﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2023v6.0">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2025-04-11T14:25:39-04:00</ReturnTs>
    <TaxPeriodEndDt>2024-05-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>200079326</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>DINGUS ZARECOR &amp; ASSOCIATES PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>12015 E MAIN AVE</AddressLine1Txt>
        <CityNm>SPOKANE VALLEY</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>99206</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-06-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>911349657</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>COMMUNITY HEALTH CARE</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>COMM</BusinessNameControlTxt>
      <PhoneNum>2535974550</PhoneNum>
      <USAddress>
        <AddressLine1Txt>1148 BROADWAY</AddressLine1Txt>
        <CityNm>TACOMA</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>98402</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>DAVID FLENTGE</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>2535974550</PhoneNum>
      <SignatureDt>2025-03-03</SignatureDt>
      <DiscussWithPaidPreparerInd>true</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>true</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>RIKKI PATCH</PreparerPersonNm>
      <PTIN>P01472231</PTIN>
      <PhoneNum>5092420874</PhoneNum>
      <PreparationDt>2025-04-11</PreparationDt>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2025-03-06 01:10:19Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="10">
    <IRS990 documentId="RetDoc2" referenceDocumentId="RetDoc9">
      <PrincipalOfficerNm>DAVID FLENTGE</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1148 BROADWAY</AddressLine1Txt>
        <CityNm>TACOMA</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>98402</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>86663545</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>false</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.COMMHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1987</FormationYr>
      <LegalDomicileStateCd>WA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>TO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>9</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>658</TotalEmployeeCnt>
      <TotalVolunteersCnt>13</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <PYContributionsGrantsAmt>14500695</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>15996526</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>70566474</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>68745245</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>139840</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>1809266</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>48950</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>60208</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>85255959</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>86611245</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>30281</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>24034</CYGrantsAndSimilarPaidAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>54943422</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>61197338</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>66544</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>56190</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>144601</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>28873014</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>32239291</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>83913261</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>93516853</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>1342698</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-6905608</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>96902553</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>115255378</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>30027443</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>54725881</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>66875110</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>60529497</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>TO PROVIDE THE HIGHEST QUALITY HEALTH CARE WITH COMPASSIONATE AND ACCESSIBLE SERVICE FOR ALL INCLUDING COMPREHENSIVE PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE THROUGH A CLINIC SYSTEM.</MissionDesc>
      <SignificantNewProgramSrvcInd>false</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>false</SignificantChangeInd>
      <ExpenseAmt>45195748</ExpenseAmt>
      <GrantAmt>24034</GrantAmt>
      <RevenueAmt>33355024</RevenueAmt>
      <Desc>COMMUNITY HEALTH CARE (CHC) MEDICAL CLINICS OFFER MEDICAL SERVICES IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. CHC CONTINUES TO SUPPORT TWO MEDICAL RESIDENCY PROGRAMS: 1. A FAMILY PHYSICIAN RESIDENCY PROGRAM THAT ACCEPTS 6 TO 8 RESIDENTS EACH YEAR FOR A TOTAL OF 20 RESIDENTS DURING A 3 YEAR PROGRAM; AND 2. A 1-YEAR FAMILY ADVANCED REGISTERED NURSE PRACTITIONER RESIDENCY PROGRAM WITH TWO RESIDENTS (THROUGH NOVEMBER 2024). CHC PROVIDED 34,252 PATIENTS WITH MEDICAL CARE FROM 161,640 PATIENT VISITS AT 9 MEDICAL CLINICS DURING THE FISCAL YEAR.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>15973521</ExpenseAmt>
        <RevenueAmt>21279850</RevenueAmt>
        <Desc>CHC PHARMACIES OFFER PHARMACEUTICAL SERVICES TO PATIENTS IN VARIOUS LOCATIONS IN PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. CHC'S PHARMACIES SERVED 19,525 PATIENTS THROUGH 180,799 MEDICATION FILLS AT 5 CLINICS DURING THE FISCAL YEAR.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>14824619</ExpenseAmt>
        <RevenueAmt>11541975</RevenueAmt>
        <Desc>CHC DENTAL CLINICS OFFER PRIMARY CARE DENTAL SERVICES IN VARIOUS PIERCE COUNTY ACCORDING TO A SLIDING FEE SCALE BASED ON INCOME AND FAMILY SIZE. CHC DENTAL CLINICS LOCATED IN HILLTOP INCLUDE A 1-YEAR DENTAL RESIDENCY PROGRAM. CHC HAD 71,576 PATIENT VISITS AT 7 DENTAL CLINICS PROVIDING 23,638 PATIENTS WITH DENTAL CARE DURING THE FISCAL YEAR.</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>3611142</ExpenseAmt>
        <RevenueAmt>2568396</RevenueAmt>
