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        <CurrentTaxYearMinus1YearAmt>12066460</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearMinus3YearsAmt>5458345</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearAmt>6518651</CurrentTaxYearAmt>
        <TotalAmt>36349293</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>0</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>36349293</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>72293</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>54965</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>94669</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>121401</CurrentTaxYearAmt>
        <TotalAmt>418223</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <UnrelatedBusinessNetIncm170Grp>
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      </UnrelatedBusinessNetIncm170Grp>
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      </OtherIncome170Grp>
      <TotalSupportAmt>36767516</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>54721442</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98862</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.99070</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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    <IRS990ScheduleB documentId="IRS990ScheduleB">
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        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
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        <BookValueAmt>4527449</BookValueAmt>
      </LandGrp>
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      <LeaseholdImprovementsGrp />
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        <BookValueAmt>1439128</BookValueAmt>
      </EquipmentGrp>
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        <DepreciationAmt>328797</DepreciationAmt>
        <BookValueAmt>100335</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>22502559</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>27897081</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>218685</NetUnrealizedGainsInvstAmt>
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      <RevenueSubtotalAmt>27593738</RevenueSubtotalAmt>
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      <RevenueNotReportedFinclStmtAmt>-4296635</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>23297103</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>30047427</TotExpnsEtcAuditedFinclStmtAmt>
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      <ExpensesNotRptFinclStmtAmt>17630</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART X, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>UNCERTAIN TAX POSITION: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 102,288 NET ASSETS RELEASED FROM RESTRICTIONS (17,630) INVESTMENT MANAGEMENT FEES ------------ $ 84,658</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XI, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 18,857) LOSS ON DISPOSAL OF ASSETS (4,442,778) PHARMACY COST OF GOODS SOLD 165,000 RESTRICTED CONTRIBUTIONS ------------ $(4,296,635)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 18,857 LOSS ON DISPOSAL OF ASSET 4,442,778 PHARMACY COST OF GOODS SOLD ------------ $ 4,461,635</ExplanationTxt>
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    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <TitleTxt>CHIEF DENTAL OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <PersonNm>RACHEL SAMUELSON</PersonNm>
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        <DeferredCompensationFlngOrgAmt>8009</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>35774</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>223531</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>9263</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>13611</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>252313</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>12078</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>323068</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>1290</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>193292</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>132191</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <ExplanationTxt>NONFIXED PAYMENTS: INDIVIDUALS RECEIVING BONUS COMPENSATION ON PART II OF SCHEDULE J ARE ELIGIBLE TO RECEIVE THESE PAYMENTS BASED ON ACTIVITY OR ACHIEVEMENT FOR ADDITIONAL DUTIES OR MEETING A SET GOAL. INDIVIDUALS RECEIVING INCENTIVE COMPENSATION ON PART II OF SCHEDULE J ARE ELIGIBLE TO RECEIVE THESE PAYMENTS IF THEY ARE AN OB PROVIDER AND EXCEED THE SET GOALS RELATED TO OB RELATED ACTIVITIES.</ExplanationTxt>
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    </IRS990ScheduleJ>
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      <ArtFractionalInterestGrp />
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      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
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      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>8</ContributionCnt>
        <NoncashContributionsRptF990Amt>1112</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>12</ContributionCnt>
        <NoncashContributionsRptF990Amt>113281</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <TaxidermyGrp />
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      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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        <FormAndLineReferenceDesc>SCHEDULE M, PART 1, COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>NUMBER OF CONTRIBUTIONS OR ITEMS CONTRIBUTED: THIS AMOUNT IS BASED ON THE NUMBER OF CONTRIBUTIONS.</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER REVIEW THE ENTIRE 990 IN DRAFT FORM. THE FORM 990 IS PRESENTED TO THE BOARD FINANCE COMMITTEE FOR REVIEW BEFORE FINALIZATION. ANY CHANGES ARE DISCUSSED AND INCORPORATED INTO THE FINAL RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST POLICY: OFFICERS, DIRECTORS, OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANNUALLY CONFLICTS OF INTEREST EACH YEAR IN OCTOBER. SENIOR LEVEL MANAGEMENT REGULARLY MONITORS CONTRACTS FOR AFFILIATIONS THAT MAY POSE A CONFLICT THROUGHOUT THE YEAR. CONFLICTS ARE DECLARED EITHER ANNUALLY VOLUNTARILY OR THROUGHOUT THE YEAR BY CONTRACT REVIEW WHERE IT IS POSSIBLE OR PROBABLE A CONFLICT MAY ARISE FROM A MEMBER OF THE BOARD OR KEY EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A &amp; 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION DETERMINATION: COMPENSATION PROCESS FOR THE CHIEF EXECUTIVE OFFICER'S SALARY IS DETERMINED BY THE INDEPENDENT BOARD OF DIRECTORS WHICH RELIES ON THE HUMAN RESOURCE DEPARTMENT'S COMPENSATION RANGE METHODOLOGY SUPPORTED BY INDEPENDENT SOURCES. THE MOST RECENT COMPENSATION REVIEW WAS IN 2023. COMPENSATION PROCESS FOR OFFICERS OR KEY EMPLOYEES' SALARIES ARE DETERMINED BY WAGE STUDIES PERFORMED BY INDEPENDENT SOURCES IN COLLABORATION WITH THE HUMAN RESOURCES DEPARTMENT. THE MOST RECENT COMPENSATION REVIEW WAS IN 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENT AVAILABILITY: CERTAIN ASPECTS OF THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS OF ANCHORAGE NEIGHBORHOOD HEALTH CENTER ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
