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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>184677</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>44500</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>1</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>TRA-MINW PS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1535</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>98401</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MANAGEMENT SERVICES AND OUTSIDE LABOR</ServicesDesc>
        <CompensationAmt>10579800</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HOLOGIC INC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24506 NETWORK PLACE</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606731245</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE CONTRACTS</ServicesDesc>
        <CompensationAmt>1360773</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MULTICARE HEALTH SYSTEMS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5299 M/S 737-3-FS</AddressLine1Txt>
            <CityNm>TACOMA</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>984150299</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>INFORMATION TECHONOLOGY SERVICES</ServicesDesc>
        <CompensationAmt>452287</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>CHANGE HEALTHCARE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 98347</AddressLine1Txt>
            <CityNm>CHICAGO</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60693</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>SERVICE CONTRACTS</ServicesDesc>
        <CompensationAmt>261549</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>4</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>161992</FundraisingAmt>
      <AllOtherContributionsAmt>225812</AllOtherContributionsAmt>
      <TotalContributionsAmt>387804</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>PATIENT SERVICES</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>16610447</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16610447</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INCENTIVE PROGRAM</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>139610</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>139610</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>16750057</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>56281</TotalRevenueColumnAmt>
        <ExclusionAmt>56281</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <OtherAmt>1200</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>0</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>1200</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1200</TotalRevenueColumnAmt>
        <ExclusionAmt>1200</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>31019</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>161992</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>19966</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>11053</TotalRevenueColumnAmt>
        <ExclusionAmt>11053</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>17206395</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>16750057</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>68534</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <FeesForServicesManagementGrp>
        <TotalAmt>1040063</TotalAmt>
        <ManagementAndGeneralAmt>1040063</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>48793</TotalAmt>
        <ManagementAndGeneralAmt>48793</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>9957269</TotalAmt>
        <ProgramServicesAmt>8103354</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1780712</ManagementAndGeneralAmt>
        <FundraisingAmt>73203</FundraisingAmt>
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      <OfficeExpensesGrp>
        <TotalAmt>247064</TotalAmt>
        <ProgramServicesAmt>55744</ProgramServicesAmt>
        <ManagementAndGeneralAmt>191320</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>387091</TotalAmt>
        <ProgramServicesAmt>302524</ProgramServicesAmt>
        <ManagementAndGeneralAmt>84567</ManagementAndGeneralAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>742019</TotalAmt>
        <ProgramServicesAmt>460085</ProgramServicesAmt>
        <ManagementAndGeneralAmt>281934</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>6671</TotalAmt>
        <ManagementAndGeneralAmt>6671</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>626073</TotalAmt>
        <ProgramServicesAmt>388194</ProgramServicesAmt>
        <ManagementAndGeneralAmt>237879</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>86639</TotalAmt>
        <ManagementAndGeneralAmt>86639</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>1583412</TotalAmt>
        <ProgramServicesAmt>1357295</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226117</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES</Desc>
        <TotalAmt>1004340</TotalAmt>
        <ProgramServicesAmt>1004340</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT</Desc>
        <TotalAmt>455663</TotalAmt>
        <ProgramServicesAmt>455663</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMPASSIONATE CARE</Desc>
        <TotalAmt>248228</TotalAmt>
        <ProgramServicesAmt>248228</ProgramServicesAmt>
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      <AllOtherExpensesGrp>
        <TotalAmt>303739</TotalAmt>
        <ManagementAndGeneralAmt>84216</ManagementAndGeneralAmt>
        <FundraisingAmt>219523</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>16737064</TotalAmt>
