>SPOKANE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99223</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>4464393</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MAX LUKEN MEDICAL LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5210</AddressLine1Txt>
            <CityNm>GRAND FORKS</CityNm>
            <StateAbbreviationCd>ND</StateAbbreviationCd>
            <ZIPCd>58206</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING AGENCY</ServicesDesc>
        <CompensationAmt>2969450</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>H CONSTRUCTION LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15581 E TEELING CIRCLE</AddressLine1Txt>
            <CityNm>PALMER</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99645</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>GEN CONTRACTOR</ServicesDesc>
        <CompensationAmt>1794455</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>24</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>133262627</GovernmentGrantsAmt>
      <TotalContributionsAmt>133262627</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>115658869</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>115658869</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>115658869</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>14105391</TotalRevenueColumnAmt>
        <ExclusionAmt>14105391</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>1088620</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>1088620</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>1088620</TotalRevenueColumnAmt>
        <ExclusionAmt>1088620</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>600615884</SecuritiesAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>600404543</SecuritiesAmt>
        <OtherAmt>101974</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>211341</SecuritiesAmt>
        <OtherAmt>-101974</OtherAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>109367</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>-101974</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>211341</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <OtherRevenueMiscGrp>
        <Desc>LEGAL SETTLEMENT</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>20300000</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>20300000</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>DIETARY</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>1048316</TotalRevenueColumnAmt>
        <ExclusionAmt>1048316</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REFUNDS</Desc>
        <BusinessCd>622110</BusinessCd>
        <TotalRevenueColumnAmt>218532</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>218532</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>21566848</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>285791722</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>136075427</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>16453668</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>555500</TotalAmt>
        <ProgramServicesAmt>555500</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>629868</TotalAmt>
        <ProgramServicesAmt>629868</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>5629113</TotalAmt>
        <ManagementAndGeneralAmt>5629113</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>102224735</TotalAmt>
        <ProgramServicesAmt>90462375</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11762360</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>4420770</TotalAmt>
        <ProgramServicesAmt>3504223</ProgramServicesAmt>
        <ManagementAndGeneralAmt>916547</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>15182658</TotalAmt>
        <ProgramServicesAmt>12486569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2696089</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>7583253</TotalAmt>
        <ProgramServicesAmt>6333346</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1249907</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>773430</TotalAmt>
        <ManagementAndGeneralAmt>773430</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>453048</TotalAmt>
        <ManagementAndGeneralAmt>453048</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>155098</TotalAmt>
        <ManagementAndGeneralAmt>155098</ManagementAndGeneralAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>277959</TotalAmt>
        <ManagementAndGeneralAmt>277959</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>32953356</TotalAmt>
        <ProgramServicesAmt>31895053</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1058303</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>115077</TotalAmt>
        <ProgramServicesAmt>15054</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100023</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>3167271</TotalAmt>
        <ProgramServicesAmt>1718298</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1448973</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>3509312</TotalAmt>
        <ManagementAndGeneralAmt>3509312</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>8504550</TotalAmt>
        <ProgramServicesAmt>7909674</ProgramServicesAmt>
        <ManagementAndGeneralAmt>594876</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>15162504</TotalAmt>
        <ProgramServicesAmt>14470353</ProgramServicesAmt>
        <ManagementAndGeneralAmt>692151</ManagementAndGeneralAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>18058143</TotalAmt>
        <ProgramServicesAmt>13327657</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4730486</ManagementAndGeneralAmt>
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        <GrantTypeTxt>EDUCATIONAL SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>418</RecipientCnt>
