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        <InvestmentEarningsOrLossesAmt>739360</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-373285</OtherExpendituresAmt>
        <EndYearBalanceAmt>13480020</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>907208</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>-495310</OtherExpendituresAmt>
        <EndYearBalanceAmt>13003120</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>10965973</BeginningYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>1354368</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>12076705</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>11133164</BeginningYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>219356</InvestmentEarningsOrLossesAmt>
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        <DepreciationAmt>276065</DepreciationAmt>
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      <TotalRevenuePerForm990Amt>12922049</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>9364284</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>54294</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>54294</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>9418578</TotalExpensesPerForm990Amt>
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        <FormAndLineReferenceDesc>Part IV, Line 2b: Explanation of escrow account liability</FormAndLineReferenceDesc>
        <ExplanationTxt>Annuities are held in a custodial account (BNY Mellon). The assets and liability are reported on the balance sheet.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Endowment distributions are used to support capital and operational needs of Overlake Hospital Medical Center as directed by the individual Endowment purpose.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Expenses $387990</ExplanationTxt>
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        <GrossRevenueEvent1Amt>184159</GrossRevenueEvent1Amt>
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        <CharitableContributionsTotAmt>1155942</CharitableContributionsTotAmt>
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        <EntertainmentTotalEventsAmt>24165</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>264201</OthDirectExpnssTotalEventsAmt>
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        <DirectExpenseSummaryGamingAmt>4000</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>42600</NetGamingIncomeSummaryAmt>
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      <StatesWhereGamingConductedCd>WA</StatesWhereGamingConductedCd>
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      <LicenseSuspendedEtcInd>false</LicenseSuspendedEtcInd>
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        <BusinessNameLine1Txt>Lindsey Soboloski</BusinessNameLine1Txt>
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        <AddressLine1Txt>1035 - 116th Ave NE</AddressLine1Txt>
        <CityNm>Bellevue</CityNm>
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      <GamingManagerPersonNm>Mary Beth Stearns</GamingManagerPersonNm>
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          <BusinessNameLine1Txt>Overlake Hospital Medical Center</BusinessNameLine1Txt>
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          <AddressLine1Txt>1035 - 116th Ave NE</AddressLine1Txt>
          <CityNm>Bellevue</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98004</ZIPCd>
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        <RecipientEIN>910652651</RecipientEIN>
        <IRCSectionDesc>501(c)3</IRCSectionDesc>
        <CashGrantAmt>7740090</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support Overlake Hospital</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake Hospital Foundation staff notifies the Overlake Hospital Medical Center Accounting staff when there is a specific grant. If the grant is for operational expenses that the Hospital does not incur in the normal course of business, the appropriate department in the hospital is contacted to develop plans and timing for using the funds as designated. If the grant is for capital, the Accounting staff will monitor when the capital has been purchased and release the grant from restriction. When the department makes the expenditure, accounting is notified, and the restriction of the grant is released.</ExplanationTxt>
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      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>Andrew Tokar</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Gary McLaughlin</PersonNm>
        <TitleTxt>Former Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>J Michael Marsh</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mary Beth Stearns</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephanie Stewart</PersonNm>
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          <PersonNm>Julie Michelsen</PersonNm>
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        <RelationshipDescriptionTxt>See note below</RelationshipDescriptionTxt>
        <TransactionAmt>10630</TransactionAmt>
        <TransactionDesc>Wages</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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        <FormAndLineReferenceDesc>Schedule L, Part V Supplemental Information</FormAndLineReferenceDesc>
        <ExplanationTxt>(b) Relationship between interested person and the organization.Employee of organization and Family member of Warren Michelsen, a trustee.</ExplanationTxt>
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        <NoncashContributionsRptF990Amt>884458</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
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        <ContributionCnt>92</ContributionCnt>
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      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Raffle Item</Desc>
        <ContributionCnt>1</ContributionCnt>
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      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="18007218" softwareVersionNum="2018v3.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members Merrill Behnke and Ryan Broms have a family relationship.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</FormAndLineReferenceDesc>
