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        <PersonNm>LEE MILLS MCGRATH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOE MIZRAHI</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN MULLANEY</PersonNm>
        <TitleTxt>BOARD MEMBER (THRU 03/20)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STEVE MULLIN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KETUL PATEL</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MEGAN PEDERSON</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER RUTHERFORD MD</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RON SIMS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN WAGNER</PersonNm>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLINE WHALEN</PersonNm>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY GIUNTO</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>280598</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>17466</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MARK S PREGLER</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN S JOHNSON</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10948</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>YURIY V STASYUK</PersonNm>
        <TitleTxt>SENIOR HEALTH DATA ANALYST</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GIRMA DEMISSIE</PersonNm>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELLEN A CHATEL</PersonNm>
        <TitleTxt>BUSINESS INTELLIGENCE DEVELOPER</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>11770</OtherCompensationAmt>
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      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>95626</TotalOtherCompensationAmt>
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      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
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      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
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          <BusinessName>
            <BusinessNameLine1Txt>MILLIMAN</BusinessNameLine1Txt>
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        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1301 FIFTH AVE STE 3800</AddressLine1Txt>
            <CityNm>SEATTLE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>981012605</ZIPCd>
          </USAddress>
        </ContractorAddress>
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      <TotalContributionsAmt>30331</TotalContributionsAmt>
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        <RelatedOrExemptFuncIncomeAmt>2956230</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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        <ExclusionAmt>7941</ExclusionAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>7941</ExclusionAmt>
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      <CompCurrentOfcrDirectorsGrp>
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        <FundraisingAmt>74516</FundraisingAmt>
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      <PensionPlanContributionsGrp>
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        <FundraisingAmt>3897</FundraisingAmt>
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        <FundraisingAmt>10397</FundraisingAmt>
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      <PayrollTaxesGrp>
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        <FundraisingAmt>9689</FundraisingAmt>
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      <FeesForServicesLegalGrp>
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        <ManagementAndGeneralAmt>9981</ManagementAndGeneralAmt>
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      <FeesForServicesAccountingGrp>
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        <ManagementAndGeneralAmt>114293</ManagementAndGeneralAmt>
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      <FeesForServicesOtherGrp>
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        <ProgramServicesAmt>155979</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2960</ManagementAndGeneralAmt>
        <FundraisingAmt>416</FundraisingAmt>
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        <ProgramServicesAmt>2937</ProgramServicesAmt>
        <ManagementAndGeneralAmt>469</ManagementAndGeneralAmt>
        <FundraisingAmt>378</FundraisingAmt>
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        <ProgramServicesAmt>33253</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5668</ManagementAndGeneralAmt>
        <FundraisingAmt>4285</FundraisingAmt>
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      <InformationTechnologyGrp>
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        <ProgramServicesAmt>56083</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2175</ManagementAndGeneralAmt>
        <FundraisingAmt>1754</FundraisingAmt>
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        <ProgramServicesAmt>100669</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16086</ManagementAndGeneralAmt>
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        <ProgramServicesAmt>1029</ProgramServicesAmt>
        <ManagementAndGeneralAmt>164</ManagementAndGeneralAmt>
        <FundraisingAmt>133</FundraisingAmt>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>2524</ProgramServicesAmt>
        <ManagementAndGeneralAmt>403</ManagementAndGeneralAmt>
        <FundraisingAmt>325</FundraisingAmt>
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        <ManagementAndGeneralAmt>1281</ManagementAndGeneralAmt>
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      <DepreciationDepletionGrp>
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        <ProgramServicesAmt>232741</ProgramServicesAmt>
        <ManagementAndGeneralAmt>37191</ManagementAndGeneralAmt>
        <FundraisingAmt>29992</FundraisingAmt>
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        <ProgramServicesAmt>22714</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3630</ManagementAndGeneralAmt>
        <FundraisingAmt>2927</FundraisingAmt>
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        <ProgramServicesAmt>663227</ProgramServicesAmt>
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        <ManagementAndGeneralAmt>159318</ManagementAndGeneralAmt>
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        <Desc>BANK FEES</Desc>
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        <ManagementAndGeneralAmt>1019</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>631</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>555825</ManagementAndGeneralAmt>
        <FundraisingAmt>235914</FundraisingAmt>
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        <EOYAmt>1991355</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>1768968</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>16479</EOYAmt>
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        <EOYAmt>425023</EOYAmt>
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        <EOYAmt>328819</EOYAmt>
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        <EOYAmt>8336</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>4538980</EOYAmt>
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        <EOYAmt>355041</EOYAmt>
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        <EOYAmt>1591774</EOYAmt>
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        <EOYAmt>202722</EOYAmt>
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        <EOYAmt>10701</EOYAmt>
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        <EOYAmt>2160238</EOYAmt>
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      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
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        <EOYAmt>2378742</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
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        <EOYAmt>2378742</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>4538980</EOYAmt>
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      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>3805698</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>2415178</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>24375</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>30331</CurrentTaxYearAmt>
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      <GrossReceiptsAdmissionsGrp>
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        <CurrentTaxYearMinus3YearsAmt>3916708</CurrentTaxYearMinus3YearsAmt>
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        <CurrentTaxYearMinus1YearAmt>2591368</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>2988561</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus1YearAmt>36920</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>7941</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus3YearsAmt>6730</CurrentTaxYearMinus3YearsAmt>
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      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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        <PersonNm>NANCY GIUNTO</PersonNm>
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        <PersonNm>MARK S PREGLER</PersonNm>
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        <PersonNm>KAREN S JOHNSON</PersonNm>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE FOR REVIEW PRIOR TO FILING. THE BOARD HAS GRANTED AUTHORITY TO THE EXECUTIVE COMMITTEE. A COPY OF THE FILED FORM 990 IS PROVIDED TO THE FULL BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>A COMPLETED CONFLICT OF INTEREST QUESTIONNAIRE IS COLLECTED FORM 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>THE EXECUTIVE DIRECTOR RECEIVES FEEDBACK ON AN ANNUAL BASIS FROM ALL MEMBERS OF THE BOARD OF DIRECTORS. A FORMAL EVALUATION IS CONDUCTED BY THE CHAIRPERSON OF THE BOARD IN COLLABORATION WITH MEMBERS OF THE EXECUTIVE COMMITTEE. KNOWLEDGE OF THE LOCAL MARKET BASED ON BOARD SEATS ON OTHER SIMILAR ORGANIZATIONS AND FORM 990, AS WELL AS SALARIES PAID TO INCUMBENTS IN LIKE POSITIONS ACROSS THE NATION ARE UTILIZED IN DETERMINING COMPENSATION. THE EXECUTIVE COMMITTEE APPROVES THE EVALUATION AND ACCOMPANYING SALARY ADJUSTMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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 STATE HEALTH ALLIANCE IS TRANSPARENCY TO IMPROVE THE DELIVERY OF HEALTHCARE, AND WE STRIVE TO TRANSLATE THIS SAME TRANSPARENCY INTO OUR BUSINESS OPERATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>
