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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JASON OWENS</PersonNm>
        <TitleTxt>COO (AS OF JANUARY 2024)</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TOM WARREN SB ME</PersonNm>
        <TitleTxt>PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARRIE HOLMES</PersonNm>
        <TitleTxt>VICE PRESIDENT (THROUGH DEC 2023)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTINA ROBERTS</PersonNm>
        <TitleTxt>DIRECTOR &amp; VICE PRESIDENT</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHELLY MEANS</PersonNm>
        <TitleTxt>SECRETARY</TitleTxt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CORNELIUS VAN NIEL MD</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALIX ANDERSON RN</PersonNm>
        <TitleTxt>DIRECTOR (THROUGH AUGUST 2023)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>VICTORIA BLACK HORSE MD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JANIA GARCIA BA MA</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MIKE PAINTER MD JD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SHARYNE THORNTON PHD</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <TotalReportableCompFromOrgAmt>2809449</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTRAL PROTECTION</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6114 204TH STREET SW</AddressLine1Txt>
            <CityNm>LYNNWOOD</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98036</ZIPCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>RJS CONTRUCTION INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1618 B RUDKIN RD</AddressLine1Txt>
            <CityNm>YAKIMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ROBERT HALF INTERNATIONAL INC</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 743295</AddressLine1Txt>
            <CityNm>LOS ANGELES</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
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        </ContractorAddress>
        <ServicesDesc>TEMPORARY STAFFING</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SCHULTIS SUNDBERG (DBA SSI CONSTRUCTION</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 13567</AddressLine1Txt>
            <CityNm>DES MOINES</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OCHIN</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5426</AddressLine1Txt>
            <CityNm>PORTLAND</CityNm>
            <StateAbbreviationCd>OR</StateAbbreviationCd>
            <ZIPCd>97228</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>HEALTH CARE SERVICES</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>12</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>378240</FundraisingAmt>
      <GovernmentGrantsAmt>35533389</GovernmentGrantsAmt>
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      <TotalContributionsAmt>35979281</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
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        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>10427253</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>10427253</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>10427253</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>646306</TotalRevenueColumnAmt>
        <ExclusionAmt>646306</ExclusionAmt>
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      <FundraisingGrossIncomeAmt>0</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>378240</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>219706</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-219706</TotalRevenueColumnAmt>
        <ExclusionAmt>-219706</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>MISCELLANEOUS INCOME</Desc>
        <BusinessCd>623990</BusinessCd>
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        <ExclusionAmt>371869</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INCENTIVE REVENUE</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>341</TotalRevenueColumnAmt>
        <ExclusionAmt>341</ExclusionAmt>
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        <TotalRevenueColumnAmt>47205344</TotalRevenueColumnAmt>
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        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>798810</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticIndividualsGrp>
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        <ProgramServicesAmt>280410</ProgramServicesAmt>
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        <ProgramServicesAmt>13495826</ProgramServicesAmt>
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        <ProgramServicesAmt>575432</ProgramServicesAmt>
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        <ProgramServicesAmt>1466978</ProgramServicesAmt>
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        <ProgramServicesAmt>1122719</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>47595</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ProgramServicesAmt>350</ProgramServicesAmt>
        <ManagementAndGeneralAmt>291309</ManagementAndGeneralAmt>
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      <FeesForServicesProfFundraising>
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        <FundraisingAmt>91950</FundraisingAmt>
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        <TotalAmt>5059695</TotalAmt>
        <ProgramServicesAmt>2477667</ProgramServicesAmt>
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        <ProgramServicesAmt>141988</ProgramServicesAmt>
        <ManagementAndGeneralAmt>122342</ManagementAndGeneralAmt>
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      <OfficeExpensesGrp>
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        <ProgramServicesAmt>103380</ProgramServicesAmt>
        <ManagementAndGeneralAmt>298951</ManagementAndGeneralAmt>
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      <InformationTechnologyGrp>
        <TotalAmt>1108760</TotalAmt>
        <ProgramServicesAmt>501989</ProgramServicesAmt>
        <ManagementAndGeneralAmt>606771</ManagementAndGeneralAmt>
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      <OccupancyGrp>
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        <ProgramServicesAmt>75039</ProgramServicesAmt>
        <ManagementAndGeneralAmt>368629</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>575369</TotalAmt>
        <ProgramServicesAmt>337318</ProgramServicesAmt>
        <ManagementAndGeneralAmt>238051</ManagementAndGeneralAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>140503</TotalAmt>
