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      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Cross Road Medical Center</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 5</AddressLine1Txt>
            <CityNm>Glenallen</CityNm>
            <StateAbbreviationCd>AK</StateAbbreviationCd>
            <ZIPCd>99588</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Providers</ServicesDesc>
        <CompensationAmt>132801</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Barton &amp; Associates</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 417844</AddressLine1Txt>
            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02241</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Contract labor</ServicesDesc>
        <CompensationAmt>199473</CompensationAmt>
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      <CntrctRcvdGreaterThan100KCnt>2</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>12574485</GovernmentGrantsAmt>
      <TotalContributionsAmt>12574485</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>346635</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>346635</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
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        <TotalRevenueColumnAmt>243264</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>243264</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>2810</ExclusionAmt>
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        <Desc>BIA Settlement</Desc>
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        <RelatedOrExemptFuncIncomeAmt>1118910</RelatedOrExemptFuncIncomeAmt>
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      <GrantsToDomesticIndividualsGrp>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <ReconcilationRevenueExpnssAmt>4131317</ReconcilationRevenueExpnssAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
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        <CurrentTaxYearMinus1YearAmt>430</CurrentTaxYearMinus1YearAmt>
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      <TotalLiabilityAmt>527988</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>14371359</TotalRevEtcAuditedFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part X : FIN48 Footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>CRNA qualifies as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code. CRNA is exempt from State income taxes under the Alaska Nonprofit Corporation act. Therefore, the accompanying statements do not reflect a provision for income taxes. Although CRNA is exempt from federal income taxes, any income derived from unrelated business activities is subject to the requirement of filing U.S. Federal Income Tax Form 990-T and a tax liability may be determined on these activities. CRNA had no income derived from unrelated business activities as of September 30, 2016. CRNA's policy is to report interest and penalties associated with income taxes as other expense. As of September 30, 2016 there were no uncertain tax positions or unrecognized tax benefits for which management believes it is reasonably possible that the total amounts of tax contingencies will significantly increase or decrease within 12 months of the reporting date. CRNA files tax returns in the US Federal Jurisdiction and the State of Alaska. As of 2016, the tax years that remain subject to examination begins with 2013.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Erick Torres-Sempret</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: Transport Service - Primary care medical funds that support healthier living environment and travel to medical centers. OTHER PROGRAM SERVICES 5: Facility and Environment - Federal funding and USDA loan funds support the demolition of the old clinic and environmental programs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 9: Officer, Director, Trustee, Key Employee Mailing Address</FormAndLineReferenceDesc>
        <ExplanationTxt>Jerry Isaac P.O. Box 272 Copper Center, AK 99573</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared by a CPA and reviewed by the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Annually at elections.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Review by the board of directors for the CEO position. Comparative evaluation conducted utilizing the State of Alaska Department of Labor published salary survey results, local agency wages and the state wide provider wage scale. Evaluation was conducted individually, discussion and decision was held as a group.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Review by the board of directors. Comparative evaluation conducted utilizing the State of Alaska Department of Labor published salary survey results, local agency wages and the state wide provider wage scale. Evaluation was conducted individually, discussion and decision was held as a group.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Select governing documents are made available on the Organization's website. All organizational documents are available for review upon formal request at the main office.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>