        <Desc>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 4,792 PATIENTS WITH 24,871 VISITS DURING THE FISCAL YEAR.</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>3611142</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>2568396</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>79605030</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc10">true</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1">true</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc3">false</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc3">true</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc3">false</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc4">false</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc4">false</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc4">false</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc4">false</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd referenceDocumentId="RetDoc4">false</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc4">true</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc4">false</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc4">false</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc4">false</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc4">true</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc4">true</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc4">true</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc4">false</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>false</SchoolOperatingInd>
      <ForeignOfficeInd>false</ForeignOfficeInd>
      <ForeignActivitiesInd>false</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>false</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>false</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd referenceDocumentId="RetDoc5">true</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd referenceDocumentId="RetDoc5">true</FundraisingActivitiesInd>
      <GamingActivitiesInd referenceDocumentId="RetDoc5">false</GamingActivitiesInd>
      <OperateHospitalInd>false</OperateHospitalInd>
      <GrantsToOrganizationsInd>false</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>false</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc6">true</ScheduleJRequiredInd>
      <TaxExemptBondsInd referenceDocumentId="RetDoc7">true</TaxExemptBondsInd>
      <InvestTaxExemptBondsInd>false</InvestTaxExemptBondsInd>
      <EscrowAccountInd>false</EscrowAccountInd>
      <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
      <EngagedInExcessBenefitTransInd>false</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>false</PYExcessBenefitTransInd>
      <LoanOutstandingInd>false</LoanOutstandingInd>
      <GrantToRelatedPersonInd>false</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>false</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>false</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>false</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd referenceDocumentId="RetDoc8">true</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd referenceDocumentId="RetDoc8">false</DeductibleArtContributionInd>
      <TerminateOperationsInd>false</TerminateOperationsInd>
      <PartialLiquidationInd>false</PartialLiquidationInd>
      <DisregardedEntityInd>false</DisregardedEntityInd>
      <RelatedEntityInd>false</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>false</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>false</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>false</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>true</ScheduleORequiredInd>
      <IRPDocumentCnt>56</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>true</BackupWthldComplianceInd>
      <EmployeeCnt>658</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>true</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>false</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>false</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>false</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>false</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>true</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>true</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>false</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>false</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>false</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>false</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>false</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>false</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>9</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>false</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>false</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>false</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>false</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>false</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>false</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>false</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>true</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>true</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>false</OfficerMailingAddressInd>
      <LocalChaptersInd>true</LocalChaptersInd>
      <PoliciesReferenceChaptersInd>true</PoliciesReferenceChaptersInd>
      <Form990ProvidedToGvrnBodyInd>true</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>true</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>true</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>true</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>true</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>true</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>true</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>true</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>false</InvestmentInJointVentureInd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <PersonNm>KAREN PARK</PersonNm>
        <PhoneNum>2535974550</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1148 BROADWAY SUITE 100</AddressLine1Txt>
          <CityNm>TACOMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98402</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY SMITH</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>417795</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22386</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID FLENTGE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>395162</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>43294</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHNNY ERKINS</PersonNm>