        <ExplanationTxt>Although the governing documents do not state that there are any members of Overlake Hospital Foundation, Overlake Hospital Medical Center does have the right to participate in the organizations governance.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake Hospital Medical Center has the right to appoint and remove Overlake Hospital Foundation's Trustees.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake Hospital Medical Center must approve: (a) any sale or lease of all or substantially all of the assets of the corporation; (b) any single transaction increasing long term indebtedness by an amount exceeding five percent of the total assets of the corporation during a fiscal year of the corporation; (c) the annual budget of the corporation and any material amendments thereto; (d) the auditors of the corporation; and (e) any amendments to the articles of incorporation and bylaws of the corporation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b: Form 990 Review Process</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is prepared internally and reviewed by an independent accounting firm. The 990 is then reviewed by the Chief Development Officer, President &amp; CEO, CFO, Overlake Hospital Medical Center Chief Human Resources and Compliance Officer, and the Overlake Hospital Medical Center Finance Committee. A public disclosure copy is distributed to the Foundation board members prior to submission to the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members and management annually sign a statement which affirms that such person: 1) has received a copy of the Conflict of Interest Policy, 2) has read and understands the policy, 3) has agreed to comply with the policy, and 4) understands that the corporation is a charitable organization and that in order to maintain their federal tax exemption they must avoid conflicts of interest and engage primarily in activities which accomplish one or more of their tax-exempt functions. A list of all financial interests or other relationships with any organization that has, or can be reasonably expected to have, a transaction with the corporation, competes against the corporation, or whose interest materially conflicts with the interest of the corporation is submitted annually to the Overlake Hospital Medical Center Compliance Officer for review. The Compliance Officer summarizes any conflicts of interest and discusses these results with the Chair of the Audit &amp; Compliance Committee, CEO, and General Counsel. This information is also shared with the Board Chairman, Committee Chairs, and the CFO. At board meetings, members are expected to recuse themselves from voting on issues when there is a conflict of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a: Compensation Review &amp; Approval Process - CEO, Top Management</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake's policy and process for Executive Compensation is fully documented in the "Executive Compensation Administration and Compliance Manual". This manual details the charter of the Compensation Committee of the Board, the compensation philosophy and how salary increases, incentives, benefits and perquisites are administered. Compensation Committee members are independent board members as required by the Charter and By-laws. The process includes an independent consultant who works directly for the Compensation Committee and review of comparable data from external sources. All compensation related decisions for the Foundation's Chief Development Officer Mary Beth Stearns are deliberated and voted on by the Overlake Hospital Medical Center/Overlake Hospital Association/Overlake Hospital Foundation Compensation Committee and documented in the minutes of the meeting. Officers J. Michael Marsh and Andrew Tokar are paid by related affiliate Overlake Hospital Medical Center. The most recent compensation review was at the October 2017 Compensation Committee meeting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake Hospital Foundation makes its governing documents and conflict of interest policy available through the Hospital's administration office. The Overlake Hospital Foundation financial statements are available upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other Changes In Net Assets Or Fund Balances - Other Decreases</FormAndLineReferenceDesc>
        <ExplanationTxt>Pledge Write Off's = -$14114</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake Hospital Foundation had 22 board members that volunteered their time as board members during the year. Another 100 volunteers assisted with special events.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 2a and 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>Employees are paid through the use of a common paymaster and reported on the Form W-3 and other required filings of Overlake Hospital Medical Center.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 7g and 7h</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake Hospital Foundation did not receive any contributions of intellectual property, cars, boats, airplanes, or other vehicles.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII</FormAndLineReferenceDesc>
        <ExplanationTxt>Overlake Hospital Foundation staff are paid by its related organization (Overlake Hospital Medical Center) through a common paymaster. These payroll expenses are charged to Overlake Hospital Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>From 990, Part IX, Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Employees of Overlake Hospital Foundation receive pension benefits administered through Overlake Hospital Medical Center. These expenses are included in the Overlake Hospital Medical Center IRS Form 990, are not allocated to the Overlake Hospital Foundation, and are not reimbursed to Overlake Hospital Medical Center.</ExplanationTxt>
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          <BusinessNameLine1Txt>Overlake Hospital Medical Center</BusinessNameLine1Txt>
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        </USAddress>
        <EIN>911274134</EIN>
        <PrimaryActivitiesTxt>Rent Medical and office space to Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11-Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>