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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL LOPEZ</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCOTT BAUMGARTNER</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK BRAY</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BECKY NAPPI</PersonNm>
        <TitleTxt>TRUSTEE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>1540759</TotalReportableCompFromOrgAmt>
      <TotalOtherCompensationAmt>242488</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>38</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>false</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>true</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>false</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>KR CREATIVE STRATEGIES LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 1435</AddressLine1Txt>
            <CityNm>MEDICAL LAKE</CityNm>
            <StateAbbreviationCd>WA</StateAbbreviationCd>
            <ZIPCd>99022</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ADVERTISING</ServicesDesc>
        <CompensationAmt>221918</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>1</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>86206</FundraisingAmt>
      <AllOtherContributionsAmt>634450</AllOtherContributionsAmt>
      <TotalContributionsAmt>720656</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>HOSPICE CARE SERVICES, NET</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>21336334</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21336334</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>21336334</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>1462280</TotalRevenueColumnAmt>
        <ExclusionAmt>1462280</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>19029445</SecuritiesAmt>
        <OtherAmt>3875000</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>18568955</SecuritiesAmt>
        <OtherAmt>3316905</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>460490</SecuritiesAmt>
        <OtherAmt>558095</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1018585</TotalRevenueColumnAmt>
        <ExclusionAmt>1018585</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>81288</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>86206</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>57813</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>23475</TotalRevenueColumnAmt>
        <ExclusionAmt>23475</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
      <OtherRevenueMiscGrp>
        <Desc>OTHER</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>6314</TotalRevenueColumnAmt>
        <ExclusionAmt>6314</ExclusionAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>6314</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>24567644</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>21336334</RelatedOrExemptFuncIncomeAmt>
        <ExclusionAmt>2510654</ExclusionAmt>
      </TotalRevenueGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>913329</TotalAmt>
        <ProgramServicesAmt>254091</ProgramServicesAmt>
        <ManagementAndGeneralAmt>659238</ManagementAndGeneralAmt>
      </CompCurrentOfcrDirectorsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>9969097</TotalAmt>
        <ProgramServicesAmt>8868593</ProgramServicesAmt>
        <ManagementAndGeneralAmt>993635</ManagementAndGeneralAmt>
        <FundraisingAmt>106869</FundraisingAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>377202</TotalAmt>
        <ProgramServicesAmt>238877</ProgramServicesAmt>
        <ManagementAndGeneralAmt>137106</ManagementAndGeneralAmt>
        <FundraisingAmt>1219</FundraisingAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>1337838</TotalAmt>
        <ProgramServicesAmt>1173569</ProgramServicesAmt>
        <ManagementAndGeneralAmt>147520</ManagementAndGeneralAmt>
        <FundraisingAmt>16749</FundraisingAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>936733</TotalAmt>
        <ProgramServicesAmt>810143</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117233</ManagementAndGeneralAmt>
        <FundraisingAmt>9357</FundraisingAmt>
      </PayrollTaxesGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>20785</TotalAmt>
        <ManagementAndGeneralAmt>20785</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>55000</TotalAmt>
        <ManagementAndGeneralAmt>55000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>255143</TotalAmt>
        <ManagementAndGeneralAmt>255143</ManagementAndGeneralAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1448905</TotalAmt>
        <ProgramServicesAmt>1371748</ProgramServicesAmt>
        <ManagementAndGeneralAmt>73190</ManagementAndGeneralAmt>
        <FundraisingAmt>3967</FundraisingAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>136968</TotalAmt>
        <ManagementAndGeneralAmt>131499</ManagementAndGeneralAmt>
