﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2017v2.3">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2018-11-15T00:31:11-06:00</ReturnTs>
    <TaxPeriodEndDt>2017-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>912011386</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>JACOBSON JARVIS &amp; CO PLLC</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>200 FIRST AVE WEST SUITE 200</AddressLine1Txt>
        <CityNm>SEATTLE</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>981194219</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2017-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>911419327</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>FOUNDATION FOR HEALTHCARE QUALITY</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>FOUN</BusinessNameControlTxt>
      <PhoneNum>2066822811</PhoneNum>
      <USAddress>
        <AddressLine1Txt>705 SECOND AVENUE NO 410</AddressLine1Txt>
        <CityNm>SEATTLE</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>981041717</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>PETER DUNBAR</PersonNm>
      <PersonTitleTxt>CEO</PersonTitleTxt>
      <PhoneNum>2066822811</PhoneNum>
      <SignatureDt>2018-11-07</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <PreparerPersonGrp>
      <PreparerPersonNm>HOWARD DONKINCPA</PreparerPersonNm>
      <PTIN>P00147726</PTIN>
      <PhoneNum>2066288990</PhoneNum>
      <PreparationDt>2018-10-31</PreparationDt>
    </PreparerPersonGrp>
    <FilingSecurityInformation>
      <IPAddress>
        <IPv4AddressTxt>209.210.254.4</IPv4AddressTxt>
      </IPAddress>
      <IPDt>2018-11-07</IPDt>
      <IPTm>22:13:31</IPTm>
      <IPTimezoneCd>PS</IPTimezoneCd>
      <FilingLicenseTypeCd>P</FilingLicenseTypeCd>
      <AtSubmissionCreationDeviceId>CEBD717F4B3351FF1B977296098DBAF35E2BFDE6</AtSubmissionCreationDeviceId>
      <AtSubmissionFilingDeviceId>2EA2D6287BECE4F4B333F6765CEEC35E069EE39A</AtSubmissionFilingDeviceId>
    </FilingSecurityInformation>
    <TaxYr>2017</TaxYr>
    <BuildTS>2019-02-21 02:37:17Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="4">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>PETER DUNBAR</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>705 SECOND AVENUE NO 410</AddressLine1Txt>
        <CityNm>SEATTLE</CityNm>
        <StateAbbreviationCd>WA</StateAbbreviationCd>
        <ZIPCd>981041717</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>1959339</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.QUALITYHEALTH.ORG</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1988</FormationYr>
      <LegalDomicileStateCd>WA</LegalDomicileStateCd>
      <ActivityOrMissionDesc>FOUNDATION FOR HEALTH CARE QUALITY IS DEDICATED TO PROVIDING A TRUSTED, INDEPENDENT THIRD PARTY RESOURCE TO ALL PARTICIPANTS IN THE HEALTH CARE COMMUNITY - INCLUDING PATIENTS, PROVIDERS, PAYERS, EMPLOYERS GOVERNMENT AGENCIES, AND PUBLIC HEALTH PROFESSIONALS.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>12</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>12</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>11</TotalEmployeeCnt>
      <TotalVolunteersCnt>13</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>410036</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>420944</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>1402669</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>1538329</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>-6145</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>66</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>0</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>0</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>1806560</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>1959339</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>0</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>827202</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>925853</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>1075248</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>1116295</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>1902450</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>2042148</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>-95890</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>-82809</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>488626</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>406860</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>159893</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>160936</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>328733</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>245924</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>FOUNDATION FOR HEALTH CARE QUALITY IS DEDICATED TO PROVIDING A TRUSTED, INDEPENDENT THIRD PARTY RESOURCE TO ALL PARTICIPANTS IN THE HEALTH CARE COMMUNITY - INCLUDING PATIENTS, PROVIDERS, PAYERS, EMPLOYERS GOVERNMENT AGENCIES, AND PUBLIC HEALTH PROFESSIONALS.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>422125</ExpenseAmt>
      <RevenueAmt>364194</RevenueAmt>
      <Desc>CLINICAL OUTCOMES ASSESSMENT PROGRAM (COAP) - LED BY PHYSICIANS IN CLINICAL PRACTICE, COAP FOCUSES ON CARDIAC CARE AND PROCEDURES. COAP'S WORK HAS REDUCED ERRORS AS WELL AS CARE VARIATIONS IN HOSPITALS STATEWIDE. VISIT THE COAP WEBSITE AT WWW.COAP.ORG.</Desc>
      <ProgSrvcAccomActy2Grp>
        <ExpenseAmt>559882</ExpenseAmt>
