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        <USAddress>
          <AddressLine1Txt>982 E COLUMBIA AVE</AddressLine1Txt>
          <CityNm>COLVILLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99114</ZIPCd>
        </USAddress>
        <RecipientEIN>320260353</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>770900</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MULTICARE HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3649</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99220</ZIPCd>
        </USAddress>
        <RecipientEIN>911352172</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>753400</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY HEALTH ASSOCIATION OF SPOKANE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>203 N WASHINGTON STREET STE 300</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>911641797</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>743600</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FRONTIER BEHAVIORAL HEALTH</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>107 S DIVISON</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99202</ZIPCd>
        </USAddress>
        <RecipientEIN>910853801</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>739000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KAISER PERMANENTE OF WASHINGTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 UNION ST STE 3100</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>981011374</ZIPCd>
        </USAddress>
        <RecipientEIN>910511770</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>460000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LINCOLN HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 NICHOLLS ST</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99122</ZIPCd>
        </USAddress>
        <RecipientEIN>910758051</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>397500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEWPORT COMMUNITY HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>714 W PINE ST</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99156</ZIPCd>
        </USAddress>
        <RecipientEIN>910541383</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>331800</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW HEALTH PROGRAMS ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 808</AddressLine1Txt>
          <CityNm>CHEWELAH</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99109</ZIPCd>
        </USAddress>
        <RecipientEIN>911053847</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>321250</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>STEVENS COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>165 E HATHORNE AVE</AddressLine1Txt>
          <CityNm>COLLVILLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99114</ZIPCd>
        </USAddress>
        <RecipientEIN>916001372</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>312500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YAKIMA VALLEY FARM WORKERS CLINIC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 190</AddressLine1Txt>
          <CityNm>TOPPENISH</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98948</ZIPCd>
        </USAddress>
        <RecipientEIN>911019392</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>290400</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1117 TIETON DR</AddressLine1Txt>
          <CityNm>YAKIMA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98902</ZIPCd>
        </USAddress>
        <RecipientEIN>916071384</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>290200</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE NATIVE PROJECT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1803 W MAXWELL</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>911462366</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>277700</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LUTHERAN COMMUNITY SERVICES NORTHWEST</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4040 S 188TH ST STE 300</AddressLine1Txt>
          <CityNm>SEATAC</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98188</ZIPCd>
        </USAddress>
        <RecipientEIN>930386860</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>275000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE REGIONAL HEALTH DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1101 W COLLEGE AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>911527532</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>268317</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBIA BASIN HEALTH ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1515 E COLUMBIA STREET</AddressLine1Txt>
          <CityNm>OTHELLO</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99344</ZIPCd>
        </USAddress>
        <RecipientEIN>910896701</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>260209</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE ADDICTION RECOVERY CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>812 S WALNUT</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99204</ZIPCd>
        </USAddress>
        <RecipientEIN>910793707</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>257917</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE TEACHING HEALTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 244</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99210</ZIPCd>
        </USAddress>
        <RecipientEIN>464139065</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>245000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE PUBLIC SCHOOL DISTRICT #81</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>200 N BERNARD ST</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>916001582</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>205200</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEW HORIZON COUNSELING SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 4627</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99220</ZIPCd>
        </USAddress>
        <RecipientEIN>911113010</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>205000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YFA CONNECTIONS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 3344</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99220</ZIPCd>
        </USAddress>
