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        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LADEDRIA GRIFFIN-STALLWORTH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JILL LOWRY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE PARKER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALMA PRICE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH RUSTISON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3297843</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>259641</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>95</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NEXTGEN HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 511449</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>90051</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EHR SERVICES</ServicesDesc>
        <CompensationAmt>994188</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PRO CALL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5013 PACIFIC HWY E 19</AddressLine1Txt>
            <CityNm>FIFE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98424</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CALL CENTER</ServicesDesc>
        <CompensationAmt>697115</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>NUWEST GROUP HOLDINGS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>325 118TH AVE SE 300</AddressLine1Txt>
            <CityNm>BELLEVUE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98005</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING</ServicesDesc>
        <CompensationAmt>658143</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MARROTT ENTERPRISES INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>4493 RUSSELD RD F</AddressLine1Txt>
            <CityNm>MUKILTEO</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98275</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>EQUIP. REPAIRS</ServicesDesc>
        <CompensationAmt>576655</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <PersonNm>MILLER HAYASHI</PersonNm>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>118 N 35TH ST STE 200</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98103</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ARCHITECTURAL</ServicesDesc>
        <CompensationAmt>557036</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>26</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>38536</FundraisingAmt>
      <GovernmentGrantsAmt>13825618</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>636541</AllOtherContributionsAmt>
      <NoncashContributionsAmt>423141</NoncashContributionsAmt>
      <TotalContributionsAmt>14500695</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>45114815</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>45114815</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>25451659</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>25451659</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>70566474</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>139840</TotalRevenueColumnAmt>
        <ExclusionAmt>139840</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>73921</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>73921</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>73921</TotalRevenueColumnAmt>
        <ExclusionAmt>73921</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <ContriRptFundraisingEventAmt>38536</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>48454</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-48454</TotalRevenueColumnAmt>
        <ExclusionAmt>-48454</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>23483</TotalRevenueColumnAmt>
        <ExclusionAmt>23483</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>23483</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>85255959</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>70566474</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>188790</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>30281</TotalAmt>
        <ProgramServicesAmt>30281</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2077990</TotalAmt>
        <ProgramServicesAmt>1416185</ProgramServicesAmt>
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        <FundraisingAmt>60319</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>1474868</TotalAmt>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>2762179</ProgramServicesAmt>
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      <FeesForServicesLegalGrp>
        <TotalAmt>201517</TotalAmt>
        <ProgramServicesAmt>18676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>182841</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>144307</TotalAmt>
        <ManagementAndGeneralAmt>144307</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>66544</TotalAmt>
        <FundraisingAmt>66544</FundraisingAmt>
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      <FeesForServicesOtherGrp>
        <TotalAmt>8200620</TotalAmt>
        <ProgramServicesAmt>6386139</ProgramServicesAmt>
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        <FundraisingAmt>1102</FundraisingAmt>
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      <AdvertisingGrp>
        <TotalAmt>345594</TotalAmt>
        <ProgramServicesAmt>215468</ProgramServicesAmt>
        <ManagementAndGeneralAmt>130126</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <FundraisingAmt>1455</FundraisingAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>67719</TotalAmt>
        <ManagementAndGeneralAmt>67719</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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      <TravelGrp>
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        <ProgramServicesAmt>85911</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191628</ManagementAndGeneralAmt>
        <FundraisingAmt>35</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>247262</ProgramServicesAmt>
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      <InterestGrp>
        <TotalAmt>193611</TotalAmt>
        <ProgramServicesAmt>193611</ProgramServicesAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>2750212</ProgramServicesAmt>
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        <ProgramServicesAmt>157985</ProgramServicesAmt>