        <CashGrantAmt>629868</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 1, PART I, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOLARSHIP PAYMENTS ARE ISSUED DIRECTLY TO THE EDUCATIONAL INSTITUTION ON BEHALF OF THE ELIGIBLE RECIPIENT. FOR SCHOLARSHIPS, RECIPIENTS MUST PROVIDE EVIDENCE OF SATISFACTORY COMPLETION OF COURSES AND MAINTAIN GPA'S AS MANDATED IN NORTON SOUND POLICY FOR SCHOLARSHIPS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PAGE 4, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>SCH I, PART III, LINE 1 (A): TYPE OF GRANT OR ASSISTANCE: FINANCIAL ASSISTANCE TO STUDENTS WHO ARE PURSUING HIGHER EDUCATION IN A HEALTH RELATED FIELD.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc6">
      <FirstClassOrCharterTravelInd>X</FirstClassOrCharterTravelInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK PETERSON</PersonNm>
        <TitleTxt>CHIEF MEDICAL STAFF</TitleTxt>
        <BaseCompensationFilingOrgAmt>861209</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28023</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>913382</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA GORN</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>672848</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26799</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>723797</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER BOLTON</PersonNm>
        <TitleTxt>CHIEF OPERATING OFR</TitleTxt>
        <BaseCompensationFilingOrgAmt>591535</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12562</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>628247</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LAKHBIR MADAHAR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>536162</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26646</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>586958</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TOBY CURRIN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>509545</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26654</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>560349</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN T KITCHENS</PersonNm>
        <TitleTxt>GENERAL COUNSEL</TitleTxt>
        <BaseCompensationFilingOrgAmt>483684</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>28951</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>536785</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY LEMAIRE</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>466649</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>24367</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>515166</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HUFF LOGAN</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>477595</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17582</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>12494</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>507671</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MORGAN HINES</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>458470</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7639</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>490259</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL PARDEE</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFR</TitleTxt>
        <BaseCompensationFilingOrgAmt>359483</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>24150</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26799</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>410432</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIRSTEN TIMBERS</PersonNm>
        <TitleTxt>VP COMMUNITY HEALTH</TitleTxt>
        <BaseCompensationFilingOrgAmt>307083</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>30500</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21164</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26678</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>385425</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES CROSS</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>280560</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19299</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26799</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>326658</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELLY BOGART</PersonNm>
        <TitleTxt>VICE PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>274231</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19025</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>26654</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>319910</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>HAUGEN ANTHONY</PersonNm>
        <TitleTxt>BOARD CHAIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>137963</BaseCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>29486</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>167449</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NORTON SOUND HEALTH CORPORATION OPERATES IN A VERY REMOTE PART OF ALASKA. AS A RESULT, THERE ARE TIMES WHERE NUMBEROUS MEMBERS TRAVEL TO THE SAME RURAL DESTINATION AND A CHARTER IS MORE COST EFFECTIVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>EVERY OTHER YEAR ADMINISTRATION CONDUCTS A MARKET RESEARCH TO COMPARE LIKE POSITIONS EMPLOYED BY NSCH WITH LIKE POSITONS EMPLOYED AT OHER HEALTH CARE FACILITIES WTIHIN THE STATE AND WITHIN THE REGION. EVERY OTHER YEAR, POSTITIONS MAY BENEFIT FROM A MARKET CHANGE TO ENSURE NSHC IS PAYING COMPETITVELY. POSITIONS ARE REVIEWED ONE-BY-ONE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc7">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HEATHER PAYENNA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>33000</TransactionAmt>
        <TransactionDesc>RENTAL LEASE PYMTS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>65 LLC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BRD MMBR FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>30500</TransactionAmt>