        <RecipientEIN>237049675</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>205000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CHILDRENS HOME SOCIETY OF WASHINGTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>12360 LAKE CITY WAY NE STE 450</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98125</ZIPCd>
        </USAddress>
        <RecipientEIN>910575955</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>172500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LINCOLN COUNTY HEALTH DEPARTMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 152</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99122</ZIPCd>
        </USAddress>
        <RecipientEIN>916001352</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>146900</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EXCELSIOR YOUTH CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3754 INDIAN TRAIL RD</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99208</ZIPCd>
        </USAddress>
        <RecipientEIN>911189908</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>106100</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE TREATMENT AND RECOVERY SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>312 W 8TH AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99204</ZIPCd>
        </USAddress>
        <RecipientEIN>911108762</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>99800</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PASSAGES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1002 N SUPERIOR ST</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99202</ZIPCd>
        </USAddress>
        <RecipientEIN>272831224</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>98600</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SUNSHINE TERRACE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10410 E 9TH AVE</AddressLine1Txt>
          <CityNm>SPOKANE VALLEY</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99016</ZIPCd>
        </USAddress>
        <RecipientEIN>910741217</RecipientEIN>
        <CashGrantAmt>98600</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PIONEER HUMAN SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7440 W MARGINAL WAY S</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98108</ZIPCd>
        </USAddress>
        <RecipientEIN>910791552</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>91300</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PARTNERS WITH FAMILIES &amp; CHILDREN</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1321 W BROADWAY</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>680576560</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>89000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PEND OREILLE COUNTY COUNSELING SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 5055</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99156</ZIPCd>
        </USAddress>
        <RecipientEIN>916001357</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>89000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ADAMS COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>425 E MAIN STREET SUITE 600</AddressLine1Txt>
          <CityNm>OTHELLO</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99344</ZIPCd>
        </USAddress>
        <RecipientEIN>916001294</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>86500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLVILLE NATION COMMUNITY HEALTH CENTERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 290</AddressLine1Txt>
          <CityNm>INCHELIUM</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99138</ZIPCd>
        </USAddress>
        <RecipientEIN>841688724</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>80000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DAYBREAK YOUTH SERVICES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>960 E THIRD AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99203</ZIPCd>
        </USAddress>
        <RecipientEIN>911083936</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>79200</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CATHOLIC CHARITIES OF SPOKANE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 2253</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>992102253</ZIPCd>
        </USAddress>
        <RecipientEIN>910569880</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>79000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INSTITUTE FOR FAMILY DEVELOPMENT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>34004 16TH AVE S STE 200</AddressLine1Txt>
          <CityNm>FEDERAL WAY</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98003</ZIPCd>
        </USAddress>
        <RecipientEIN>910941053</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>79000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RIVERSIDE RECOVERY CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3710 N MONROE ST</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99205</ZIPCd>
        </USAddress>
        <RecipientEIN>200559564</RecipientEIN>
        <CashGrantAmt>79000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>LINCOLN COUNTY PUBLIC HOSPITAL DISTRICT 1</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 368</AddressLine1Txt>
          <CityNm>ODESSA</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99159</ZIPCd>
        </USAddress>
        <RecipientEIN>916001722</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>78375</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN INDIAN COMMUNITY CENTER</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>610 E NORTH FOOTHILLS DRIVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99207</ZIPCd>
        </USAddress>
        <RecipientEIN>910822523</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>77084</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>EAST ADAMS RURAL HOSPITAL 1</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>903 SOUTH ADAMS</AddressLine1Txt>
          <CityNm>RITZVILLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99169</ZIPCd>
        </USAddress>
        <RecipientEIN>916001963</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>74209</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>KALISPEL TRIBE OF INDIANS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 39</AddressLine1Txt>
          <CityNm>USK</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99180</ZIPCd>
        </USAddress>