        <TitleTxt>MD OBGYN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>385763</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>50142</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GAYLE MATTHEWS</PersonNm>
        <TitleTxt>MD OBGYN</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>384459</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22500</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES LENHART</PersonNm>
        <TitleTxt>ASSOC. PROG.</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>310634</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37794</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CONSTANCE CAMPBELL</PersonNm>
        <TitleTxt>MD FP W OB</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>302963</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32126</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE JO TIMMER DO</PersonNm>
        <TitleTxt>RESIDENCY DI</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>309591</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42133</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DYLAN PETERSON</PersonNm>
        <TitleTxt>MD FP W OB</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>264858</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32021</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFF REYNOLDS DMD</PersonNm>
        <TitleTxt>DENTAL DIREC</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>270081</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>42711</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN PARK</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>219731</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11022</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GODWIN ASEMOTA</PersonNm>
        <TitleTxt>PHARMACY DIR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>213358</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>48294</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATIE PARKER</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARCO VINIEGRA</PersonNm>
        <TitleTxt>CHAIR (ENDED</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNIE TUSTISON</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM SPEAKER</PersonNm>
        <TitleTxt>VC (ENDED 12</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEN REPP</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LADEDRIA GRIFFIN-STALLWORTH</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LINDA BOWMAN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LYNESE REDEEMER</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>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>JEFF CATHERSAL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>3474395</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>384423</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>116</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <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>2090051</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ALDRICH &amp; ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>810 240TH ST SE</AddressLine1Txt>
            <CityNm>BOTHELL</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98021</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CONSTRUCTION</ServicesDesc>
        <CompensationAmt>1425573</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SEMAPHORE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>9675 SE 36TH ST STE 110</AddressLine1Txt>
            <CityNm>MERCER ISLAND</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98040</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SOFTWARE SVS</ServicesDesc>
        <CompensationAmt>1201709</CompensationAmt>
      </ContractorCompensationGrp>
      <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>1009835</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>DILIGENCE SECURITY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>621 PACIFIC AVE 104</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98402</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SECURITY</ServicesDesc>
        <CompensationAmt>836791</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>40</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>83606</FundraisingAmt>
      <GovernmentGrantsAmt>15192484</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>720436</AllOtherContributionsAmt>
      <NoncashContributionsAmt>410160</NoncashContributionsAmt>
      <TotalContributionsAmt>15996526</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE FEES</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>49295728</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>49295728</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CAPITATION REVENUE</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>19449517</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19449517</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>68745245</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1809266</TotalRevenueColumnAmt>
        <ExclusionAmt>1809266</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>69845</RealAmt>
      </GrossRentsGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>69845</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>69845</TotalRevenueColumnAmt>
        <ExclusionAmt>69845</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <FundraisingGrossIncomeAmt>17532</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>83606</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>52300</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-34768</TotalRevenueColumnAmt>
        <ExclusionAmt>-34768</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER REVENUE</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>25131</TotalRevenueColumnAmt>
        <ExclusionAmt>25131</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>25131</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>86611245</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>68745245</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>1869474</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>24034</TotalAmt>
        <ProgramServicesAmt>24034</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>2134566</TotalAmt>
        <ProgramServicesAmt>1427432</ProgramServicesAmt>
        <ManagementAndGeneralAmt>707134</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>47150562</TotalAmt>