        <FundraisingAmt>5469</FundraisingAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>435755</TotalAmt>
        <ProgramServicesAmt>375365</ProgramServicesAmt>
        <ManagementAndGeneralAmt>38792</ManagementAndGeneralAmt>
        <FundraisingAmt>21598</FundraisingAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>39245</TotalAmt>
        <ProgramServicesAmt>24778</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3116</ManagementAndGeneralAmt>
        <FundraisingAmt>11351</FundraisingAmt>
      </InformationTechnologyGrp>
      <OccupancyGrp>
        <TotalAmt>125926</TotalAmt>
        <ProgramServicesAmt>103924</ProgramServicesAmt>
        <ManagementAndGeneralAmt>13933</ManagementAndGeneralAmt>
        <FundraisingAmt>8069</FundraisingAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>560152</TotalAmt>
        <ProgramServicesAmt>549994</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10158</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>14413</TotalAmt>
        <ProgramServicesAmt>6078</ProgramServicesAmt>
        <ManagementAndGeneralAmt>8335</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>5619</TotalAmt>
        <ProgramServicesAmt>4835</ProgramServicesAmt>
        <ManagementAndGeneralAmt>496</ManagementAndGeneralAmt>
        <FundraisingAmt>288</FundraisingAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>549700</TotalAmt>
        <ProgramServicesAmt>484274</ProgramServicesAmt>
        <ManagementAndGeneralAmt>49192</ManagementAndGeneralAmt>
        <FundraisingAmt>16234</FundraisingAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>108995</TotalAmt>
        <ProgramServicesAmt>65004</ProgramServicesAmt>
        <ManagementAndGeneralAmt>43991</ManagementAndGeneralAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>MEDICAL SUPPLIES &amp; DRUGS</Desc>
        <TotalAmt>3121361</TotalAmt>
        <ProgramServicesAmt>3121361</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>REPAIRS &amp; MAINTENANCE</Desc>
        <TotalAmt>335474</TotalAmt>
        <ProgramServicesAmt>285931</ProgramServicesAmt>
        <ManagementAndGeneralAmt>42796</ManagementAndGeneralAmt>
        <FundraisingAmt>6747</FundraisingAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>COMMUNITY RELATIONS</Desc>
        <TotalAmt>163719</TotalAmt>
        <ProgramServicesAmt>730</ProgramServicesAmt>
        <ManagementAndGeneralAmt>124043</ManagementAndGeneralAmt>
        <FundraisingAmt>38946</FundraisingAmt>
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      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>63955</TotalAmt>
        <ProgramServicesAmt>38688</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24897</ManagementAndGeneralAmt>
        <FundraisingAmt>370</FundraisingAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>86865</TotalAmt>
        <ProgramServicesAmt>64644</ProgramServicesAmt>
        <ManagementAndGeneralAmt>16573</ManagementAndGeneralAmt>
        <FundraisingAmt>5648</FundraisingAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>21062179</TotalAmt>
        <ProgramServicesAmt>17842627</ProgramServicesAmt>
        <ManagementAndGeneralAmt>2966671</ManagementAndGeneralAmt>
        <FundraisingAmt>252881</FundraisingAmt>
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      <CashNonInterestBearingGrp>
        <BOYAmt>272</BOYAmt>
        <EOYAmt>273</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>6369768</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>2968550</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>269163</BOYAmt>
        <EOYAmt>346705</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>11356939</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>5719381</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>8895843</BOYAmt>
        <EOYAmt>5637558</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>60226097</EOYAmt>
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      <TotalAssetsGrp>
        <BOYAmt>66856508</BOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>2631884</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>2425182</BOYAmt>
        <EOYAmt>2631884</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>64020472</BOYAmt>
        <EOYAmt>72506213</EOYAmt>
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      <DonorRestrictionNetAssetsGrp>
        <BOYAmt>410854</BOYAmt>
        <EOYAmt>410854</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>64431326</BOYAmt>
        <EOYAmt>72917067</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>66856508</BOYAmt>
        <EOYAmt>75548951</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>3505465</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>4980276</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc7">
      <PublicOrganization170Ind>X</PublicOrganization170Ind>
      <GiftsGrantsContriRcvd170Grp>
