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      <Form990PartVIISectionAGrp>
        <PersonNm>SHERRY PLATT</PersonNm>
        <TitleTxt>NURSE CARE MANAGER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLE HAYES</PersonNm>
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        <PersonNm>CATHERINE DONNERSTAG</PersonNm>
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            <BusinessNameLine1Txt>KIRTLEY-COLE</BusinessNameLine1Txt>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FIDELIS</BusinessNameLine1Txt>
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          <USAddress>
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        <ServicesDesc>TECHNOLOGY</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CREDIBLE</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>DEPT CH 17409</AddressLine1Txt>
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          </USAddress>
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        <ServicesDesc>ELECTRONIC HEALTH SYSTEM</ServicesDesc>
        <CompensationAmt>147402</CompensationAmt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BUSHNAQ STUDIO LLC</BusinessNameLine1Txt>
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          <USAddress>
            <AddressLine1Txt>5007 S GENESSEE STREET</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98118</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>ARCHITECT</ServicesDesc>
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      <CntrctRcvdGreaterThan100KCnt>5</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>4890000</GovernmentGrantsAmt>
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      <TotalContributionsAmt>4985979</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>GOVERNMENT CONTRACTS</Desc>
        <BusinessCd>624100</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>14119089</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>CLIENT FEES</Desc>
        <BusinessCd>624100</BusinessCd>
        <TotalRevenueColumnAmt>257983</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>257983</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>14377072</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>3932</TotalRevenueColumnAmt>
        <ExclusionAmt>3932</ExclusionAmt>
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        <Desc>REIMBURSEMENTS</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>73862</TotalRevenueColumnAmt>
        <ExclusionAmt>73862</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>INSURANCE CLAIM</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>12962</ExclusionAmt>
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      <OtherRevenueMiscGrp>
        <Desc>RECORDING FEES</Desc>
        <BusinessCd>900099</BusinessCd>
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        <ExclusionAmt>2840</ExclusionAmt>
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      <MiscellaneousRevenueGrp>
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        <ExclusionAmt>585</ExclusionAmt>
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        <ManagementAndGeneralAmt>132781</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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      <AllOtherExpensesGrp>
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        <EOYAmt>27269121</EOYAmt>
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      <InvestmentIncomePYPct>0.00170</InvestmentIncomePYPct>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>242872</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>84865</DepreciationAmt>
        <BookValueAmt>158007</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2987971</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2470640</DepreciationAmt>
        <BookValueAmt>517331</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>17415930</OtherCostOrOtherBasisAmt>
        <BookValueAmt>17415930</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>27269121</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DEPOSITS</Desc>
        <BookValueAmt>56379</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING RIGHT-OF-USE ASSETS</Desc>
        <BookValueAmt>1779967</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>1836346</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES</Desc>
        <Amt>1973100</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FINANCING LEASE LIABILITIES</Desc>
        <Amt>197249</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2170349</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>19457232</TotalRevEtcAuditedFinclStmtAmt>
      <RevenueNotReportedAmt>0</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>19457232</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>19457232</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16977440</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16977440</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16977440</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <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>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LINDA GRANT</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>187080</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>2000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2965</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19367</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>211412</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EILEEN NEWTON</PersonNm>
        <TitleTxt>MEDICAL DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>184161</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3433</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13459</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201053</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KELSE BARTLETT</PersonNm>
        <TitleTxt>VP OF FINANCIAL OPERATIONS</TitleTxt>
        <BaseCompensationFilingOrgAmt>121846</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>12733</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>2907</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>16668</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>154154</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPLOYEES WHO RECEIVE COMPENSATION ARE ELIGIBLE FOR AN ANNUAL BONUS, WHICH IS DETERMINED AT THE DISCRETION OF THE CEO. IN 2023, EMPLOYEES WERE GIVEN A RETENTION BONUS OF WHICH THE AMOUNT IS ALSO DETERMINED BY THE CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE 9 BOARD MEMBERS WHO SERVED DURING THE YEAR, MEETING AT LEAST MONTHLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS REVIEWED BY THE CHIEF EXECUTIVE OFFICER PRIOR TO FILING AND DISCUSSED AND REVIEWED WITH THE BOARD. ALL MEMBERS OF THE BOARD WILL RECEIVE A COPY OF THE DRAFT 990 BEFORE IT HAS BEEN SUBMITTED TO THE INTERNAL REVENUE SERVICE AND A FINAL COPY AFTER COMPLETED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ERC BOARD MEMBERS PROVIDE WITH THEIR ORIGINAL MEMBERSHIP AND ANNUALLY THEREAFTER 2021 ATTESTATIONS OF NO CONFLICT OF INTEREST. BOARD TERMS ARE 3 YEARS AND LIMITED TO A TOTAL OF 2 TERMS (6 YEARS). NO ONE IS ELECTED TO THE BOARD WHO HAS A CONFLICT OF INTEREST. THE SAME OCCURS FOR KEY EMPLOYEES. THE EMPLOYEE HANDBOOK SECTION 2 (EMPLOYEE CODE OF CONDUCT) OUTLINES A STRICT POLICY PROHIBITING BUSINESS ASSOCIATE AND COWORKER GIFTS AND TRANSACTIONS (PAGE 2-5). CORPORATE COMPLIANCE PROCEDURE IS ALSO COVERED IN THIS SECTION AS WELL AS DUTY TO REPORT VIOLATIONS. THE ORGANIZATION EMPLOYS A PERSON WHO ACTS AS BOTH QUALITY ASSURANCE MANAGER AND CORPORATE COMPLIANCE MANAGER, ADDRESSING ANY CONCERNS SUBMITTED (EMPLOYEES HAVE ASSURANCES OF PROTECTION FROM RETALIATION). ANY CONCERNS OF POTENTIAL CONFLICT OF INTEREST COULD BE SUBMITTED TO THE CORPORATE COMPLIANCE OFFICER OR THE BOARD OF DIRECTORS FOR REVIEW. THE COMPANY ATTORNEY COULD ALSO ADVISE THE ORGANIZATION ON ANY COMPLAINTS. FINALLY, THE FISCAL POLICIES MANUAL APPLIES THE CODE OF CONDUCT SPECIFICALLY TO ACCOUNTING AND BUSINESS TRANSACTIONS IN SECTION 3: CODE OF CONDUCT AND ETHICS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD PERIODICALLY REVIEWS COMPARABLE SALARIES FOR CEO'S OF SIMILAR TYPE AND SIZE OF ORGANIZATION AND SETS SALARY BASED ON AVAILABLE FUNDS AND PERFORMANCE. WWW.GUIDESTAR.ORG IS OFTEN USED ALONG WITH OUR SURVEYS TO PROVIDE REGIONAL AND NONPROFIT BASELINE DATA ON WAGES AND SALARIES. THE LAST COMPENSATION REVIEW WAS CONDUCTED IN DECEMBER 2023 ON TOP MANAGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>