        <RecipientEIN>910875018</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>63500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HIP OF SPOKANE DBA COMMUNITY-MINDED ENTERPRISES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 48150</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99228</ZIPCd>
        </USAddress>
        <RecipientEIN>911764236</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>61533</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE TRIBE OF INDIANS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 100</AddressLine1Txt>
          <CityNm>WELLPINIT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99040</ZIPCd>
        </USAddress>
        <RecipientEIN>910606339</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>52500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RURAL RESOURCES</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>956 S MAIN ST</AddressLine1Txt>
          <CityNm>COLVILLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99114</ZIPCd>
        </USAddress>
        <RecipientEIN>910793447</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>40200</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMERICAN BEHAVIORAL HEALTH SYSTEMS INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 141106</AddressLine1Txt>
          <CityNm>SPOKANE VALLEY</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>992141106</ZIPCd>
        </USAddress>
        <RecipientEIN>911824793</RecipientEIN>
        <CashGrantAmt>39750</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHEAST WASHINGTON EDUCATIONAL DISTRICT 101</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4202 S REGAL ST</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99223</ZIPCd>
        </USAddress>
        <RecipientEIN>910948293</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>27500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GREATER SPOKANE COUNTY MEALS ON WHEELS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 14278</AddressLine1Txt>
          <CityNm>SPOKANE VALLEY</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99214</ZIPCd>
        </USAddress>
        <RecipientEIN>911042546</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE NEIGHBORHOOD ACTION PARTNERS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3102 W FT GEORGE WRIGHT DR</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99224</ZIPCd>
        </USAddress>
        <RecipientEIN>911311127</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>66870</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE CAH NETWORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>714 W PINE ST</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99156</ZIPCd>
        </USAddress>
        <RecipientEIN>201501680</RecipientEIN>
        <CashGrantAmt>17500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHEAST TRI COUNTY HEALTH DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>240 E DOMINION AVE</AddressLine1Txt>
          <CityNm>COVILLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99114</ZIPCd>
        </USAddress>
        <RecipientEIN>911358169</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CITY OF SPOKANE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>808 W SPOKANE FALLS BLVD</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>916001280</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>12900</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INLAND NORTHWEST HEALTH SERVICES COMMUNITY WELLNESS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 469</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>992100469</ZIPCd>
        </USAddress>
        <RecipientEIN>911307555</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PEND OREILLE FIRE 3</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>325272 HWY 2</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99156</ZIPCd>
        </USAddress>
        <RecipientEIN>911610000</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>12500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>VOLUNTEERS OF AMERICA OF EASTERN WASHINGTON AND NORTHERN IDAHO</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>525 W 2ND AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>910577131</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10200</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>CONFEDERATED TRIBES OF THE COLVILLE RESERVATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 150</AddressLine1Txt>
          <CityNm>NESPELEM</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99155</ZIPCd>
        </USAddress>
        <RecipientEIN>910557683</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DAVENPORT PHARMACY INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 67</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99122</ZIPCd>
        </USAddress>
        <RecipientEIN>910971491</RecipientEIN>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FAMILY CRISIS NETWORK</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 944</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99156</ZIPCd>
        </USAddress>
        <RecipientEIN>911248443</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NEWPORT SCHOOL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO BOX 70</AddressLine1Txt>
          <CityNm>NEWPORT</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99156</ZIPCd>
        </USAddress>
        <RecipientEIN>911036287</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NORTHEAST COMMUNITY CENTER ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4001 N COOK ST</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99207</ZIPCd>
        </USAddress>
        <RecipientEIN>911196071</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SECOND HARVEST</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1234 E FRONT AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99202</ZIPCd>
        </USAddress>
        <RecipientEIN>237173826</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SMILE SPOKANE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>23403 E MISSION AVE 104</AddressLine1Txt>
          <CityNm>LIBERTY LAKE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99019</ZIPCd>
        </USAddress>