        <CurrentTaxYearMinus4YearsAmt>1003581</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>901155</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>543936</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>996509</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>720656</CurrentTaxYearAmt>
        <TotalAmt>4165837</TotalAmt>
      </GiftsGrantsContriRcvd170Grp>
      <TotalCalendarYear170Grp>
        <CurrentTaxYearMinus4YearsAmt>1003581</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>901155</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>543936</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>996509</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>720656</CurrentTaxYearAmt>
        <TotalAmt>4165837</TotalAmt>
      </TotalCalendarYear170Grp>
      <SubstantialContributorsTotAmt>252143</SubstantialContributorsTotAmt>
      <PublicSupportTotal170Amt>3913694</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>672828</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>712203</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>862002</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1210652</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1462280</CurrentTaxYearAmt>
        <TotalAmt>4919965</TotalAmt>
      </GrossInvestmentIncome170Grp>
      <OtherIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>10477</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>5115</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>9279</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>140019</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>87602</CurrentTaxYearAmt>
        <TotalAmt>252492</TotalAmt>
      </OtherIncome170Grp>
      <TotalSupportAmt>9338294</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>111812092</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.41910</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.45600</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART II, LINE 10</FormAndLineReferenceDesc>
        <ExplanationTxt>FUNDRAISING 189,246 OTHER INCOME 63,246</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc3">
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>821678</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>107208</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>-4336</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>924550</EndYearBalanceAmt>
      </CYEndwmtFundGrp>
      <CYMinus1YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>721545</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>103105</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>-2972</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>821678</EndYearBalanceAmt>
      </CYMinus1YrEndwmtFundGrp>
      <CYMinus2YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>858934</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>-134424</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>-2965</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>721545</EndYearBalanceAmt>
      </CYMinus2YrEndwmtFundGrp>
      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>768883</BeginningYearBalanceAmt>
        <InvestmentEarningsOrLossesAmt>93014</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>-2963</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>858934</EndYearBalanceAmt>
      </CYMinus3YrEndwmtFundGrp>
      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>502639</BeginningYearBalanceAmt>
        <ContributionsAmt>216300</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>51903</InvestmentEarningsOrLossesAmt>
        <AdministrativeExpensesAmt>-1959</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>768883</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.55560</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.44440</PrmnntEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>false</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>false</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1217059</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1217059</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>7653429</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>3532233</DepreciationAmt>
        <BookValueAmt>4121196</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2273580</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2086503</DepreciationAmt>
        <BookValueAmt>187077</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>212871</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>100645</DepreciationAmt>
