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        <OtherExpendituresAmt>315246</OtherExpendituresAmt>
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      <RelatedOrgListSchRInd>false</RelatedOrgListSchRInd>
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        <OtherCostOrOtherBasisAmt>2433457</OtherCostOrOtherBasisAmt>
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        <OtherCostOrOtherBasisAmt>12581004</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3734624</DepreciationAmt>
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        <BookValueAmt>844268</BookValueAmt>
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        <OtherCostOrOtherBasisAmt>560820</OtherCostOrOtherBasisAmt>
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        <BookValueAmt>468297</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>12592402</TotalBookValueLandBuildingsAmt>
      <TotalRevEtcAuditedFinclStmtAmt>22630436</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>127642</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>127642</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>22502794</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>100841</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>100841</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>22603635</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>23279285</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>23279285</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>15963</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>15963</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>23295248</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenses grouped with revenue $15963 Non-cash contributions $84878</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenses grouped with revenue $15963</ExplanationTxt>
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        <CharitableContriEvent1Amt>85245</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>25440</GrossRevenueEvent1Amt>
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        <FoodAndBeverageEvent1Amt>15318</FoodAndBeverageEvent1Amt>
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        <GrossReceiptsTotalAmt>110685</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>85245</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>25440</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>5586</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>15318</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>4547</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>25451</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>-11</NetIncomeSummaryAmt>
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    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="15000324" softwareVersionNum="2015v3.0">
      <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>
      <RebuttablePresumptionProcInd>false</RebuttablePresumptionProcInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREGORY PANG MHA</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>143232</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>5691</DeferredCompensationFlngOrgAmt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Hospital Bed, Mattress, Trapez</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>5950</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Computer, Exercise Equipment</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>16000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Office Furniture</Desc>
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        <NoncashContributionsRptF990Amt>6341</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Hospital Bed, Air Mattress</Desc>
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        <NoncashContributionsRptF990Amt>25000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Medical equipment</Desc>
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        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Specialty Wheelchair</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>25000</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="15000324" softwareVersionNum="2015v3.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d: Other Program Services Description</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROGRAM SERVICES 4: PALLIATIVE CARE: TREATMENT OF THE DISCOMFORT, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization amended its bylaws to add a Board Member Emeritus who is nominated and elected by the Board of Directors. The organization has also added the Clark County Advisory Board to its bylaws. The members of the Clark County Advisory Board shall be selected from area businesses, professions and interested citizens who are residents in the Corporations service area of Clark County, Washington.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FINANCE COMMITTEE REVIEWS THE FORM AT A FINANCE COMMITTEE MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS IMMEDIATELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION IS DETERMINED BY EXAMINING THE APPLICANT'S CURRENT AND HISTORICAL EARNINGS TO SEE IF THE EXPENSE WILL FIT IN THE ORGANIZATION'S COST STRUCTURE, AS WELL AS WITHIN THE REALM OF OTHER SIMILARLY EXPERIENCED EMPLOYEES IN COMPARABLE POSITIONS. FINALLY, EVERY THREE OR FOUR YEARS WE DO A MARKET ANALYSIS OF OUR INDUSTRY'S SALARIES FOR OUR GEOGRAPHICAL AREA WITH HOSPITAL &amp; HEALTHCARE COMPENSATION SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
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  </ReturnData>
</Return>