        <RevenueAmt>447595</RevenueAmt>
        <Desc>SURGICAL CARE AND OUTCOMES ASSESSMENT PROGRAM (SCOAP) - THIS VOLUNTARY, STATEWIDE PROGRAM ADAPTS COAP'S PROCESSES AND PROCEDURES FOR SELECTED SURGICAL PROCEDURES. ALSO LED BY PHYSICIANS, SPECIFICALLY SURGEONS, SCOAP DEFINES QUALITY METRICS AND TRACKS HOSPITAL PERFORMANCE TO REDUCE ERRORS AND VARIATIONS IN SURGICAL CARE. SCOAP IS ALSO LEADING A STATEWIDE INITIATIVE TO PROMOTE THE USE OF SURGICAL CHECKLISTS IN ALL HOSPITAL OPERATING ROOMS IN WASHINGTON STATE. VISIT THE SCOAP WEBSITE AT WWW.SCOAP.ORG.</Desc>
      </ProgSrvcAccomActy2Grp>
      <ProgSrvcAccomActy3Grp>
        <ExpenseAmt>206882</ExpenseAmt>
        <RevenueAmt>110778</RevenueAmt>
        <Desc>WASHINGTON PATIENT SAFETY COALITION (WPSC) - REPRESENTING THE ENTIRE HEALTH CASE SPECTRUM, THE COALITION CONSISTS OF PATIENTS AND PUBLIC AND PRIVATE HEALTH CARE PROFESSIONALS WHO COLLABORATE TO REACH SHARED GOALS OF REDUCING MEDICAL ERRORS AND IMPROVING SAFETY FOR PEOPLE RECEIVING HEALTH CASE IN WASHINGTON. VISIT THE WPSC WEBSITE AT WWW.WAPATIENTSAFETY.ORG</Desc>
      </ProgSrvcAccomActy3Grp>
      <ProgSrvcAccomActyOtherGrp>
        <ExpenseAmt>522895</ExpenseAmt>
        <RevenueAmt>615762</RevenueAmt>
        <Desc>OTHER FOUNDATION PROGRAMS INCLUDE THE DR. ROBERT BREE COLLABORATIVE, SMOOTH TRANSITIONS, OBSTETRICAL CARE OUTCOMES ASSESSMENT PROGRAM (OBCOAP), AND SPINE CARE OUTCOMES ASSESSMENT PROGRAM (SPINE COAP).</Desc>
      </ProgSrvcAccomActyOtherGrp>
      <TotalOtherProgSrvcExpenseAmt>522895</TotalOtherProgSrvcExpenseAmt>
      <TotalOtherProgSrvcRevenueAmt>615762</TotalOtherProgSrvcRevenueAmt>
      <TotalProgramServiceExpensesAmt>1711784</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd>0</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd>0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd>0</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd>0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">0</CreditCounselingInd>
      <TempOrPermanentEndowmentsInd referenceDocumentId="RetDoc1040000001">0</TempOrPermanentEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">0</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd>0</OperateHospitalInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd>0</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWithOfficerEntInd>0</BusinessRlnWithOfficerEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd>0</DisregardedEntityInd>
      <RelatedEntityInd>0</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>0</RelatedOrganizationCtrlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd>0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd>0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <IRPDocumentCnt>13</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>11</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>1</QuidProQuoContributionsInd>
      <QuidProQuoContriDisclInd>1</QuidProQuoContriDisclInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>12</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>12</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>0</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>0</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>0</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>0</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>0</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>0</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>WA</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>DONAL SULLIVAN</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2066822811</PhoneNum>
        <USAddress>
          <AddressLine1Txt>705 SECOND AVE SUITE 410</AddressLine1Txt>
          <CityNm>SEATTLE</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>981041717</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELVIN SORENSEN</PersonNm>
        <TitleTxt>CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RACHEL QUINN</PersonNm>
        <TitleTxt>VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICK RUBEN</PersonNm>
        <TitleTxt>TREASURER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD GOSS</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBRA BROWN</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHLEEN O'CONNOR</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BEN ZANIELLO</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BRUCE SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRIS DALE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MELANIE CURTICE</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN KRUEGER</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATHY LOFTY</PersonNm>
        <TitleTxt>BOARD MEMBER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER J DUNBAR</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>138310</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>5532</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VICKIE A KOLIOS</PersonNm>
        <TitleTxt>SCOAP DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>101892</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>4076</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>240202</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>0</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>9608</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>0</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARMUS CORPORATION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1510 FASHION ISLAND BLVD SUITE 310</AddressLine1Txt>