        <ProgramServicesAmt>140503</ProgramServicesAmt>
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      <InterestGrp>
        <TotalAmt>65311</TotalAmt>
        <ManagementAndGeneralAmt>65311</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
        <TotalAmt>849704</TotalAmt>
        <ProgramServicesAmt>440759</ProgramServicesAmt>
        <ManagementAndGeneralAmt>408945</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>330536</TotalAmt>
        <ManagementAndGeneralAmt>330536</ManagementAndGeneralAmt>
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        <Desc>PATIENT CARE</Desc>
        <TotalAmt>2646712</TotalAmt>
        <ProgramServicesAmt>2618026</ProgramServicesAmt>
        <ManagementAndGeneralAmt>28686</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>TRAINING</Desc>
        <TotalAmt>434442</TotalAmt>
        <ProgramServicesAmt>156300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>278142</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>MISCELLANEOUS EXPENSES</Desc>
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        <ProgramServicesAmt>144062</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52127</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
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        <TotalAmt>136657</TotalAmt>
        <ProgramServicesAmt>30427</ProgramServicesAmt>
        <ManagementAndGeneralAmt>106230</ManagementAndGeneralAmt>
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      <AllOtherExpensesGrp>
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        <ProgramServicesAmt>59456</ProgramServicesAmt>
        <ManagementAndGeneralAmt>166091</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>24477579</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13417139</ManagementAndGeneralAmt>
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        <EOYAmt>2542188</EOYAmt>
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        <EOYAmt>7751329</EOYAmt>
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        <EOYAmt>16169150</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>418532</EOYAmt>
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        <EOYAmt>394318</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>5151335</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>29177274</EOYAmt>
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        <EOYAmt>1709016</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>58161807</EOYAmt>
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        <EOYAmt>2971394</EOYAmt>
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        <EOYAmt>1154878</EOYAmt>
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        <EOYAmt>2071964</EOYAmt>
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        <EOYAmt>1729951</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>7928187</EOYAmt>
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        <EOYAmt>50233620</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>40997761</BOYAmt>
        <EOYAmt>50233620</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>48824415</BOYAmt>
        <EOYAmt>58161807</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>9218676</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>17183</NetUnrlzdGainsLossesInvstAmt>
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      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>23908609</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>22685607</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>35979281</CurrentTaxYearAmt>
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        <CurrentTaxYearAmt>35979281</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>24969</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>459410</CurrentTaxYearMinus1YearAmt>
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        <CurrentTaxYearAmt>372210</CurrentTaxYearAmt>
        <TotalAmt>1083893</TotalAmt>
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      <PublicSupportPY170Pct>0.98510</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>1</VolunteersInd>
      <PaidStaffOrManagementInd>1</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>30169</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>0</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>30169</TotalLobbyingExpendituresAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>SIHB ENGAGES IN ADVOCACY AT THE CITY, COUNTY, STATE AND NATIONAL LEVELS. TRAVEL TO OLYMPIA, WASHINGTON DC, AND TRIBAL FACILITIES FOR I/T/U CONFER AND CONSULT EVENTS, WORKGROUP PARTICIPATION, PLANNING COMMITTEES, TESTIMONY AND UIHP EDUCATION SESSIONS. FUNDS PAID TO CONSULTANT TO MONITOR FEDERAL HEALTH POLICY, CONTACT KEY STAFF MEMBERS RESPONSIBLE FOR APPROPRIATE DECISIONS, COORDINATE COMMUNICATIONS TO PROTECT FUNDING AND ADVISE STRATEGIES TO EFFECTUATE POSITIVE OUTCOMES.</ExplanationTxt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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      <CollectionUsedPreservationInd>X</CollectionUsedPreservationInd>
      <SolicitedAssetsSaleInd>0</SolicitedAssetsSaleInd>
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        <BookValueAmt>14869543</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>29177274</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>RIGHT-OF-USE LEASE LIABILITIES</Desc>
        <Amt>1729951</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1729951</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>47442233</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>17183</NetUnrealizedGainsInvstAmt>
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      <RevenueNotReportedAmt>236889</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>47205344</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>47205344</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>38206374</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>219706</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>219706</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>37986668</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>37986668</TotalExpensesPerForm990Amt>