        <BookValueAmt>112226</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>5637558</TotalBookValueLandBuildingsAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>29292777</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>4980276</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>4980276</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>24312501</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>255143</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>255143</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>24567644</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>20807036</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>20807036</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>255143</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>255143</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21062179</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>EARNINGS FROM ENDOWMENT FUNDS ARE DESIGNATED FOR THE SUPPORT OF CURRENT OPERATIONAL EXPENSES OF HOSPICE OF SPOKANE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS NECESSARY. HOSPICE EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF DECEMBER 31, 2024 AND 2023, HOSPICE HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc4">
      <FundraisingEventInformationGrp>
        <Event1Nm>TASTE OF LIFE</Event1Nm>
        <GrossReceiptsEvent1Amt>103605</GrossReceiptsEvent1Amt>
        <CharitableContriEvent1Amt>50456</CharitableContriEvent1Amt>
        <GrossRevenueEvent1Amt>53149</GrossRevenueEvent1Amt>
        <RentFacilityCostsEvent1Amt>24725</RentFacilityCostsEvent1Amt>
        <EntertainmentEvent1Amt>5900</EntertainmentEvent1Amt>
        <OtherDirectExpensesEvent1Amt>9139</OtherDirectExpensesEvent1Amt>
        <Event2Nm>GOLF SCRAMBLE</Event2Nm>
        <GrossReceiptsEvent2Amt>63889</GrossReceiptsEvent2Amt>
        <CharitableContriEvent2Amt>35750</CharitableContriEvent2Amt>
        <GrossRevenueEvent2Amt>28139</GrossRevenueEvent2Amt>
        <NonCashPrizesEvent2Amt>881</NonCashPrizesEvent2Amt>
        <RentFacilityCostsEvent2Amt>13920</RentFacilityCostsEvent2Amt>
        <FoodAndBeverageEvent2Amt>542</FoodAndBeverageEvent2Amt>
        <OtherDirectExpensesEvent2Amt>2706</OtherDirectExpensesEvent2Amt>
        <GrossReceiptsTotalAmt>167494</GrossReceiptsTotalAmt>
        <CharitableContributionsTotAmt>86206</CharitableContributionsTotAmt>
        <GrossRevenueTotalEventsAmt>81288</GrossRevenueTotalEventsAmt>
        <NonCashPrizesTotalEventsAmt>881</NonCashPrizesTotalEventsAmt>
        <RentFcltyCostsTotalEventsAmt>38645</RentFcltyCostsTotalEventsAmt>
        <FoodAndBeverageTotalEventsAmt>542</FoodAndBeverageTotalEventsAmt>
        <EntertainmentTotalEventsAmt>5900</EntertainmentTotalEventsAmt>
        <OthDirectExpnssTotalEventsAmt>11845</OthDirectExpnssTotalEventsAmt>
        <DirectExpenseSummaryEventsAmt>57813</DirectExpenseSummaryEventsAmt>
        <NetIncomeSummaryAmt>23475</NetIncomeSummaryAmt>
      </FundraisingEventInformationGrp>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="RetDoc5">
      <ClubDuesOrFeesInd>X</ClubDuesOrFeesInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GINA DRUMMOND</PersonNm>
        <TitleTxt>CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>332879</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>100746</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11158</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>444783</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BRIAN SEPPI</PersonNm>
        <TitleTxt>CMO (ENDED 09/24)</TitleTxt>
        <BaseCompensationFilingOrgAmt>237157</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>10731</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6203</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>254091</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RUSSELL HAAKINSON</PersonNm>
        <TitleTxt>FINANCE DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>195027</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8270</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11158</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>214455</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>APRIL HANSEN</PersonNm>
        <TitleTxt>DIRECTOR OF QI</TitleTxt>
        <BaseCompensationFilingOrgAmt>177623</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8633</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16632</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>202888</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLLEEN CONNORS</PersonNm>
        <TitleTxt>HR DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>156264</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>7382</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11158</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>174804</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHERYL KADMIRI</PersonNm>
        <TitleTxt>NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>149211</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6593</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11158</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>166962</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>COLLEEN BURNS</PersonNm>