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        <FundraisingAmt>175</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>MEDICAL/DENTAL SUPPLIES</Desc>
        <TotalAmt>11724827</TotalAmt>
        <ProgramServicesAmt>11724827</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>1029465</TotalAmt>
        <ProgramServicesAmt>819983</ProgramServicesAmt>
        <ManagementAndGeneralAmt>209482</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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      <TotalFunctionalExpensesGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>2103788</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>80263962</LandBldgEquipCostOrOtherBssAmt>
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        <BOYAmt>41042339</BOYAmt>
        <EOYAmt>42485197</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>1342698</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>580665</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
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      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>28341845</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13552668</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11314143</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14500695</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>28341845</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>13552668</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11314143</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>14500695</CurrentTaxYearAmt>
        <TotalAmt>76400953</TotalAmt>
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      <PublicSupportTotal170Amt>76400953</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>207248</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4554</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>56685</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>213761</CurrentTaxYearAmt>
        <TotalAmt>732017</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>150408</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>29227</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>47547</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>23483</CurrentTaxYearAmt>
        <TotalAmt>368896</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>77501866</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>322549820</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.98580</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.88890</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL RECORDS &amp; OTHER REVENUE 336,892 FUNDRAISING EVENT INCOME 32,004</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <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>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc3">
      <VolunteersInd>true</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>20000</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>20000</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE C, PART II-B, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CHC EMPLOYEES, INCLUDING THE CEO AND 2 ARNP RESIDENTS, SPENT APPROXIMATELY 35 HOURS LOBBYING ALONG WITH FOUR OF THE BOARD MEMBERS SPENT APPROXIMATELY 15 HOURS LOBBYING. IN ADDITION, A PORTION OF THE MEMBERSHIP DUES PAID TO CERTAIN ASSOCIATIONS ARE USED BY THOSE ASSOCIATIONS TO LOBBY ON BEHALF OF THEIR MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc4">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>55000</BeginningYearBalanceAmt>
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        <ExplanationTxt>CHC OFFERS MATERNITY SUPPORT, BEHAVIORAL HEALTH SERVICES, NUTRITION AND VISION SERVICES THROUGH THE CHC CLINICS IN PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. CHC PROVIDED 3,746 PATIENTS WITH 14,096 VISITS DURING THE FISCAL YEAR.</ExplanationTxt>
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        <ExplanationTxt>THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF BOARD (CHAIR OR CO- CHAIRS, VICE CHAIR, SECRETARY AND TREASURER) AND THE CHAIRS OF EACH STANDING COMMITTEE. THE EXECUTIVE COMMITTEE HAS THE POWERS AND AUTHORITY OF THE BOARD TO MAKE DECISIONS WHEN THE BOARD IS NOT IN SESSION. THE EXECUTIVE COMMITTEE ALSO OVERSEES THE RECRUITMENT AND HIRING OF THE CEO ALONG WITH OVERSEEING THE COMPENSATION PROCESS OF THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CFO WHO REVIEWS THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS REVIEWED BY THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS AND MANAGEMENT TEAM MEMBERS ARE ASKED TO SIGN A CONFLICT-OF- INTEREST STATEMENT AT INITIAL ORIENTATION AND AGAIN ANNUALLY. RECORDS ARE MAINTAINED BY THE HUMAN RESOURCES FOR THE MANAGEMENT TEAM AND THE ASSISTANT TO THE CEO FOR THE BOARD. THE COMPLIANCE OFFICER REVIEWS AND SIGNS EACH CONFLICT OF INTEREST FORM. REPORTED OR POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER AND THE HUMAN RESOURCES DIRECTOR FOR MANAGEMENT TEAM AND CEO FOR THE BOARD. IF A CONFLICT OF INTEREST EXISTS, THE BOARD MEMBER OR MANAGEMENT TEAM MEMBER MUST EXCUSE THEMSELVES FROM DISCUSSION OR VOTES THAT INVOLVE THE SUBJECT OF THEIR CONFLICT. IF A CONFLICT IS PERVASIVE WITH A BOARD MEMBER, THEN THE CO-CHAIRS CAN PROCEED TO REMOVE THE BOARD MEMBER. IF A CONFLICT IS PERVASIVE WITH A MANAGEMENT TEAM MEMBER, THEY MAY BE TERMINATED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHC USES NORTHWEST REGIONAL PRIMARY CARE ASSOCIATION, NATIONAL ASSOCIATION FOR COMMUNITY HEALTH CENTERS, AND MILLIMAN SALARY SURVEYS AND DATA FROM THE PACIFIC NORTHWEST REGION AS COMPARATIVE DATA. AN OUTSOURCED INDEPENDENT CONSULTANT IS ALSO USED TO DETERMINE SALARY EXPECTATION. THE BOARD REVIEWS THE CEO'S COMPENSATION AND APPROVES. THIS PROCESS WAS LAST COMPLETED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS REVIEWED BY THE CEO AND THEN THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS PROCESS WAS LAST COMPLETED IN 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>CHC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENT EXPENSES 48,454 DONATED SERVICES 20,000 FUNDRAISING EVENT EXPENSES -48,454 DONATED SERVICES -20,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
