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        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER MCGOUGH MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE MULLIN</PersonNm>
        <TitleTxt>BOARD MEMBER (APR-DEC)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>YVONNE PETERS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL SHERMAN MD</PersonNm>
        <TitleTxt>BOARD MEMBER (MAR-DEC)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY GIUNTO</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>245686</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>22064</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSANNE DADE</PersonNm>
        <TitleTxt>DEPUTY DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>36.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>175354</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13152</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK PREGLER</PersonNm>
        <TitleTxt>PERFORMANCE MEAS DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>158655</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16694</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN GALLAGHER</PersonNm>
        <TitleTxt>COMMUNICATION DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>131225</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>16655</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NATASHA ROSENBLATT</PersonNm>
        <TitleTxt>HEALTH INFORMATION CONSULT</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>122784</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11480</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>833704</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>80045</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>5</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MILLIMAN INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 FIFTH AVENUE SUITE 3800</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98101</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA VENDOR</ServicesDesc>
        <CompensationAmt>507413</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CENTER FOR THE STUDY OF SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1625 K STREET NW 8TH FLOOR</AddressLine1Txt>
            <CityNm>WASHINGTON</CityNm>
            <StateAbbreviationCd>DC</StateAbbreviationCd>
            <ZIPCd>20006</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SURVEY VENDOR</ServicesDesc>
        <CompensationAmt>219464</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PROJEKT202</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>5080 SPECTRUM DRIVE STE 320W</AddressLine1Txt>
            <CityNm>ADDISON</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75001</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>WEBSITE DEVELOPMENT</ServicesDesc>
        <CompensationAmt>122156</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>534167</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>2556855</AllOtherContributionsAmt>
      <TotalContributionsAmt>3091022</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>EVALUE8 PROGRAM</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>29400</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29400</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>29400</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1560</TotalRevenueColumnAmt>
        <ExclusionAmt>1560</ExclusionAmt>
      </InvestmentIncomeGrp>
      <OtherRevenueMiscGrp>
        <Desc>REIMBURSED EXPENSES</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>9849</TotalRevenueColumnAmt>
        <ExclusionAmt>9849</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>9849</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>3131831</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29400</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>11409</ExclusionAmt>
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      <GrantsToDomesticOrgsGrp>
        <TotalAmt>30000</TotalAmt>
        <ProgramServicesAmt>30000</ProgramServicesAmt>
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      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>245687</TotalAmt>
        <ProgramServicesAmt>147412</ProgramServicesAmt>
        <ManagementAndGeneralAmt>36853</ManagementAndGeneralAmt>
        <FundraisingAmt>61422</FundraisingAmt>
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      <OtherSalariesAndWagesGrp>
        <TotalAmt>998723</TotalAmt>
        <ProgramServicesAmt>781788</ProgramServicesAmt>
        <ManagementAndGeneralAmt>181790</ManagementAndGeneralAmt>
        <FundraisingAmt>35145</FundraisingAmt>
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      <PensionPlanContributionsGrp>
        <TotalAmt>28514</TotalAmt>
        <ProgramServicesAmt>21291</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5010</ManagementAndGeneralAmt>
        <FundraisingAmt>2213</FundraisingAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>133068</TotalAmt>
        <ProgramServicesAmt>99362</ProgramServicesAmt>
        <ManagementAndGeneralAmt>23380</ManagementAndGeneralAmt>
        <FundraisingAmt>10326</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>91265</TotalAmt>
        <ProgramServicesAmt>68148</ProgramServicesAmt>
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        <FundraisingAmt>7082</FundraisingAmt>
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      <FeesForServicesManagementGrp>
        <TotalAmt>98912</TotalAmt>
        <ProgramServicesAmt>73070</ProgramServicesAmt>
        <ManagementAndGeneralAmt>22797</ManagementAndGeneralAmt>
        <FundraisingAmt>3045</FundraisingAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>1391</TotalAmt>
        <ProgramServicesAmt>1151</ProgramServicesAmt>
        <ManagementAndGeneralAmt>240</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>32928</TotalAmt>