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        <ExplanationTxt>THE ORGANIZATION HOLDS TWO HISTORIC MASKS THAT ARE ON DISPLAY IN THE ENTRY AREA OF OUR PRIMARY CARE CLINIC, AS WELL AS OTHER ART AND HISTORICAL ITEMS ON DISPLAY IN OUR VARIOUS LOCATIONS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>THE HEALTH BOARD IS NOT SUBJECT TO INCOME TAX, AS IT IS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT RELATED TO THE HEALTH BOARD'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. MANAGEMENT EVALUATED THE HEALTH BOARD'S TAX POSITIONS AND CONCLUDED THAT THE HEALTH BOARD HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENTS TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF TOPIC 740 OF THE ASC. INCOME TAX RETURNS ARE GENERALLY SUBJECT TO EXAMINATION FOR THREE YEARS AFTER THEY ARE FILED.</ExplanationTxt>
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        <ExplanationTxt>FUNDRAISING EVENT EXPENSES 219,706.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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      <InPersonSolicitationsInd>X</InPersonSolicitationsInd>
      <SolicitationOfNonGovtGrantsInd>X</SolicitationOfNonGovtGrantsInd>
      <SolicitationOfGovtGrantsInd>X</SolicitationOfGovtGrantsInd>
      <SpecialFundraisingEventsInd>X</SpecialFundraisingEventsInd>
      <AgrmtProfFundraisingActyInd>1</AgrmtProfFundraisingActyInd>
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        <USAddress>
          <AddressLine1Txt>PO BOX 27802</AddressLine1Txt>
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          <ZIPCd>98165</ZIPCd>
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      <LicensedStatesCd>WA</LicensedStatesCd>
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        <Event2Nm>SPIRIT WALK</Event2Nm>
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        <OthDirectExpnssOtherEventsAmt>45790</OthDirectExpnssOtherEventsAmt>
        <GrossReceiptsTotalAmt>378240</GrossReceiptsTotalAmt>
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        <OthDirectExpnssTotalEventsAmt>219706</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>219706</DirectExpenseSummaryEventsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18092</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>302187</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>11949</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27866</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>272196</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>19745</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>10833</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>17516</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>246392</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>19186</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>234853</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>181271</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>6856</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15589</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>203716</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAMELA GRINDLEY</PersonNm>
        <TitleTxt>CHIEF PEOPLE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>174948</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>13449</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3163</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9136</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>200696</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW GUILLEN</PersonNm>
        <TitleTxt>CHIEF PUBLIC AFFAIRS OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>147060</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>14453</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9315</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8616</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>179444</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MELINDA GARAY</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SPOUSE OF ESTHER LUCERO, CEO</RelationshipDescriptionTxt>
        <TransactionAmt>106475</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>LAWRENCE LUCERO</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FATHER OF ESTHER LUCERO, CEO</RelationshipDescriptionTxt>
        <TransactionAmt>15779</TransactionAmt>
        <TransactionDesc>EMPLOYEE COMPENSATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>M THIRTY-SIX</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>OWNED BY LAEL ECHO-HAWK, SISTER OF ABIGAIL ECHO-HAWK, EXEC. VICE PRESIDENT</RelationshipDescriptionTxt>
        <TransactionAmt>30169</TransactionAmt>
        <TransactionDesc>LOBBYING &amp; CONSULTING</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE COMPOSED OF THE OFFICERS OF THE BOARD. THE EXECUTIVE COMMITTEE ACTS ON BEHALF OF THE BOARD BETWEEN REGULAR MEETINGS AND IN EMERGENCY SITUATIONS. THE ACTIONS OF THE EXECUTIVE COMMITTEE MAY NOT CONFLICT WITH THE BOARD'S POLICIES AND DIRECTIVES. ANY EXECUTIVE COMMITTEE ACTIONS ARE REVIEWED AND RATIFIED AT THE NEXT REGULAR BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO FILING, THE FORM 990 WAS REVIEWED BY THE EXECUTIVE TEAM AND BY THE FINANCE COMMITTEE AND WAS PROVIDED TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST STATEMENTS ARE COLLECTED ANNUALLY FROM THE BOARD OF DIRECTORS AND OFFICERS. DISCLOSURES ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT FOR MATERIALITY. BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE PROHIBITED FROM DELIBERATIONS, VOTING, OR ATTEMPTS TO INFLUENCE OTHER BOARD MEMBERS ON MATTERS IN WHICH THEY HAVE A FINANCIAL OR OTHER PRIVATE INTEREST, WHETHER DIRECT OR INDIRECT. DISCLOSURE OF THE NATURE AND EXTENT OF ALL POTENTIAL CONFLICTS OF INTEREST IS REQUIRED PRIOR TO UNDERTAKING ANY BOARD ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AGENCY UPDATES SALARY SURVEY INFORMATION EVERY 2 YEARS OR LESS BY POSITION BASED ON MARKET-DRIVEN FACTORS. ANNUALLY THE ONLY SALARY INCREASES ARE FOR MERIT AND BASED ON AN EVALUATION PROCEDURE. THE BOARD OF DIRECTORS APPROVES THE CHIEF EXECUTIVE OFFICER'S ANNUAL INCREASE BASED ON ESTABLISHED EVALUATION CRITERIA. THE MOST RECENT COMPENSATION REVIEW OCCURRED IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>SIHB DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR THE FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,477,667. MANAGEMENT AND GENERAL EXPENSES 2,582,028. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,059,695.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AUTHORITY OVER AND PROCESS FOR SELECTING THE FINANCIAL STATEMENT AUDITOR AND OVERSEEING THE FINANCIAL STATEMENT AUDIT DID NOT CHANGE DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>