        <TitleTxt>REGISTERED NURSE</TitleTxt>
        <BaseCompensationFilingOrgAmt>147455</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>1300</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>13424</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>162179</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEVE OLVERA</PersonNm>
        <TitleTxt>IT DIRECTOR</TitleTxt>
        <BaseCompensationFilingOrgAmt>145143</BaseCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>6784</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11158</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>163085</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>GINA DRUMMOND 0 944,595 0 BRIAN SEPPI 0 48,685 0</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PAGE 1, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER (CEO) AND CHIEF MEDICAL OFFICER (CMO) PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) DURING 2024. THE CEO AND CMO WERE VESTED 100% AND 80%, RESPECTIVELY, DURING 2024 BUT THEY HAVE NOT YET RECEIVED ANY PAYMENTS FROM THE PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc6">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III</FormAndLineReferenceDesc>
        <ExplanationTxt>IN KEEPING WITH OUR MISSION, HOSPICE OF SPOKANE, DOING BUSINESS AS SPOKANE PALLIATIVE CARE, PROVIDES PALLIATIVE CARE SUPPORT THROUGH REGULAR PHONE CALLS TO PATIENTS AND THEIR CAREGIVERS. THESE SERVICES ARE AVAILABLE MONDAY-FRIDAY 8A-8P (HOLIDAYS EXCLUDED). FOR THOSE WITH A LIFE-LIMITING ILLNESS SERVICES INCLUDE PHONE CALL SUPPORT BY EITHER A NURSE OR A SOCIAL WORKER ASSESSING STATUS AND NEEDS, TO ASSIST IN CONNECTING THEM WITH THE RIGHT COMMUNITY RESOURCES. SERVICES DO NOT INCLUDE CHRONIC DISEASE MANAGEMENT OR CHRONIC PAIN MANAGEMENT. FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED): THE HOSPICE BENEFIT THROUGH MEDICARE, MEDICAID AND MOST PRIVATE INSURANCE POLICIES PAYS FOR MEDICAL CARE, PRESCRIPTION DRUGS RELATED TO THE PATIENT'S TERMINAL ILLNESS, RESPITE CARE, MEDICAL EQUIPMENT, SUPPLIES, AND A FULL RANGE OF SOCIAL SERVICES. IN KEEPING WITH ITS MISSION, HOSPICE OF SPOKANE (DBA SPOKANE PALLIATIVE CARE) CONTINUES OFFERING PALLIATIVE CARE CONSULTATION TO NON-HOSPICE INDIVIDUALS WITH LIFE-LIMITING DISEASES. THERE WERE 6 CHILDREN UNDER THE AGE OF 21 AND THEIR FAMILIES WHO RECEIVED CONCURRENT PEDIATRIC PALLIATIVE CARE. FORM 990, PART III, LINE 4B - SECOND ACCOMPLISHMENT (CONTINUED): RESIDENTS OF A HOSPICE HOUSE HAVE PRIVATE ROOMS WITH MANY OF THE COMFORTS OF HOME AND SPACE FOR VISITING FAMILY AND FRIENDS. RESIDENTS CONTINUE TO RECEIVE ALL OF THE MEDICAL, EMOTIONAL, AND SPIRITUAL CARE SERVICES THAT HOSPICE OF SPOKANE OFFERS. PHYSICIANS, NURSES, NURSE AIDS, SOCIAL WORKERS, GRIEF COUNSELORS AND CHAPLAINS ALL PROVIDE SERVICES TO PATIENTS IN THE HOUSE. BEING IN A HOSPICE HOUSE MEANS PATIENTS CAN GET THE SAME LEVEL OF HOSPICE CARE THEY WOULD RECEIVE IN A HOSPITAL OR NURSING HOME. HOSPICE HOUSE IS ANOTHER OPTION FOR THAT SAME LEVEL OF CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF THE 990 IS PROVIDED TO THE CEO AND THE FINANCE DIRECTOR, WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS WITH THE HOSPICE OF SPOKANE BOARD'S FINANCE COMMITTEE. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL APPROVAL IS GIVEN TO THE PREPARER BEFORE FINALIZING THE RETURN. THE CEO SIGNS OFF ON THE FORM 8879-TE BEFORE THE RETURN IS E-FILED BY THE PREPARER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>NEW EMPLOYEES, VOLUNTEERS, AND TRUSTEES RECEIVE, REVIEW, AND SIGN THE CONFLICT OF INTEREST POLICY DURING ORIENTATION. THE POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK RECEIVED BY ALL STAFF. ONGOING ENFORCEMENT OCCURS VIA ROUTINE EDUCATION AND DISCUSSION AT VARIOUS TEAM MEETINGS AND AT ALL STAFF MEETINGS. CHART AUDITS, QUALITY ASSURANCE PERFORMANCE IMPROVEMENT QUARTERLY REVIEWS, SUPERVISORY VISITS, CARE CONFERENCES, AND SELF REPORTING ALLOW FOR CONTINUED MONITORING. IF AN ISSUE ARISES, THE SITUATION IS INVESTIGATED AND DISCIPLINARY PROCESSES ARE IMPLEMENTED ACCORDING TO THE POLICY, IF NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE EXECUTIVE COMMITTEE (MADE UP OF THE OFFICERS OF THE BOARD OF TRUSTEES) REVIEWS THE COMPENSATION DATA AND MAKES A RECOMMENDATION TO THE BOARD OF TRUSTEES FOR THE CEO COMPENSATION. THE BOARD OF TRUSTEES MUST THEN APPROVE AND DOCUMENT THE COMPENSATION AND NOTIFY HUMAN RESOURCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPETITIVE WAGE INFORMATION IS OBTAINED THROUGH A CONSULTANT, ONLINE DATA, THROUGH PARTICIPATION IN AN INDUSTRY SURVEY, AND OTHER SIMILAR ORGANIZATIONS' IRS FORM 990. THE CEO USES THE COMPENSATION DATA OBTAINED TO MAKE COMPENSATION DECISIONS FOR OTHER OFFICERS AND EMPLOYEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>HOSPICE OF SPOKANE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>