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        <Desc>MEDICAID TRANSFORMATION</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>557518</TotalRevenueColumnAmt>
        <ExclusionAmt>557518</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueMiscGrp>
        <Desc>MEDICAL RECORDS &amp; OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>25300</TotalRevenueColumnAmt>
        <ExclusionAmt>25300</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>582818</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>8371489</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>4531427</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>589667</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>543099</TotalAmt>
        <ProgramServicesAmt>203656</ProgramServicesAmt>
        <ManagementAndGeneralAmt>339443</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>3619661</TotalAmt>
        <ProgramServicesAmt>3094668</ProgramServicesAmt>
        <ManagementAndGeneralAmt>524993</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>356863</TotalAmt>
        <ProgramServicesAmt>313945</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42918</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>350673</TotalAmt>
        <ProgramServicesAmt>285233</ProgramServicesAmt>
        <ManagementAndGeneralAmt>65440</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>21483</TotalAmt>
        <ManagementAndGeneralAmt>21483</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>65040</TotalAmt>
        <ManagementAndGeneralAmt>65040</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>235094</TotalAmt>
        <ProgramServicesAmt>235094</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>700</TotalAmt>
        <ManagementAndGeneralAmt>700</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>285777</TotalAmt>
        <ProgramServicesAmt>222511</ProgramServicesAmt>
        <ManagementAndGeneralAmt>63266</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>149904</TotalAmt>
        <ProgramServicesAmt>48364</ProgramServicesAmt>
        <ManagementAndGeneralAmt>101540</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>187924</TotalAmt>
        <ProgramServicesAmt>118245</ProgramServicesAmt>
        <ManagementAndGeneralAmt>69679</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>31487</TotalAmt>
        <ProgramServicesAmt>29560</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1927</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>21215</TotalAmt>
        <ProgramServicesAmt>3689</ProgramServicesAmt>
        <ManagementAndGeneralAmt>17526</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>183711</TotalAmt>
        <ProgramServicesAmt>131482</ProgramServicesAmt>
        <ManagementAndGeneralAmt>52229</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>27271</TotalAmt>
        <ProgramServicesAmt>5061</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22210</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>DRUGS &amp; MEDICAL SUPPLIES</Desc>
        <TotalAmt>537522</TotalAmt>
        <ProgramServicesAmt>537522</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>PROGRAM SERVICES</Desc>
        <TotalAmt>143922</TotalAmt>
        <ProgramServicesAmt>143922</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
        <TotalAmt>109994</TotalAmt>
        <ProgramServicesAmt>60796</ProgramServicesAmt>
        <ManagementAndGeneralAmt>48569</ManagementAndGeneralAmt>
        <FundraisingAmt>629</FundraisingAmt>
      </OtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>6871340</TotalAmt>
        <ProgramServicesAmt>5433748</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1436963</ManagementAndGeneralAmt>
        <FundraisingAmt>629</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>405729</BOYAmt>
        <EOYAmt>828108</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>1333010</BOYAmt>
        <EOYAmt>2038929</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>557965</BOYAmt>
        <EOYAmt>823215</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>352784</BOYAmt>
        <EOYAmt>361725</EOYAmt>
      </AccountsReceivableGrp>
      <InventoriesForSaleOrUseGrp>
        <BOYAmt>32936</BOYAmt>
        <EOYAmt>38060</EOYAmt>
      </InventoriesForSaleOrUseGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>70988</BOYAmt>
        <EOYAmt>90008</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>5824876</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>2080476</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>3548150</BOYAmt>
        <EOYAmt>3744400</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>4774</BOYAmt>
        <EOYAmt>11686</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>6306336</BOYAmt>
        <EOYAmt>7936131</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>562218</BOYAmt>
        <EOYAmt>408038</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>21974</BOYAmt>
        <EOYAmt>3321</EOYAmt>
      </DeferredRevenueGrp>
      <TaxExemptBondLiabilitiesGrp>
        <BOYAmt>858765</BOYAmt>
        <EOYAmt>741813</EOYAmt>
      </TaxExemptBondLiabilitiesGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>502908</BOYAmt>
        <EOYAmt>922339</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>1945865</BOYAmt>
        <EOYAmt>2075511</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>4360471</BOYAmt>
        <EOYAmt>5860620</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>4360471</BOYAmt>
        <EOYAmt>5860620</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>6306336</BOYAmt>
        <EOYAmt>7936131</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>1500149</ReconcilationRevenueExpnssAmt>
      <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="RetDoc9">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>3520315</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3553665</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4008529</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3014276</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3250395</CurrentTaxYearAmt>
        <TotalAmt>17347180</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>3520315</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>3553665</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>4008529</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3014276</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3250395</CurrentTaxYearAmt>
        <TotalAmt>17347180</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>17347180</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>181</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>76</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>632</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>3294</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>6849</CurrentTaxYearAmt>
        <TotalAmt>11032</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>60696</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>70828</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>25818</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>25510</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>582818</CurrentTaxYearAmt>
        <TotalAmt>765670</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>18123882</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>14759330</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.95710</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.98540</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING &amp; OTHER INCOME 182,852</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1" />
    <IRS990ScheduleD documentId="RetDoc3">
      <LandGrp>
        <OtherCostOrOtherBasisAmt>173743</OtherCostOrOtherBasisAmt>
        <BookValueAmt>173743</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>4503313</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1679634</DepreciationAmt>
        <BookValueAmt>2823679</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1102665</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>400842</DepreciationAmt>
