In Southeast Alaska, Southeast Alaska Regional Health Consortium,  runs healthcare facilities across 27 communities as of 2022, including hospitals in Sitka and Wrangell; although it originally served Native Americans only, it has expanded access and combined with other local facilities over time.
ɪn sˈaʊθiːst ɐlˈæskə, sˈaʊθiːst ɐlˈæskɚ ɹˈiːdʒənəl hˈɛlθ kənsˈɔːɹɾiəm,  ɹˈʌnz hˈɛlθkɛɹ fəsˈɪlᵻɾiz əkɹˌɑːs twˈɛnti sˈɛvən kəmjˈuːnᵻɾiz æz ʌv tˈuː θˈaʊzənd twˈɛnti tˈuː, ɪŋklˈuːdɪŋ hˈɑːspɪɾəlz ɪn sˈɪtkə ænd ɹˈeɪndʒɛl; ɔːlðˈoʊ ɪɾ ɚɹˈɪdʒɪnəli sˈɜːvd nˈeɪɾɪv ɐmˈɛɹɪkənz ˈoʊnli, ɪt hɐz ɛkspˈændᵻd ˈæksɛs ænd kəmbˈaɪnd wɪð ˈʌðɚ lˈoʊkəl fəsˈɪlᵻɾiz ˌoʊvɚ tˈaɪm.