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        <CurrentYearMinus3Amt>276956</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>277507</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>270241</CurrentYearMinus1Amt>
        <CurrentYearAmt>300528</CurrentYearAmt>
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      <LobbyingCeilingAmt>1687848</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
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        <TotalAmt>1100</TotalAmt>
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      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>69239</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>69377</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>67560</CurrentYearMinus1Amt>
        <CurrentYearAmt>75132</CurrentYearAmt>
        <TotalAmt>281308</TotalAmt>
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      <GrassrootsCeilingAmt>421962</GrassrootsCeilingAmt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <Desc>SECURITY DEPOSIT</Desc>
        <BookValueAmt>7641</BookValueAmt>
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        <Desc>OPERATING LEASE RIGHT OF USE ASSET</Desc>
        <BookValueAmt>263404</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>271045</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>314248</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>314248</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3027987</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>56194</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>56194</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>2971793</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>2971793</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3010558</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3010558</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>3010558</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREW B OLIVEIRA MD MHA</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>296259</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8610</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10809</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>315678</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK S PREGLER</PersonNm>
        <TitleTxt>DIRECTOR, DATA MGMT AND ANALYTICS</TitleTxt>
        <BaseCompensationFilingOrgAmt>199369</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DENISE GIAMBALVO</PersonNm>
        <TitleTxt>DIRECTOR, MMBR ENGMT &amp; BUS. STRAT</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>4815</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>12243</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>165666</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHARON I ELORANTA</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR, PERF IMPRVMT</TitleTxt>
        <BaseCompensationFilingOrgAmt>149871</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4829</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154700</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>YURIY V STASYUK</PersonNm>
        <TitleTxt>SENIOR HEALTH DATA ANALYST</TitleTxt>
        <BaseCompensationFilingOrgAmt>127848</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4332</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>21128</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>153308</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE FOR REVIEW PRIOR TO FILING. THE BOARD HAS GRANTED THE EXECUTIVE COMMITTEE AUTHORITY TO APPROVE THE FORM 990. A COPY OF THE FILED FORM 990 IS PROVIDED TO THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IS COLLECTED FORM EACH BOARD MEMBER AND STAFF ANNUALLY. ADDITIONALLY, WHEN CONFLICTS ARISE DISCLOSURES ARE MADE TO THE CHAIRMAN OF THE BOARD. THE CHAIRMAN DISCLOSES TO THE BOARD OF DIRECTORS ALL CONFLICTS UNDER THE POLICY. THE BOARD OF DIRECTORS EVALUATES THE DISCLOSURES TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE SITUATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE DIRECTOR RECEIVES FEEDBACK ON AN ANNUAL BASIS FROM ALL MEMBERS OF THE BOARD OF DIRECTORS. A FORMAL EVALUATION IS CONDUCTED BY THE CHAIRPERSON OF THE BOARD IN COLLABORATION WITH MEMBERS OF THE EXECUTIVE COMMITTEE. KNOWLEDGE OF THE LOCAL MARKET BASED ON BOARD SEATS ON OTHER SIMILAR ORGANIZATIONS AND FORM 990, AS WELL AS SALARIES PAID TO INCUMBENTS IN LIKE POSITIONS ACROSS THE NATION ARE UTILIZED IN DETERMINING COMPENSATION. THE EXECUTIVE COMMITTEE APPROVES THE EVALUATION AND ACCOMPANYING SALARY ADJUSTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS CAN BE OBTAINED BY CONTACTING THE ORGANIZATION BY PHONE OR EMAIL. ADDITIONALLY, THE WEBSITE DIRECTS PEOPLE WITH QUESTIONS TO CONTACT MANAGEMENT, STAFF AND STAFF SUPPORT FOR THE BOARD OF DIRECTORS. ONE OF THE GUIDING PRINCIPLES OF THE WASHINGTON STATE HEALTH ALLIANCE IS TRANSPARENCY TO IMPROVE THE DELIVERY OF HEALTHCARE, AND WE STRIVE TO TRANSLATE THIS SAME TRANSPARENCY INTO OUR BUSINESS OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CONSULTING FEES: PROGRAM SERVICE EXPENSES 3,855. MANAGEMENT AND GENERAL EXPENSES 999. FUNDRAISING EXPENSES 209. TOTAL EXPENSES 5,063. DATA MANAGEMENT: PROGRAM SERVICE EXPENSES 787,165. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 787,165. HEALTH INFORMATION &amp; TECHNOLOGY CONSULTING: PROGRAM SERVICE EXPENSES 95,064. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,064.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>