        <ProgramServicesAmt>40095154</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6990075</ManagementAndGeneralAmt>
        <FundraisingAmt>65333</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>1673296</TotalAmt>
        <ProgramServicesAmt>1366617</ProgramServicesAmt>
        <ManagementAndGeneralAmt>304670</ManagementAndGeneralAmt>
        <FundraisingAmt>2009</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6484453</TotalAmt>
        <ProgramServicesAmt>5268522</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1208269</ManagementAndGeneralAmt>
        <FundraisingAmt>7662</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>3754461</TotalAmt>
        <ProgramServicesAmt>3040989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>709168</ManagementAndGeneralAmt>
        <FundraisingAmt>4304</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>204315</TotalAmt>
        <ManagementAndGeneralAmt>204315</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>65250</TotalAmt>
        <ManagementAndGeneralAmt>65250</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>56190</TotalAmt>
        <FundraisingAmt>56190</FundraisingAmt>
      </FeesForServicesProfFundraising>
      <FeesForServicesOtherGrp>
        <TotalAmt>8108429</TotalAmt>
        <ProgramServicesAmt>6788431</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1315615</ManagementAndGeneralAmt>
        <FundraisingAmt>4383</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>344766</TotalAmt>
        <ProgramServicesAmt>243823</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100829</ManagementAndGeneralAmt>
        <FundraisingAmt>114</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1151339</TotalAmt>
        <ProgramServicesAmt>740314</ProgramServicesAmt>
        <ManagementAndGeneralAmt>409636</ManagementAndGeneralAmt>
        <FundraisingAmt>1389</FundraisingAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1069129</TotalAmt>
        <ProgramServicesAmt>967662</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101166</ManagementAndGeneralAmt>
        <FundraisingAmt>301</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>292181</TotalAmt>
        <ProgramServicesAmt>100821</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191247</ManagementAndGeneralAmt>
        <FundraisingAmt>113</FundraisingAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>280157</TotalAmt>
        <ProgramServicesAmt>251063</ProgramServicesAmt>
        <ManagementAndGeneralAmt>29084</ManagementAndGeneralAmt>
        <FundraisingAmt>10</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>297784</TotalAmt>
        <ProgramServicesAmt>271390</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26394</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>3268084</TotalAmt>
        <ProgramServicesAmt>2878848</ProgramServicesAmt>
        <ManagementAndGeneralAmt>387027</ManagementAndGeneralAmt>
        <FundraisingAmt>2209</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>429951</TotalAmt>
        <ProgramServicesAmt>329021</ProgramServicesAmt>
        <ManagementAndGeneralAmt>100563</ManagementAndGeneralAmt>
        <FundraisingAmt>367</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL/DENTAL SUPPLIES</Desc>
        <TotalAmt>14671543</TotalAmt>
        <ProgramServicesAmt>14671543</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>1248782</TotalAmt>
        <ProgramServicesAmt>1010569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238191</ManagementAndGeneralAmt>
        <FundraisingAmt>22</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>807581</TotalAmt>
        <ProgramServicesAmt>128797</ProgramServicesAmt>
        <ManagementAndGeneralAmt>678589</ManagementAndGeneralAmt>
        <FundraisingAmt>195</FundraisingAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>93516853</TotalAmt>
        <ProgramServicesAmt>79605030</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13767222</ManagementAndGeneralAmt>
        <FundraisingAmt>144601</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>10973435</BOYAmt>
        <EOYAmt>365471</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>29415515</BOYAmt>
        <EOYAmt>17215101</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1262942</BOYAmt>
        <EOYAmt>11859</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>8065978</BOYAmt>
        <EOYAmt>10264038</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>363332</BOYAmt>
        <EOYAmt>310882</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>2103788</BOYAmt>
        <EOYAmt>1792326</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>97115890</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>41039756</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>42485197</BOYAmt>
        <EOYAmt>56076134</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsPubTradedSecGrp>
        <EOYAmt>23829065</EOYAmt>
      </InvestmentsPubTradedSecGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>2232366</BOYAmt>
        <EOYAmt>5390502</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>96902553</BOYAmt>
        <EOYAmt>115255378</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>7925909</BOYAmt>
        <EOYAmt>13290020</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>748761</BOYAmt>
        <EOYAmt>69906</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>9425790</BOYAmt>
        <EOYAmt>9198177</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <MortgNotesPyblScrdInvstPropGrp>
        <BOYAmt>6438866</BOYAmt>
        <EOYAmt>16017765</EOYAmt>
      </MortgNotesPyblScrdInvstPropGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>5488117</BOYAmt>
        <EOYAmt>16150013</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>30027443</BOYAmt>
        <EOYAmt>54725881</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>66875110</BOYAmt>
        <EOYAmt>60529497</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>66875110</BOYAmt>
        <EOYAmt>60529497</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>96902553</BOYAmt>
        <EOYAmt>115255378</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>-6905608</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>460995</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>99000</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc10">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>28341845</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13552668</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11314143</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14500695</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15996526</CurrentTaxYearAmt>