        <TransactionDesc>RENTAL LEASE PYMTS</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>HEATHER PAYENNA</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OFFICER FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>53700</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>KRISTEN TIMBERS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BRD MMBR FAMILY</RelationshipDescriptionTxt>
        <TransactionAmt>765356</TransactionAmt>
        <TransactionDesc>COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL DIVISION OF NORTON SOUND HEALTH CORPORATION (NSHC) INCLUDES A 18 BED ACUTE CARE HOSPITAL AND A 18 BED LONG-TERM CARE FACILITY THROUGH WHICH MEDICAL CARE IS PROVIDED TO THE RESIDENTS OF NOME AND 15 VILLAGES ON THE COAST AND ISLANDS OF THE BERING SEA. IN ADDITION TO INPATIENT/OUTPATIENT CARE, NSHC CONTINUES TO INCREASE ITS COMMITMENT TO PREVENTIVE HEALTH CARE BY SUPPORTING PROGRAMS THAT EMPHASIZE HEALTH AND FITNESS, INCLUDING OFFERING NUMEROUS SCREENING TESTS, DIET, EXERCISE AND FITNESS COUNSELING, AS WELL AS SCREENING PROCEDURES FOR COLON AND STOMACH CANCER, CARDIOVASCULAR AND DIABETES HEALTH RISKS. QUYANNA CARE CENTER - THE LONG TERM CARE FACILITY, CONTINUES TO MAXIMIZE THE QUALITY OF LIFE FOR ITS RESIDENTS. STAFF MEMBERS STRIVE TO MAINTAIN A VERY HIGH LEVEL OF CARE BY ENSURING THAT PATIENT SAFETY AND QUALITY OF CARE COME FIRST. A HOME- LIKE ENVIRONMENT IS PROMOTED AND EMBRACED AND THE NATIVE CULTURE IS WOVEN INTO EVERY ASPECT OF CARE. NATIVE FOODS ARE PREPARED OFTEN THROUGH FAMILY AND COMMUNITY DONATIONS. CELEBRATIONS AND FAMILY GATHERINGS ARE PART OF EVERYDAY LIFE IN THE FACILITY. KEY HOSPITAL STATISTICS FOR FY25 INCLUDE: ADMISSIONS ACCUTE CARE: 754 LABOR &amp; DELIVERY: 82 SWING BED: 42 ER VISITS: 5,901 OUTPATIENTS: 12,491 DENTAL ENCOUNTERS: 4,635 SPECIALTY CLINIC: 1,240</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>NSHC'S REGIONAL HEALTH SERVICES PROVIDE A WIDE VARIETY OF HEALTH CARE, PROMOTION, SCREENING, AND PREVENTION PROGRAMS TO NOME AND 15 BERING SEA VILLAGES. SUCH PROGRAMS INCLUDE BUT ARE NOT LIMITED TO THE PROVISION OF HEALTH AIDES (CERTIFIED AND IN-TRAINING) AT EACH VILLAGE HEALTH CLINIC, A TRIBAL HEALER PROGRAM, INFANT LEARNING PROGRAMS, ENVIRONMENTAL HEALTH PROGRAM, HEALTHY STARTS AND OTHER SERVICES GEARED SPECIFICALLY TO WOMEN, INFANTS AND CHILDREN. KEY STATISTICS FOR FY25 INCLUDE: PATIENT VISITS IN VILLAGE CLINICS: 32,164 WIC CLIENT ENCOUNTERS ENVIRONMENTAL HEALTH TECH ASSISTANCE ANIMAL BITES/RABIES INVESTIGATIONS WATER QUALITY</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4C</FormAndLineReferenceDesc>
        <ExplanationTxt>NSHC'S BEHAVIORAL HEALTH SERVICES DIVISION PROVIDES OUTPATIENT INDIVIDUAL, COUPLE, FAMILY AND GROUP MENTAL HEALTH THERAPY, INTERACTIVE AND OBSERVATIONAL PLAY THERAPY AS WELL AS INDIVIDUAL, COUPLE, FAMILY AND GROUP SUBSTANCE ABUSE COUNSELING, SEXUAL ASSULT RESPONSE SERVICES AND ALCOHOL AND DRUG INFORMATION SCHOOL. IT ALSO PROVIDES PSYCHOLOGICAL AND NEUROPSYCHOLOGICAL TESTING, PSYCHIATRIC SERVICES INCLUDING MEDICATION ASSESSMENT AND EVALUATION, CASE MANAGEMENT AND REFERRAL SERVICES AND 24/7 CRISIS INTERVENTION IN THE EMERGENCY ROOM AND INPATIENT UNITS. BEHAVIORAL HEALTH SERVICES ARE DELIVERED IN THE VILLAGES THROUGH THE VILLAGE BASED COUNSELORS (VBC'S). BHS IS THE ONLY RURAL LOCATION IN THE STATE ACCREDITED BY THE AMERICAN PSYCHOLOGICAL ASSOCIATION WITH A PR-DOCTORAL INTERNSHIP PROGRAM. KEY STATISTICS FOR FY25 INCLUDE: BEHAVIORAL HEALTH VISITS: 5,606 TELEHEALTH PRIMARY CARE: 1,216</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>STATE &amp; FEDERAL GRANTS AND CONTRACTS WITH PATIENT REVENUE: ILP AND DVPI HAVE REVENUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HEATHER PAYENNA KIRSTEN TIMBERS BOARD MEMBER VP HEALTH SV SPOUSES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS REVIEWED BY THE CFO PRIOR TO FILING AND WILL BE PRESENTED AT A FULL BOARD MEETING AT A LATER DATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT (HR) PROVIDES EMPLOYEE EDUCATION ON OUR POLICIES ON THE EMPLOYEE'S FIRST DAY OF WORK. ALL CORPORATE POLICIES ARE APPROVED BY THE BOARD OF DIRECTORS AND ENFORCED/ MONITORED BY ADMINISTRATION AND HR STAFF. THEY ARE MONITORED BY INTERACTION WITH MANAGERS AND OTHER STAFF. ANY ISSUES THAT ARE IDENTIFIED ARE FORWARDED TO HR FOR INVESTIGATION AND FOLLOW UP.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>NSHC CONTRACTED WITH HR CONNECT IN 2016 (THIRD PARTY SALARY REVIEW AGENCY) TO COMPARE SALARIES FOR OUR EXECUTIVE LEVEL POSITIONS. ADDITIONALLY, TRI-ANNUALLY WE COMPARE OUR POSITIONS TO THAT OF THE ALASKA STATE HOSPITAL AND NURSING HOME ASSOCIATION (ASHNA) SALARY SURVEY; AND DOCUMENTATION OF PROCESS UNDERTAKEN. POSITIONS WERE BROUGHT WITHIN NINETY PERCENTILE OF BOTH HR CONNECTS RESULT AND ASHNA. THIS IS DONE WITH ALL POSITIONS COMPANY WIDE IN 2017 AND AGAIN IN 2020. MARKET PAY ANALYSIS - EVERY OTHER YEAR, ADMINISTRATION WILL CONDUCT MARKET RESEARCH TO COMPARE LIKE POSITIONS EMPLOYED BY NSHC WITH LIKE POSITIONS EMPLOYED AT OUR COMPETITOR HEALTH CARE FACILITIES WITHIN THE STATE AND WITHIN THE REGION. EVERY OTHER YEAR, POSITIONS MAY BENEFIT FROM A MARKET CHANGE TO ENSURE NSHC IS PAYING COMPETITIVELY. POSITIONS ARE REVIEWED ONE-BY-ONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>NSHC EMPLOYS THE SAME PROCESS AND SCHEDULE FOR ALL TOP OFFICIALS, OFFICERS AND KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>UPN REQUEST, THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>ARCHITECTURAL FEES 852,560 0 0 RADIOLOGY 1,622,053 0 0 MEDICAL FEES 25,562,782 0 0 ALL OTHER CONTRACTUAL SERVICE 3,857,658 1,058,303 0 TOTAL 31,895,053 1,058,303 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>ROUNDING -6</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>