        <BookValueAmt>701823</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>45155</OtherCostOrOtherBasisAmt>
        <BookValueAmt>45155</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3744400</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>THIRD PARTY SETTLEMENTS</Desc>
        <Amt>922339</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>922339</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>8371489</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>8371489</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>8371489</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>6871340</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>6871340</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>6871340</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. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLE TO ESTIMATE. AS OF JANUARY 31, 2019 AND 2018, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TONI LODGE</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>155640</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>863</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>893</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10350</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>22543</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>190289</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CINDY JEANNOTTE</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>133021</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>812</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>558</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8244</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>17611</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>160246</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN MCCARTHY</PersonNm>
        <TitleTxt>CMO</TitleTxt>
        <BaseCompensationFilingOrgAmt>198101</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>457</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>318</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>198876</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GILBERT ESCANDON</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>155991</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>285</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>254</OtherCompensationFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156530</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NEILL MEARS</PersonNm>
        <TitleTxt>DENTIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>153444</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>355</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>524</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5983</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15744</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>176050</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JON MACKAY</PersonNm>
        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>138220</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>379</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>24603</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>163202</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GEOFFREY MWANGI</PersonNm>
        <TitleTxt>DNP</TitleTxt>
        <BaseCompensationFilingOrgAmt>123340</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>271</BonusFilingOrganizationAmount>
        <NontaxableBenefitsFilingOrgAmt>28560</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>152171</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MAUREEN ROSETTE</PersonNm>
        <TitleTxt>COO</TitleTxt>
        <BaseCompensationFilingOrgAmt>121007</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>704</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1235</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8982</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>23884</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>155812</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc5">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WASHINGTON HEALTH CARE FACILITIES</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>WASHINGTON HEALTH CARE FACILITY</BusinessNameLine2Txt>
        </IssuerName>
        <BondIssuedDt>2006-12-27</BondIssuedDt>
        <IssuePriceAmt>1717500</IssuePriceAmt>
        <PurposeDesc>RESTORATION &amp; EXPANSION OF THE FACILITY.</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>956218</RetiredAmt>
        <TotalProceedsAmt>1717500</TotalProceedsAmt>
        <CapitalExpendituresAmt>1717500</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2007</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>false</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>false</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>false</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc6">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TONI LODGE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>157396</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CINDY JEANNOTTE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>134391</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>MAUREEN ROSETTE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>122946</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>DYLAN DRESSLER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>102722</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>JOE DRESSLER</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>92713</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>TAYLOR BIRDTAIL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>21000</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc7">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>2</ContributionCnt>
        <NoncashContributionsRptF990Amt>73749</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc8">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NATIVE PROJECT PROVIDED ALCOHOL, DRUG, AND GANG/VIOLENCE PREVENTION, EDUCATION THROUGH LEADERSHIP CAMP, SUMMER PROGRAM, AND WELLNESS PROGRAM. OUT-PATIENT AND INTENSIVE OUT-PATIENT DRUG AND ALCOHOL TREATMENT, AND ADOLESCENT CHILDREN COUNSELING SERVICES WERE PROVIDED. THE NATIVE PROJECT PROVIDED PRIMARY MEDICAL CARE, ALONG WITH A DIABETES PROGRAM, LIMITED ADULT COUNSELING SERVICES, DENTAL SERVICES, AND PHARMACY SERVICES TO A PRIMARILY LOW INCOME/UNDER-SERVED POPULATION. THE NATIVE PROJECT PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO CLINIC PATIENTS DURING THE FISCAL YEAR WAS 108,113 FOR CHARITY CARE. THE NATIVE PROJECT HAD 9,437 MEDICAL VISITS, 3,546 MENTAL HEALTH VISITS, AND 2,564 SUBSTANCE ABUSE VISITS, 1,941 DENTAL VISITS, 92 LEADERSHIP CAMP PARTICIPANTS, 76 SUMMER PROGRAM PARTICIPANTS AND 1,027 WELLNESS PROGRAM PARTICIPANTS DURING THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>TONI LODGE CINDY JEANNOTTE CEO CFO FAMILY RELATIONSHIP MAUREEN ROSETTE PAMELA AUSTIN COO CHAIR FAMILY RELATIONSHIP</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. THE BOARD OF DIRECTORS IS INCLUDED IN THE REVIEW PROCESS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM AND 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A CONFLICT OF INTEREST STATEMENT IS COMPLETED ANNUALLY BY THE BOARD OF DIRECTORS AND SELF DISCLOSURE IN THE INTERIM DISCLOSING ANY POSSIBLE CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE ARE CONSIDERED DURING THE DECISION-MAKING PROCESS FOR ALL TRANSACTIONS. ANY DIRECTOR INVOLVED IN A POTENTIAL CONFLICT OF INTEREST IS EXCLUDED FROM DISCUSSION AND VOTING ON THAT DECISION. ALL EMPLOYEES ARE REQUIRED TO REPORT TO THEIR SUPERVISOR ANY POTENTIAL INSTANCES THAT CREATE A CONFLICT OF INTEREST SITUATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS OF DETERMINING COMPENSATION IS BASED ON PAYSCALE AND REGIONAL LABOR AND INDUSTRIES POSTINGS/SURVEYS AS PROVIDED BY HUMAN RESOURCES WHICH ARE REVIEWED BY THE BOARD OF DIRECTORS IN APPROVING OFFICERS WAGES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE FORM 990, PART VI, LINE 15A.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE NATIVE PROJECT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>