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      <Form990PartVIISectionAGrp>
        <PersonNm>JEROME WILSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <IndivRcvdGreaterThan100KCnt>11</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>true</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
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          <BusinessName>
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          </BusinessName>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 276</AddressLine1Txt>
            <CityNm>NEWMAN LAKE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99025</ZIPCd>
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        </ContractorAddress>
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      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>2 TECHNOLOGY DRIVE</AddressLine1Txt>
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            <ZIPCd>01581</ZIPCd>
          </USAddress>
        </ContractorAddress>
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        <CompensationAmt>157128</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
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        </ContractorAddress>
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      <ProgramServiceRevenueGrp>
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      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>OTHER CONTRACT REVENUE</Desc>
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      <OtherRevenueTotalAmt>240594</OtherRevenueTotalAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>360781</ProgramServicesAmt>
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      <CompDisqualPersonsGrp>
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        <ManagementAndGeneralAmt>126483</ManagementAndGeneralAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>3524659</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1073611</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>129427</ProgramServicesAmt>
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      <OtherEmployeeBenefitsGrp>
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      <PayrollTaxesGrp>
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        <ProgramServicesAmt>312260</ProgramServicesAmt>
        <ManagementAndGeneralAmt>133826</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>418</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>271</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1335925</TotalAmt>
        <ProgramServicesAmt>1335925</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>33120</TotalAmt>
        <ProgramServicesAmt>26496</ProgramServicesAmt>
        <ManagementAndGeneralAmt>6624</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>121253</TotalAmt>
        <ProgramServicesAmt>97002</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24251</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>91765</TotalAmt>
        <ProgramServicesAmt>73412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>18353</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>146175</TotalAmt>
        <ProgramServicesAmt>146175</ProgramServicesAmt>
      </TravelGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>236058</TotalAmt>
        <ProgramServicesAmt>47212</ProgramServicesAmt>
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      </DepreciationDepletionGrp>
      <InsuranceGrp>
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        <ProgramServicesAmt>33516</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8379</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>SUPPLIES</Desc>
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        <ProgramServicesAmt>380728</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>SOFTWARE</Desc>
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        <ProgramServicesAmt>169101</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>OTHER EXPENSES</Desc>
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        <ProgramServicesAmt>128430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>32108</ManagementAndGeneralAmt>
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      <TotalFunctionalExpensesGrp>
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        <ProgramServicesAmt>7345860</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2424894</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
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      <PledgesAndGrantsReceivableGrp>
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      <AccountsReceivableGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipAccumDeprecAmt>2802524</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
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        <EOYAmt>3059541</EOYAmt>
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      <TotalAssetsGrp>
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      <AccountsPayableAccrExpnssGrp>
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      <DeferredRevenueGrp>
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        <EOYAmt>36928</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>609424</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
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        <EOYAmt>8774628</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
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        <EOYAmt>306939</EOYAmt>
      </DonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>6953230</BOYAmt>
        <EOYAmt>9081567</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>9690991</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>1833082</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>295255</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>true</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus1YearAmt>3158907</CurrentTaxYearMinus1YearAmt>
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        <TotalAmt>18258438</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus1YearAmt>3158907</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3781227</CurrentTaxYearAmt>
        <TotalAmt>18258438</TotalAmt>
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      <PublicSupportTotal170Amt>18258438</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus2YearsAmt>20718</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>11262</CurrentTaxYearMinus1YearAmt>
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      <GrossReceiptsRltdActivitiesAmt>23314842</GrossReceiptsRltdActivitiesAmt>
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      <PublicSupportPY170Pct>0.99540</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
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          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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        <BookValueAmt>158121</BookValueAmt>
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      <EquipmentGrp>
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        <DepreciationAmt>834538</DepreciationAmt>
        <BookValueAmt>1052467</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>264684</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>264684</DepreciationAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>3059541</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>11603836</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueSubtotalAmt>11603836</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>11603836</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>9770754</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>9770754</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>9770754</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc4">
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      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KIERSTEN MULLIS</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM B CRUMPTON</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <DeferredCompensationFlngOrgAmt>9927</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1019</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>156767</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDSEY STRADER</PersonNm>
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        <NontaxableBenefitsFilingOrgAmt>1024</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153870</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBBIE FARIS</PersonNm>
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        <DeferredCompensationFlngOrgAmt>11160</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>298</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>137941</TotalCompensationFilingOrgAmt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="RetDoc5">
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>55298</NoncashContributionsRptF990Amt>
      </DrugsAndMedicalSuppliesGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY JOINTLY BY THE EXECUTIVE DIRECTOR AND CFO BEFORE IT IS FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS MONITORED CONSISTENTLY THROUGH CONTINUED QUALITY IMPROVEMENT AND THE EXECUTIVE DIRECTOR AND CFO REVIEW TO ENSURE THERE ARE NO CONFLICTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD, WITH THE INPUT FROM THE MANAGEMENT TEAM, PERFORMS THE EVALUATION OF THE EXECUTIVE DIRECTOR. THE BOARD MEETS WITH THE EXECUTIVE DIRECTOR TO DISCUSS EVALUATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>A PERFORMANCE EVALUATION IS COMPLETED FOR EACH KEY EMPLOYEE BY THE EXECUTIVE DIRECTOR WHO PROVIDES THE FORM TO AND DISCUSSES IT WITH, EACH KEY EMPLOYEE. SALARY DATA IS GATHERED PERIODICALLY FOR COMPARISON PURPOSES. ADJUSTMENTS IN ADDITION TO THE MERIT INCREASE MAY BE MADE TO AN EMPLOYEE'S SALARY IF THE CURRENT SALARY IS OUT OF LINE WITH COMPARATIVE POSITIONS AT OTHER COMMUNITY HEALTH CENTERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CONFLICT OF INTEREST POLICY IS INCORPORATED IN THE CORPORATE COMPLIANCE POLICY, WHICH IS APPROVED BY THE BOARD AND MADE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE PRESENTED AT MONTHLY BOARD MEETINGS, WHICH ARE OPEN TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTRACTUAL SERVICES 1,335,925 0 0</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>