        <ProgramServicesAmt>12375427</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4068911</ManagementAndGeneralAmt>
        <FundraisingAmt>292726</FundraisingAmt>
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      <SavingsAndTempCashInvstGrp>
        <BOYAmt>4399415</BOYAmt>
        <EOYAmt>1839747</EOYAmt>
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      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>1554191</BOYAmt>
        <EOYAmt>1974667</EOYAmt>
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      <AccountsReceivableGrp>
        <BOYAmt>1633672</BOYAmt>
        <EOYAmt>1848878</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>203766</BOYAmt>
        <EOYAmt>248236</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>16611842</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>15844776</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>1316240</BOYAmt>
        <EOYAmt>767066</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <InvestmentsOtherSecuritiesGrp>
        <EOYAmt>3071950</EOYAmt>
      </InvestmentsOtherSecuritiesGrp>
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        <BOYAmt>1709367</BOYAmt>
        <EOYAmt>10047634</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>10816651</BOYAmt>
        <EOYAmt>19798178</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1232467</BOYAmt>
        <EOYAmt>1406396</EOYAmt>
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      <OtherLiabilitiesGrp>
        <BOYAmt>1709367</BOYAmt>
        <EOYAmt>10047634</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>2941834</BOYAmt>
        <EOYAmt>11454030</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>7335078</BOYAmt>
        <EOYAmt>7717334</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>539739</BOYAmt>
        <EOYAmt>626814</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>7874817</BOYAmt>
        <EOYAmt>8344148</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>10816651</BOYAmt>
        <EOYAmt>19798178</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>469331</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <HospitalInd>X</HospitalInd>
    </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>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>4574070</DepreciationAmt>
        <BookValueAmt>170342</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>11390286</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10814404</DepreciationAmt>
        <BookValueAmt>575882</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>477144</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>456302</DepreciationAmt>
        <BookValueAmt>20842</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>767066</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>INVESTMENT IN JOINT VENTURE</Desc>
        <BookValueAmt>3071950</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </OtherSecuritiesGrp>
      <TotalBookValueSecuritiesAmt>3071950</TotalBookValueSecuritiesAmt>
      <OtherAssetsOrgGrp>
        <Desc>OPERATING RIGHT-OF-USE ASSET</Desc>
        <BookValueAmt>10047634</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>10047634</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITY</Desc>
        <Amt>10047634</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10047634</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>16769498</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>19966</OtherRevenueAmt>
      <RevenueNotReportedAmt>19966</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>16749532</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>456863</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>456863</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>17206395</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>16300167</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>19966</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>19966</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>16280201</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>456863</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>456863</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>16737064</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER IS A TAX-EXEMPT ORGANIZATION AND IS NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES, EXCEPT FOR UNRELATED BUSINESS INCOME, IN ACCORDANCE WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE CENTER QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. UNRELATED BUSINESS INCOME TAX, IF ANY, IS INSIGNIFICANT AND NO TAX PROVISION HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CENTER RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE CENTER HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2023 AND 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 19,966.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XI, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS RECLASSIFIED TO STATEMENT OF FUNCTIONAL EXPENSES 455,663. GAIN ON SALE OF FIXED ASSETS 1,200.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING EXPENSES 19,966.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 4B - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBTS RECLASSIFIED TO STATEMENT OF FUNCTIONAL EXPENSES 455,663. GAIN ON SALE OF FIXED ASSETS 1,200.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041300001">
      <FundraisingEventInformationGrp>
        <Event1Nm>MAMMOGRAMS SAVE LIVES LUNCHEON</Event1Nm>
        <GrossReceiptsEvent1Amt>164312</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>148492</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>15820</GrossRevenueEvent1Amt>