        <ManagementAndGeneralAmt>32928</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>16100</TotalAmt>
        <ProgramServicesAmt>12022</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2829</ManagementAndGeneralAmt>
        <FundraisingAmt>1249</FundraisingAmt>
      </FeesForServicesLobbyingGrp>
      <AdvertisingGrp>
        <TotalAmt>6849</TotalAmt>
        <ManagementAndGeneralAmt>6849</ManagementAndGeneralAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>92848</TotalAmt>
        <ProgramServicesAmt>67987</ProgramServicesAmt>
        <ManagementAndGeneralAmt>20812</ManagementAndGeneralAmt>
        <FundraisingAmt>4049</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>124703</TotalAmt>
        <ProgramServicesAmt>114430</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10273</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>112143</TotalAmt>
        <ProgramServicesAmt>83672</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19775</ManagementAndGeneralAmt>
        <FundraisingAmt>8696</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>15015</TotalAmt>
        <ProgramServicesAmt>10676</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2219</ManagementAndGeneralAmt>
        <FundraisingAmt>2120</FundraisingAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>34278</TotalAmt>
        <ProgramServicesAmt>27081</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4692</ManagementAndGeneralAmt>
        <FundraisingAmt>2505</FundraisingAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>40172</TotalAmt>
        <ProgramServicesAmt>29997</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7058</ManagementAndGeneralAmt>
        <FundraisingAmt>3117</FundraisingAmt>
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      <InsuranceGrp>
        <TotalAmt>28552</TotalAmt>
        <ProgramServicesAmt>21320</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5017</ManagementAndGeneralAmt>
        <FundraisingAmt>2215</FundraisingAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MILLIMAN CONTRACT</Desc>
        <TotalAmt>507413</TotalAmt>
        <ProgramServicesAmt>507413</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>CENTER FOR THE STUDY OF</Desc>
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        <ProgramServicesAmt>219464</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>PERFORMANCE MEASUREMENT</Desc>
        <TotalAmt>88620</TotalAmt>
        <ProgramServicesAmt>88620</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>OTHER CONSULTANTS</Desc>
        <TotalAmt>8786</TotalAmt>
        <ProgramServicesAmt>8786</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>2955431</TotalAmt>
        <ProgramServicesAmt>2413690</ProgramServicesAmt>
        <ManagementAndGeneralAmt>398557</ManagementAndGeneralAmt>
        <FundraisingAmt>143184</FundraisingAmt>
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      <JointCostsInd>X</JointCostsInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>757613</BOYAmt>
        <EOYAmt>1743459</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1673883</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>106982</BOYAmt>
        <EOYAmt>200000</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
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        <EOYAmt>16731</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>44823</BOYAmt>
        <EOYAmt>43307</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>331161</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>174931</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>72330</BOYAmt>
        <EOYAmt>156230</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>8336</BOYAmt>
        <EOYAmt>8336</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>3675373</BOYAmt>
        <EOYAmt>3841946</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>451886</EOYAmt>
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      <DeferredRevenueGrp>
        <BOYAmt>111100</BOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>19593</BOYAmt>
        <EOYAmt>12243</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>473956</BOYAmt>
        <EOYAmt>464129</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>3377817</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>3201417</BOYAmt>
        <EOYAmt>3377817</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>3675373</BOYAmt>
        <EOYAmt>3841946</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>176400</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>1</AccountantCompileOrReviewInd>
      <AcctCompileOrReviewBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </AcctCompileOrReviewBasisGrp>
      <FSAuditedInd>0</FSAuditedInd>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
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        <CurrentTaxYearMinus3YearsAmt>2817187</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2833752</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2690928</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3091022</CurrentTaxYearAmt>
        <TotalAmt>13590716</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus2YearsAmt>2833752</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2690928</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3091022</CurrentTaxYearAmt>
        <TotalAmt>13590716</TotalAmt>
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      <SubstantialContributorsTotAmt>2233859</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>11356857</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>4217</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>1700</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2027</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1184</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1560</CurrentTaxYearAmt>