        <RecipientEIN>208248281</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>SPOKANE HOUSING AUTHORITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>55 W MISSION AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>910965156</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>YMCA OF THE INLAND NW</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1126 N MONROE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>910827958</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MID-CITY CONCERNS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1222 W 2ND AVE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>910833015</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>8125</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PEER SEATTLE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1520 BELLEVUE AVE</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98122</ZIPCd>
        </USAddress>
        <RecipientEIN>911327257</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>REARDAN EDWALL SCHOOL DISTRICT</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>215 E SPOKANE ST</AddressLine1Txt>
          <CityNm>REARDAN</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99029</ZIPCd>
        </USAddress>
        <RecipientEIN>916001623</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>WASHINGTON STATE UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11768 WESTAR LN</AddressLine1Txt>
          <CityNm>BURLINGTON</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98233</ZIPCd>
        </USAddress>
        <RecipientEIN>916001108</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>7500</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AGING &amp; LONG TERM CARE OF EASTERN WASHINGTON</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1222 N POST STREET</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <RecipientEIN>911017706</RecipientEIN>
        <IRCSectionDesc>GOVERNMENT</IRCSectionDesc>
        <CashGrantAmt>10400</CashGrantAmt>
        <PurposeOfGrantTxt>MEDICAID TRANSFORMATION EFFORTS AS AN ACH</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>61</Total501c3OrgCnt>
      <TotalOtherOrgCnt>5</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I, PART II, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>BEFORE PAYMENTS ARE MADE ON THE CONTRACTS TO PARTNERS THROUGH THE PORTAL, STAFF ON THE PROGRAM TEAMS, WHO WORK CLOSELY WITH BHT'S PARTNERS, MAKE SURE THEY HAVE EARNED THE PAYMENTS, WHICH IS DONE THROUGH REPORTING. THIS REPORTING IS EMBEDDED IN BHT'S ANNUAL REPORTING, KNOWN AS SAR REPORTS, THAT DETERMINE HOW MUCH THE BHT ACH REGION EARNS. PART OF THE WAIVER FUNDS EARNED ARE RELATED TO PAY-FOR-PERFORMANCE, SO IT IS IMPORTANT THAT BHT'S PARTNERS ARE DOING WHAT THEY SAY THEY ARE GOING TO. THESE PERFORMANCE DOLLARS ARE DETERMINED ON A LAG. FOR EXAMPLE, 2018 PERFORMANCE DOLLARS AREN'T DETERMINED UNTIL 2020/2021.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <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>ANTONY CHIANG</PersonNm>
        <TitleTxt>VICE CHAIR (THROUGH JULY 2019)</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>247940</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>37227</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>285167</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALISON M POULSEN</PersonNm>
        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>163540</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>34218</DeferredCompRltdOrgsAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>197758</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>A WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE ARE USED BY EMPIRE HEALTH FOUNDATION, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF OFFICERS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HEALTHY KIDS: BHT SERVES RESIDENTS OF A SEVEN-COUNTY RURAL/URBAN MIX GEOGRAPHIC REGION OF EASTERN WASHINGTON (EWA), PROVIDING OUTREACH, ENROLLMENT, AND RENEWAL RESOURCES TO SUPPORT UNINSURED, ELIGIBLE CHILDREN AND ADULTS IN APPLYING FOR AND ENROLLING IN MEDICAID AND CHIP. EWA IS ALSO HOME TO A VARIETY OF POPULATIONS, WHO EXPERIENCE MARKED HEALTH DISPARITIES, INCLUDING AMERICAN INDIAN/ALASKA NATIVE, HISPANIC, MARSHALLESE, RURAL, AND LOW-INCOME, AT-RISK YOUTH AND THEIR FAMILIES. ACCOUNTABLE COMMUNITIES OF HEALTH: FUNDING IS FROM A MEDICAID 115 WAIVER MANAGED BY THE HEALTH CARE AUTHORITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPIRE HEALTH FOUNDATION IS THE SOLE MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>EMPIRE HEALTH FOUNDATION, AS MEMBER, MAY APPOINT ONE-THIRD OF THE DIRECTORS (CLASS "A" DIRECTORS).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>WITHOUT THE APPROVAL OF THE SOLE MEMBER, THE BOARD MAY NOT ADOPT/AMEND/REPEAL THE BYLAWS OR AMEND THE ARTICLES OF INCORPORATION IN ANY WAY THAT AFFECTS THE RIGHTS OR POWERS OF THE SOLE MEMBER, INCLUDING BY ADDING NEW MEMBERS. DIRECTORS MAY NOT, WITHOUT PRIOR WRITTEN CONSENT OF THE SOLE MEMBER, ASSIGN CONTRACTS TO WHICH THE ORGANIZATION IS A PARTY; AUTHORIZE THE SALE, LEASE, DISPOSITION, OR EXCHANGE OF THE ORGANIZATION'S ASSETS OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; ADOPT A PLAN OF MERGER OR CONSOLIDATION; AUTHORIZE THE DISSOLUTION OF THE ORGANIZATION; FILE A PETITION FOR BANKRUPTCY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CFO AND EXECUTIVE DIRECTOR REVIEWED THE RETURN PRIOR TO FILING AND CIRCULATED TO THE BOARD ONCE FILED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>WRITTEN POLICY REQUIRES THE AFFIRMATIVE DISCLOSURE OF ACTUAL AND POTENTIAL CONFLICTS OF INTEREST ANNUALLY--RESPONSES REVIEWED BY THE EXECUTIVE COMMITTEE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BHT'S OFFICERS ARE LEASED OR OTHERWISE SHARED EMPLOYEES OF THE MEMBER AND SUBJECT TO THE COMPENSATION PRACTICES OF THE MEMBER. THE MEMBER'S PROCESS INCLUDIES BENCHMARKING SALARY OF COMPARABLE POSITIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE GENERALLY NOT MADE AVAILABLE FOR PUBLIC INSPECTION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>EMPIRE HEALTH FOUNDATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1020 W RIVERSIDE AVENUE</AddressLine1Txt>
          <CityNm>SPOKANE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>99201</ZIPCd>
        </USAddress>
        <EIN>263375286</EIN>
        <PrimaryActivitiesTxt>HEALTH-RELATED PROGRAMS AND GRANTS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>WA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PRIVATE FOUNDATION</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <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>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>