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        <PersonNm>Nicole Cabrera</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Margie Coopchiak</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Betty Gardiner</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.0</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Linda Halverson</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Maryilyn Hansen</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mary Ann Johnson</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Marilyn Konukpeok</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Salley Martin</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Louise Ruby Murphy</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel Pingree Sr</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Victor Seybert</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shawn Shanigan</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Angel Sharp</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Norman Small</PersonNm>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kimberly Williams</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Robert Clark</PersonNm>
        <TitleTxt>President and CEO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.0</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>144170</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lecia Scotford</PersonNm>
        <TitleTxt>Executive VP and COO</TitleTxt>
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        <ReportableCompFromOrgAmt>330289</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>131816</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Hale</PersonNm>
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        <OtherCompensationAmt>67847</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Arnold Loera</PersonNm>
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        <OtherCompensationAmt>136479</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Casey Gokey</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Catherine Hyndman</PersonNm>
        <TitleTxt>Family Practice Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Mitchell Horan</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christina Tuomi</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel Tieva</PersonNm>
        <TitleTxt>Family Practice Physician</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Daniel O'Connell</PersonNm>
        <TitleTxt>Family Practice Physician</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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          <PersonNm>Roger Hickel Contracting Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11001 Calaska Circle</AddressLine1Txt>
            <CityNm>ANCHORAGE</CityNm>
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        </ContractorAddress>
        <ServicesDesc>Contractor</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Guardian Flight Inc</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>10888 S 300 W</AddressLine1Txt>
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            <StateAbbreviationCd>UT</StateAbbreviationCd>
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        </ContractorAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Burkhart Dental</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2502 S 78th St</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Hobbs Strauss Dean Walker</PersonNm>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>516 SE Morrison St No 1200</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
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        <ServicesDesc>Legal</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>Dar-Con Corporation</PersonNm>
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          <USAddress>
            <AddressLine1Txt>PO Box 141649</AddressLine1Txt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
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      <TotalProgramServiceRevenueAmt>28100924</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
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      <BenefitsToMembersGrp>
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        <ProgramServicesAmt>24227541</ProgramServicesAmt>
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        <ProgramServicesAmt>1651532</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>935509</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1639969</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>816791</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
        <TotalAmt>0</TotalAmt>
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      <FeesForServicesLobbyingGrp>
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        <ManagementAndGeneralAmt>149756</ManagementAndGeneralAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>12236</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>110930</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>425429</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel Tieva</PersonNm>
        <TitleTxt>Family Practice Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>298596</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10748</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>109585</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>418929</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Daniel O'Connell</PersonNm>
        <TitleTxt>Family Practice Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>291071</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>11209</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>106823</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>409103</TotalCompensationFilingOrgAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, SCHEDULE J, PART 1, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HOUSING ALLOWANCE TO OUR CEO OF $4,200 YEAR. NO PAYMENT FOR BUSINESS USE OF PERSONAL RESIDENCE. NO DISCRETIONARY SPENDING ACCOUNT. NO TAX INDEMNIFICATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Dolly Togiak</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Sister of Board Member</RelationshipDescriptionTxt>
        <TransactionAmt>42708</TransactionAmt>
        <TransactionDesc>Payroll Earnings</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Bert Johnson</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Son of Board Member</RelationshipDescriptionTxt>
        <TransactionAmt>51703</TransactionAmt>
        <TransactionDesc>Payroll Earnings</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Carol Nicoli</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Sister of Board Member</RelationshipDescriptionTxt>
        <TransactionAmt>89603</TransactionAmt>
        <TransactionDesc>Payroll Earnings</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Evelyn Olson</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Daughter of Board Member</RelationshipDescriptionTxt>
        <TransactionAmt>139279</TransactionAmt>
        <TransactionDesc>Payroll Earnings</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Kane Olson</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>In Law of Board Member</RelationshipDescriptionTxt>
        <TransactionAmt>178170</TransactionAmt>
        <TransactionDesc>Payroll Earnings</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>Brantt Williams</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Brother of Board Member</RelationshipDescriptionTxt>
        <TransactionAmt>83427</TransactionAmt>
        <TransactionDesc>Payroll Earnings</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIRECTOR MARY ANN JOHNSON IS THE SISTER-IN-LAW OF DIRECTOR NICK JOHNSON.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11:</FormAndLineReferenceDesc>
        <ExplanationTxt>MANAGEMENT REVIEWS THE 990 FOR ACCURACY AND DISCUSSES ALL FORMS WITH THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS TRAINED YEARLY FOR 990 UPDATES AND REVIEWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>BBAHC CONDUCTS TRAINING IN CONFLICT OF INTEREST AND IF ANYONE REPORTS A CONFLICT, OR WE DISCOVER A CONFLICT, WE INVESTIGATE AND TAKE ACTION AS APPROPRIATE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION COMMITTEE OF THE BOARD REVIEWS THE CEOS PERFORMANCE AND SETS A COMPENSATION BASED ON THEIR REVIEW. THE CEO THEN PASSES THE COMPENSATION INCREASE ON TO THE COO AND CFO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE ON THE INTERNET AND PROVIDED UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>