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      <Form990PartVIISectionAGrp>
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        <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. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30, 2025 AND 2024, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 316,151</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XII, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 316,151</ExplanationTxt>
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        <PersonNm>RHONDA HAUFF</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <BonusFilingOrganizationAmount>4200</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>70977</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOCELYN PEDROSA</PersonNm>
        <TitleTxt>CMO</TitleTxt>
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        <BonusFilingOrganizationAmount>39700</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>20697</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>93299</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>489637</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRETT MILLER</PersonNm>
        <TitleTxt>CDO</TitleTxt>
        <BaseCompensationFilingOrgAmt>243752</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>24700</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>13466</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>63674</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>345592</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHAD DOUGLAS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NANA KWAME ASIEDU OFEI</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA-LYN ORRIN</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DANIEL DUNBAR</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>262260</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>9200</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>9111</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>35100</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>315671</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SUSAN DENNIS</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>201338</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>13000</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>12740</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>34010</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>261088</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LARAINE RISING</PersonNm>
        <TitleTxt>CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>167796</BaseCompensationFilingOrgAmt>
        <BonusFilingOrganizationAmount>8856</BonusFilingOrganizationAmount>
        <OtherCompensationFilingOrgAmt>1700</OtherCompensationFilingOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>59883</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>238235</TotalCompensationFilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>RHONDA HAUFF 0 1 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 4B: NONQUALIFIED DEFERRED COMPENSATION PLAN THE ORGANIZATION'S NONQUALIFIED RETIREMENT PLAN IS FOR EMPLOYEES WITH 13 YEARS OR MORE OF SERVICE. EACH EMPLOYEE WHO IS ELIGIBLE TO PARTICIPATE IS 100% VESTED AT ALL TIMES. BENEFITS ARE DISTRIBUTABLE TO EMPLOYEES OR BENEFICIARIES AT 55 YEARS OF AGE OR 25 YEARS OF SERVICE. PARTICIPANTS ARE ELIGIBLE FOR 50% OF THE ACCOUNT BALANCE UPON TERMINATION, WITH THE SECOND HALF AT 55 YEARS OF AGE UNLESS ALREADY QUALIFIED ABOVE. PARTICIPANTS: RHONDA HAUFF - NO BENEFITS PAID IN CURRENT YEAR.</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>WASHINGTON HEALTH CARE AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>911108929</BondIssuerEIN>
        <BondIssuedDt>2022-02-28</BondIssuedDt>
        <IssuePriceAmt>4463210</IssuePriceAmt>
        <PurposeDesc>REFINANCE DEBT</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
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        <PoolFinancingInd>false</PoolFinancingInd>
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        <BondReferenceCd>A</BondReferenceCd>
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        <TotalProceedsAmt>4463210</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>88764</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>4374446</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2021</SubstantialCompletionYr>
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        <RefundingTaxableBondsInd>false</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
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      <TaxExemptBondsPrivateBusUseGrp>
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        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>true</ExceptionToRebateInd>
        <NoRebateDueInd>false</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
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      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PURPOSE OF ISSUE DESCRIPTION</FormAndLineReferenceDesc>
        <ExplanationTxt>WASHINGTON HEALTH CARE AUTHORITY REFINANCE DEBT</ExplanationTxt>
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    </IRS990ScheduleK>
    <IRS990ScheduleM documentId="RetDoc8">
      <DrugsAndMedicalSuppliesGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>980623</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>false</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, PAGE 2, PART II</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHEDULE M, PART I, COLUMN (B) IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc9">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990, PART III, LINE 4B - SUPPORTIVE HOUSING CONTINUATION THE YNHS MEDICAL RESPITE PROGRAM AGAIN SERVES AS THE ISOLATION AND QUARANTINE PROGRAM FOR ALL OF YAKIMA COUNTY, TO ALLOW LOW INCOME PEOPLE WITH COMMUNICABLE CONDITIONS SUCH AS COVID, MEASLES, TUBERCULOSIS, AND MPOX TO ISOLATE WHEN THEY DO NOT HAVE HOUSING, OR LIVE IN CROWDED OR SHARED HOUSING AND ARE UNABLE TO ISOLATE ON THEIR OWN. THE MEDICAL RESPITE PROGRAM PROVIDED A SIGNIFICANT COST SAVINGS TO THE MEDICAL COMMUNITY BY PREVENTING HOSPITAL ADMISSIONS AND RE-ADMISSIONS FOR HOMELESS INDIVIDUALS. A WELCOMED ADDITION TO THE YAKIMA VALLEY WAS THE "NEIGHBORHOOD SHOWERS" MOBILE HYGIENE, A TRAVELING SHOWERS PROGRAM THAT OFFERS SHOWER FACILITIES FOR UNHOUSED INDIVIDUALS, ALONG WITH HEALTH CARE PROFESSIONALS TO ENGAGE WITH PEOPLE WHILE THEY WAIT TO TAKE SHOWERS AND AFTERWARDS WHEN THEY ARE FRESHLY ENJOYING COFFEE, A SNACK BAR, AND A FRESH NEW SET OF CLOTHING. OUR HEALTH CARE TEAM MET WITH HUNDREDS OF PEOPLE IN YAKIMA, WAPATO, TOPPENISH AND WHITE SWAN, PROVIDING NOT ONLY SHOWERS, BUT CONNECTING MANY OF THESE INDIVIDUALS TO MEDICAL, DENTAL, BEHAVIORAL HEALTH, AND HOUSING SERVICES AS A RESULT OF THIS EFFECTIVE OUTREACH SERVICE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER CLINIC OPERATIONS - VARIOUS PREVENTIVE FAMILY HEALTH SERVICES TARGETED AT CHILDREN OF LOW INCOME FAMILIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE OFFICERS OF THE ORGANIZATION AND THE IMMEDIATE PAST CHAIR. THE EXECUTIVE COMMITTEE PERFORMS THE FUNCTIONS OF THE BOARD OF DIRECTORS IN THE ROUTINE MANAGEMENT OF THE AFFAIRS OF THE ORGANIZATION DURING THE INTERVALS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE REPORTED AT THE NEXT MEETING OF THE BOARD OF DIRECTORS WHO MAY AFFIRM OR DISAFFIRM SUCH ACTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE FORM 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER BEFORE APPROVAL OF THE FORM 990. THE APPROVED FORM 990 IS THEN SHARED WITH THE FULL BOARD OF DIRECTORS AT THE NEXT REGULAR MEETING. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY. ALL POTENTIAL CONFLICTS ARE DISCLOSED. IF ANY POTENTIAL CONFLICTS ARE IDENTIFIED, THE BOARD MEMBER IN QUESTION OBSTAINS FROM VOTING ON THE MATTER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS DID A LOCAL AND REGIONAL MARKET SURVEY OF SALARIES FOR HEALTH CARE INDUSTRY MANAGERS USING MILLIMAN AND NWRPCA SALARY SURVEYS. RECOMMENDATIONS WERE MADE TO THE FINANCE COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THIS WAS MOST RECENTLY PERFORMED DURING THE YEAR ENDED JUNE 30, 2024.</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>YNHS MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>RENTAL EXPENSES 316,151 RENTAL EXPENSES -316,151</ExplanationTxt>
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    </IRS990ScheduleO>
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</Return>