        <TotalAmt>10688</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>16622</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>50388</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5824</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>21468</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9849</CurrentTaxYearAmt>
        <TotalAmt>104151</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>13705555</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>112450</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.82860</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.77450</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
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        <FilingOrganizationsTotalAmt>16100</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>16100</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>2939332</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>2955432</FilingOrganizationsTotalAmt>
      </TotalExemptPurposeExpendGrp>
      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>297772</FilingOrganizationsTotalAmt>
      </LobbyingNontaxableAmountGrp>
      <GrassrootsNontaxableGrp>
        <FilingOrganizationsTotalAmt>74443</FilingOrganizationsTotalAmt>
      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearAmt>297772</CurrentYearAmt>
        <TotalAmt>297772</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>446658</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearAmt>16100</CurrentYearAmt>
        <TotalAmt>16100</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearAmt>74443</CurrentYearAmt>
        <TotalAmt>74443</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>111665</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearAmt>16100</CurrentYearAmt>
        <TotalAmt>16100</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I-A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALLIANCE WAS A MEMBER OF THE COALITION OF HEALTH CARE COST TRANSPARENCY TO ADVOCATE FOR PASSAGE OF ESSB 5084 TO CREATE AN ALL PAYERS CLAIMS DATABASE FOR WASHINGTON STATE</ExplanationTxt>
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    <IRS990ScheduleD documentId="RetDoc1040000001">
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>331161</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>174931</DepreciationAmt>
        <BookValueAmt>156230</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>156230</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED RENT LIABILITY</Desc>
        <Amt>12243</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12243</TotalLiabilityAmt>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GROUP HEALTH COOPERATIVE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>320 WESTLAKE AVE N</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98109</ZIPCd>
        </USAddress>
        <RecipientEIN>911246278</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>DATA ANALYST TO MONITOR AND REPORT THE RESULTS FOR THREE MEASURES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WSMA FOUNDATION FOR HEALTH CARE IMPROVEMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2001 6TH AVE SUITE 2700</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98121</ZIPCd>
        </USAddress>
        <RecipientEIN>910462170</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT STAFF WITH DATA ANALYSIS TO MONITOR AND REPORT RESULTS FOR THREE MEASURES</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SWEDISH MEDICAL CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5300 TALLAMN AVE NW</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98107</ZIPCd>
        </USAddress>
        <RecipientEIN>910983214</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>SUPPORT STAFF WITH DATA ANALYSIS TO MONITOR AND REPORT RESULTS FOR THREE MEASURES</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>2</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHA REQUIRES WRITTEN DOCUMENTATION FOR ALL DELIVERABLES</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <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>NANCY GIUNTO</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>245686</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7356</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14708</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>267750</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSANNE DADE</PersonNm>
        <TitleTxt>DEPUTY DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>175354</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5257</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>7895</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>188506</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARK PREGLER</PersonNm>
        <TitleTxt>PERFORMANCE MEAS DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>158655</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16694</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>175349</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR - THE EXECUTIVE DIRECTOR SALARY IS DETERMINED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 WAS REVIEWED BY THE EXECUTIVE COMMITTEE IN A MEETING FACILITATED BY THE ACCOUNTING FIRM WHO PREPARED THE RETURN. THEN, THE FINAL COPY WAS DISTRIBUTED TO THE BOARD BEFORE FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IS COLLECTED FROM EACH BOARD MEMBER AND STAFF ANNUALLY. THE BOARD CHAIR REVIEWS ALL RESPONSES. BOARD MEMBERS DISCLOSE THEIR POTENTIAL CONFLICTS VERBALLY AT THE BEGINNING OF EACH BOARD MEETING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE DIRECTOR - THE EXECUTIVE DIRECTOR SALARY IS DETERMINED BY THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MOST OF OUR KEY DOCUMENTS, INCLUDING POLICY STATEMENTS AND MINUTES FROM KEY MEETINGS, ARE AVAILABLE ON THE WASHINGTON HEALTH ALLIANCE WEBSITE. 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 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 XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REVIEW COMMITTEE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>