        <TotalAmt>83705877</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>28341845</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13552668</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>11314143</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>14500695</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>15996526</CurrentTaxYearAmt>
        <TotalAmt>83705877</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>83705877</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>207248</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>4554</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>56685</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>213761</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1879111</CurrentTaxYearAmt>
        <TotalAmt>2361359</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>150408</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>29227</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>47547</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>23483</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>25131</CurrentTaxYearAmt>
        <TotalAmt>275796</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>86343032</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>335219545</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.96950</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98580</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>MEDICAL RECORDS &amp; OTHER REVENUE 275,796 FUNDRAISING EVENT INCOME 0</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">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>6014491</OtherCostOrOtherBasisAmt>
        <BookValueAmt>6014491</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>51563622</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>23482754</DepreciationAmt>
        <BookValueAmt>28080868</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>3061405</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2278722</DepreciationAmt>
        <BookValueAmt>782683</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>19766026</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>15278280</DepreciationAmt>
        <BookValueAmt>4487746</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>16710346</OtherCostOrOtherBasisAmt>
        <BookValueAmt>16710346</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>56076134</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>ESTIMATED THIRD-PARTY PAYOR SETTLEME</Desc>
        <Amt>11957989</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>4192024</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>16150013</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>87223540</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>460995</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>151300</OtherRevenueAmt>
      <RevenueNotReportedAmt>612295</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>86611245</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>86611245</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>93569153</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>52300</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>52300</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>93516853</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>93516853</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF MAY 31, 2024 AND 2023, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENT EXPENSES 52,300 RISK POOL ADJUSTMENT 99,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EVENT EXPENSES 52,300</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc5">
      <MailSolicitationsInd>X</MailSolicitationsInd>
      <EmailSolicitationsInd>X</EmailSolicitationsInd>
      <PhoneSolicitationsInd>X</PhoneSolicitationsInd>
      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <AgrmtProfFundraisingActyInd>true</AgrmtProfFundraisingActyInd>
      <FundraiserActivityInfoGrp>
        <PersonNm>OLDENBURG ASSOCIATES</PersonNm>
        <USAddress>
          <AddressLine1Txt>6825 RAINER AVENUE</AddressLine1Txt>
          <CityNm>GIG HARBOR</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98335</ZIPCd>
        </USAddress>
        <ActivityTxt>CAPITAL CA</ActivityTxt>
        <FundraiserControlOfFundsInd>false</FundraiserControlOfFundsInd>
        <GrossReceiptsAmt>95101</GrossReceiptsAmt>
        <RetainedByContractorAmt>56190</RetainedByContractorAmt>
        <NetToOrganizationAmt>38911</NetToOrganizationAmt>
      </FundraiserActivityInfoGrp>
      <TotalGrossReceiptsAmt>95101</TotalGrossReceiptsAmt>
      <TotalRetainedByContractorsAmt>56190</TotalRetainedByContractorsAmt>
      <TotalNetToOrganizationAmt>38911</TotalNetToOrganizationAmt>
      <LicensedStatesCd>WA</LicensedStatesCd>
      <FundraisingEventInformationGrp>
        <Event1Nm>LUNCH &amp; LAUGHTE</Event1Nm>
        <GrossReceiptsEvent1Amt>101138</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>83606</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>17532</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>28470</RentFacilityCostsEvent1Amt>
        <FoodAndBeverageEvent1Amt>17532</FoodAndBeverageEvent1Amt>
        <EntertainmentEvent1Amt>4500</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1798</OtherDirectExpensesEvent1Amt>
        <GrossReceiptsTotalAmt>101138</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>83606</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>17532</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>28470</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>17532</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>4500</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1798</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>52300</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-34768</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc6">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>true</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY SMITH</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>409995</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7800</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>4254</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18132</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>440181</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID FLENTGE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>395162</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>25000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18294</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>438456</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHNNY ERKINS</PersonNm>