            <CityNm>SAN MATEO</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>94404</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>DATA PROCESSING</ServicesDesc>
        <CompensationAmt>499736</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <MembershipDuesAmt>353212</MembershipDuesAmt>
      <AllOtherContributionsAmt>67732</AllOtherContributionsAmt>
      <NoncashContributionsAmt>10000</NoncashContributionsAmt>
      <TotalContributionsAmt>420944</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>FEES FOR SERVICES</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>919100</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>919100</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>HEALTH CARE CONTRACTS</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>582875</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>582875</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>REGISTRATIONS</Desc>
        <BusinessCd>621500</BusinessCd>
        <TotalRevenueColumnAmt>36354</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>36354</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>1538329</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>66</TotalRevenueColumnAmt>
        <ExclusionAmt>66</ExclusionAmt>
      </InvestmentIncomeGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>1959339</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1538329</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>66</ExclusionAmt>
      </TotalRevenueGrp>
      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>335916</TotalAmt>
        <ProgramServicesAmt>212517</ProgramServicesAmt>
        <ManagementAndGeneralAmt>123399</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>372839</TotalAmt>
        <ProgramServicesAmt>308771</ProgramServicesAmt>
        <ManagementAndGeneralAmt>64068</ManagementAndGeneralAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>30374</TotalAmt>
        <ProgramServicesAmt>22365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8009</ManagementAndGeneralAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>125164</TotalAmt>
        <ProgramServicesAmt>105927</ProgramServicesAmt>
        <ManagementAndGeneralAmt>19237</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>61560</TotalAmt>
        <ProgramServicesAmt>45887</ProgramServicesAmt>
        <ManagementAndGeneralAmt>15673</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>31371</TotalAmt>
        <ProgramServicesAmt>22235</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9136</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>38767</TotalAmt>
        <ManagementAndGeneralAmt>38767</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>733680</TotalAmt>
        <ProgramServicesAmt>720780</ProgramServicesAmt>
        <ManagementAndGeneralAmt>12900</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>22614</TotalAmt>
        <ProgramServicesAmt>17750</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4864</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>80240</TotalAmt>
        <ProgramServicesAmt>59001</ProgramServicesAmt>
        <ManagementAndGeneralAmt>21239</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>13486</TotalAmt>
        <ProgramServicesAmt>9996</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3490</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>108212</TotalAmt>
        <ProgramServicesAmt>104922</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3290</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>1533</TotalAmt>
        <ProgramServicesAmt>1152</ProgramServicesAmt>
        <ManagementAndGeneralAmt>381</ManagementAndGeneralAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>7234</TotalAmt>
        <ProgramServicesAmt>5319</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1915</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>4092</TotalAmt>
        <ProgramServicesAmt>2512</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1580</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>BAD DEBT EXPENSE</Desc>
        <TotalAmt>35205</TotalAmt>
        <ProgramServicesAmt>35205</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>WA STATE BUSINESS AND O</Desc>
        <TotalAmt>28752</TotalAmt>
        <ProgramServicesAmt>28752</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>EQUIPMENT RENTAL AND MA</Desc>
        <TotalAmt>7557</TotalAmt>
        <ProgramServicesAmt>5557</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2000</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>3552</TotalAmt>
        <ProgramServicesAmt>3136</ProgramServicesAmt>
        <ManagementAndGeneralAmt>416</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>2042148</TotalAmt>
        <ProgramServicesAmt>1711784</ProgramServicesAmt>
        <ManagementAndGeneralAmt>330364</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>41052</BOYAmt>
        <EOYAmt>82859</EOYAmt>
      </CashNonInterestBearingGrp>
      <SavingsAndTempCashInvstGrp>
        <BOYAmt>100400</BOYAmt>
        <EOYAmt>80066</EOYAmt>
      </SavingsAndTempCashInvstGrp>
      <AccountsReceivableGrp>
        <BOYAmt>269750</BOYAmt>
        <EOYAmt>170490</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>49909</BOYAmt>
        <EOYAmt>53164</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>70446</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>50165</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>27515</BOYAmt>