        <FoodAndBeverageEvent1Amt>6600</FoodAndBeverageEvent1Amt>
        <OtherDirectExpensesEvent1Amt>1438</OtherDirectExpensesEvent1Amt>
        <Event2Nm>PINK IN THE PARK</Event2Nm>
        <GrossReceiptsEvent2Amt>28699</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>13500</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>15199</GrossRevenueEvent2Amt>
        <RentFacilityCostsEvent2Amt>11928</RentFacilityCostsEvent2Amt>
        <GrossReceiptsTotalAmt>193011</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>161992</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>31019</GrossRevenueTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>11928</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>6600</FoodAndBeverageTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>1438</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>19966</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>11053</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <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>LEANNE J NOREN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR, EX OFFICIO</TitleTxt>
        <BaseCompensationFilingOrgAmt>181114</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>3563</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>14500</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>30000</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>229177</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TRA-MINW, P.S. ENGAGES A THIRD PARTY COMPANY THAT BENCHMARKS SALARY RANGES BASED ON ROLE AND REGION TO ENSURE CMBC'S EXECUTIVE DIRECTOR, LEANNE NOREN, IS COMPENSATED WITHIN MARKET RANGE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>CMBC OUTSOURCES MANAGEMENT FUNCTIONS TO TRA-MINW, P.S. WHICH INCLUDES THE PAYMENT OF CMBC'S EXECUTIVE DIRECTOR, LEANNE NOREN.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS A MANAGEMENT AGREEMENT WITH TRA-MINW, P.S. ("TRA" DBA TRA MEDICAL IMAGING). THE ORGANIZATION USES TRA'S EMPLOYEES TO MANAGE AND RUN THE ORGANIZATION, AND PAYS FOR THESE SERVICES. LEANNE NOREN LISTED IN PART VII WAS COMPENSATED $200,910 BY TRA FOR SERVICES AS EXECUTIVE DIRECTOR OF THE ORGANIZATION. COMPENSATION WAS INITIALLY APPROVED BY THE BOARD OF DIRECTORS AT HIRE. COMPENSATION REVIEWS ARE PERFORMED ANNUALLY BY TRA EXECUTIVE MANAGEMENT USING INDUSTRY BENCHMARKING DATA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION HAS TWO MEMBERS: FRANCISCAN HEALTH SYSTEM AND MULTICARE HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MEMBERS HAVE THE RIGHT TO APPOINT MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A COPY OF FORM 990, INCLUDING SCHEDULE B, TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED. THE EXECUTIVE DIRECTOR REVIEWS THE 990 ALONG WITH THE FINANCE COMMITTEE, LEADERSHIP AND STRATEGY COMMITTEE, AND THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST. IN ANY CIRCUMSTANCE IN WHICH A DIRECTOR IS DETERMINED TO HAVE A CONFLICT OF INTEREST, THE BOARD WILL ACT UPON SUCH DISCLOSURE IN A MANNER CONSISTENT WITH THE BEST INTERESTS OF THE ORGANIZATION, AND THE DIRECTOR SUBJECT TO SUCH CONFLICT WILL TAKE SUCH ACTION, INCLUDING ABSTENTION FROM VOTING AND/OR PARTICIPATION IN BOARD DISCUSSIONS AS MAY BE NECESSARY TO ENSURE THAT THE DECISIONS OF THE BOARD ARE FREE FROM UNDUE INFLUENCE OR CONFLICTS OF INTEREST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION STUDIES ARE OBTAINED ON AN ANNUAL BASIS TO CONFIRM EXECUTIVE DIRECTOR COMPENSATION IS IN LINE WITH SIMILAR ORGANIZATIONS. ADJUSTMENTS TO COMPENSATION ARE MADE AS APPROPRIATE AND APPROVED BY HUMAN RESOURCES AND CHIEF EXECUTIVE OFFICER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>FEES FOR SERVICES - OTHER: PROGRAM SERVICE EXPENSES 328,338. MANAGEMENT AND GENERAL EXPENSES 249,802. FUNDRAISING EXPENSES 20,715. TOTAL EXPENSES 598,855. FEES FOR SERVICES - PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 4,984,386. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,984,386. FEES FOR SERVICES - OUTSIDE LABOR FEES: PROGRAM SERVICE EXPENSES 2,790,630. MANAGEMENT AND GENERAL EXPENSES 1,530,910. FUNDRAISING EXPENSES 52,488. TOTAL EXPENSES 4,374,028.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>FRANCISCAN HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1717 S J STREET</AddressLine1Txt>
          <CityNm>TACOMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98405</ZIPCd>
        </USAddress>
        <EIN>910564491</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MULTICARE HEALTH SYSTEM</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5299</AddressLine1Txt>
          <CityNm>TACOMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98415</ZIPCd>
        </USAddress>
        <EIN>911352172</EIN>
        <PrimaryActivitiesTxt>HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CMBC 19TH LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>6622 WOLLOCHET DRIVE</AddressLine1Txt>
          <CityNm>GIG HARBOR</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98335</ZIPCd>
        </USAddress>
        <EIN>921192027</EIN>
        <PrimaryActivitiesTxt>RENTAL PROPERTY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WA</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>-37385</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>6678270</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.49000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>0</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>0</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>