        <TitleTxt>MD OBGYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>361046</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24717</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>30000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>20142</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>435905</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GAYLE MATTHEWS</PersonNm>
        <TitleTxt>MD OBGYN</TitleTxt>
        <BaseCompensationFilingOrgAmt>324109</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>60350</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>22500</DeferredCompensationFlngOrgAmt>
        <TotalCompensationFilingOrgAmt>406959</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES LENHART</PersonNm>
        <TitleTxt>ASSOC. PROG. DIR.</TitleTxt>
        <BaseCompensationFilingOrgAmt>310634</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>19500</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18294</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>348428</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CONSTANCE CAMPBELL</PersonNm>
        <TitleTxt>MD FP W OB</TitleTxt>
        <BaseCompensationFilingOrgAmt>302963</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>21800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10326</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>335089</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CARRIE JO TIMMER DO</PersonNm>
        <TitleTxt>RESIDENCY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>301791</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>7800</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>22339</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19794</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>351724</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DYLAN PETERSON</PersonNm>
        <TitleTxt>MD FP W OB</TitleTxt>
        <BaseCompensationFilingOrgAmt>264858</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>22413</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>9608</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>296879</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFF REYNOLDS DMD</PersonNm>
        <TitleTxt>DENTAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>256791</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13290</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>24417</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18294</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>312792</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN PARK</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>215372</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>4359</BonusFilingOrganizationAmount>
        <DeferredCompensationFlngOrgAmt>9898</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1124</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>230753</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GODWIN ASEMOTA</PersonNm>
        <TitleTxt>PHARMACY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>213358</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>30000</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>18294</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>261652</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHC PAID ROTARY CLUB DUES OF 32 FOR THE CEO. THIS AMOUNT WAS NOT INCLUDED IN HIS TAXABLE COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 6A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE MANAGEMENT TEAM, OTHER THAN THE CEO, RECEIVES A BONUS THAT IS PRIMARILY BASED ON ACHIEVING BOARD-APPROVED OPERATING SURPLUS/DEFICIT GOALS, AS WELL AS FOUR OTHER STRATEGIC GOALS SUCH AS PATIENT SATISFACTION AND NUMBER OF PATIENTS SERVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc7">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WA HEALTH CARE FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>910882971</BondIssuerEIN>
        <BondIssuedDt>2022-02-04</BondIssuedDt>
        <IssuePriceAmt>23000000</IssuePriceAmt>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <TotalProceedsAmt>14516801</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>190000</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>5068475</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>9158004</OtherSpentProceedsAmt>
        <UnspentAmt>100322</UnspentAmt>
        <RefundingTaxExemptBondsInd>true</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>true</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.03100</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.03100</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>WA HEALTH CARE FACILITIES AUTHORITY COLUMN A: PART I (E), LINE 3; PART II, LINE 12 - THE BONDS WERE ISSUED AS DRAW-DOWN BONDS. ALTHOUGH THE ISSUE PRICE INCLUDES ALL AMOUNTS EXPECTED TO BE DRAWN, PART II ONLY ADDRESSES AMOUNTS ACTUALLY DRAWN AS OF THE END OF THE CURRENT SCHEDULE K PERIOD. COLUMN A: PART I (F) - THE BONDS WERE ISSUED TO FINANCE CONSTRUCTION AND EQUIPPING OF CERTAIN HEALTH CARE FACILITIES, TO REFINANCE A PROMISSORY NOTE WITH U.S. BANK NATIONAL ASSOCIATION DATED OCTOBER 28, 2021 AND TO REFUND THE SERIES 2016 BONDS ISSUED ON AUGUST 19, 2016. COLUMN A: PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. COLUMN A: PART IV, LINE 2(B) - THE BONDS HAVE A CURRENT REFUNDING PORTION WHICH MET THE 6-MONTH EXCEPTION TO THE REBATE REQUIREMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc8">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>410160</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>CDC PRICING</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE M, PART I, COLUMN (B) IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <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 4,792 PATIENTS WITH 24,871 VISITS DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <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 52,300 RISK POOL ADJUSTMENT 99,000 FUNDRAISING EVENT EXPENSES -52,300 TOTAL 99,000</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>