        <EOYAmt>20281</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <TotalAssetsGrp>
        <BOYAmt>488626</BOYAmt>
        <EOYAmt>406860</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>94392</BOYAmt>
        <EOYAmt>61189</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>23050</BOYAmt>
        <EOYAmt>64200</EOYAmt>
      </DeferredRevenueGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>42451</BOYAmt>
        <EOYAmt>35547</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>159893</BOYAmt>
        <EOYAmt>160936</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
      <UnrestrictedNetAssetsGrp>
        <BOYAmt>328733</BOYAmt>
        <EOYAmt>245924</EOYAmt>
      </UnrestrictedNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>328733</BOYAmt>
        <EOYAmt>245924</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>488626</BOYAmt>
        <EOYAmt>406860</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <ReconcilationRevenueExpnssAmt>-82809</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <InfoInScheduleOPartXIIInd>X</InfoInScheduleOPartXIIInd>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>0</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>421575</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>218685</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>427568</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>410036</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>420944</CurrentTaxYearAmt>
        <TotalAmt>1898808</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>421575</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>218685</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>427568</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>410036</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>420944</CurrentTaxYearAmt>
        <TotalAmt>1898808</TotalAmt>
      </TotalCalendarYear170Grp>
      <PublicSupportTotal170Amt>1898808</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>457</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>146</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>101</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>76</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>66</CurrentTaxYearAmt>
        <TotalAmt>846</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <TotalSupportAmt>1899654</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>6792727</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.99960</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.79970</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>11569</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7790</DepreciationAmt>
        <BookValueAmt>3779</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>58877</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>42375</DepreciationAmt>
        <BookValueAmt>16502</BookValueAmt>
      </EquipmentGrp>
      <TotalBookValueLandBuildingsAmt>20281</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>FUNDS HELD FOR OTHERS</Desc>
        <Amt>12000</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>LT CAPITAL LEASE</Desc>
        <Amt>18370</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>CAPITAL LEASE (CURRENT PORTION)</Desc>
        <Amt>5177</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>35547</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>2019339</TotalRevEtcAuditedFinclStmtAmt>
      <DonatedServicesAndUseFcltsAmt>60000</DonatedServicesAndUseFcltsAmt>
      <RevenueNotReportedAmt>60000</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>1959339</RevenueSubtotalAmt>
      <RevenueNotReportedFinclStmtAmt>0</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>1959339</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>2102148</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>60000</DonatedServicesUseFcltsAmt>
      <ExpensesNotReportedAmt>60000</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>2042148</ExpensesSubtotalAmt>
      <ExpensesNotRptFinclStmtAmt>0</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>2042148</TotalExpensesPerForm990Amt>
    </IRS990ScheduleD>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 8B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS HAS DELEGATED LIMITED AUTHORITY TO THE EXECUTIVE COMMITTEE. CONTEMPORANEOUS DOCUMENTATION OF THESE MEETINGS IS NOT AVAILABLE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS COMPRISED OF THE BOARD OF DIRECTORS CHAIR, VICE-CHAIR, TREASURER AND SECRETARY, WHO ARE AUTHORIZED TO APPROVE BUSINESS ON BEHALF OF THE MAIN BODY OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS AND BUSINESS AFFILIATES ARE REQURIED TO SIGN A CONFLICT OF INTEREST DECLARATION ANNUALLY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>CONSULTANTS: PROGRAM SERVICE EXPENSES 81,862. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,862. MEDICAL DIRECTORS: PROGRAM SERVICE EXPENSES 133,122. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,122. DATA PROCESSING: PROGRAM SERVICE EXPENSES 499,376. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 499,376. IT SERVICES: PROGRAM SERVICE EXPENSES 6,420. MANAGEMENT AND GENERAL EXPENSES 12,900. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,320.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WAS NO CHANGE IN THE AUDIT COMMITTEE PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>