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        <TotalRevenueColumn>-524</TotalRevenueColumn>
        <ExclusionAmount>-524</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>21836</GrossIncomeFundraisingEvents>
      <CntrbtnsRprtdFundraisingEvents>34715</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>17370</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>4466</TotalRevenueColumn>
        <ExclusionAmount>4466</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>THRIFT SHOP</Description>
        <BusinessCode>453310</BusinessCode>
        <TotalRevenueColumn>117291</TotalRevenueColumn>
        <ExclusionAmount>117291</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>117291</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>18824224</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>17898578</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>161435</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>140873</Total>
        <ManagementAndGeneral>139656</ManagementAndGeneral>
        <Fundraising>1217</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>10955128</Total>
        <ProgramServices>8987227</ProgramServices>
        <ManagementAndGeneral>1837806</ManagementAndGeneral>
        <Fundraising>130095</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>248897</Total>
        <ProgramServices>204952</ProgramServices>
        <ManagementAndGeneral>39590</ManagementAndGeneral>
        <Fundraising>4355</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>971095</Total>
        <ProgramServices>786485</ProgramServices>
        <ManagementAndGeneral>172170</ManagementAndGeneral>
        <Fundraising>12440</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1090169</Total>
        <ProgramServices>885602</ProgramServices>
        <ManagementAndGeneral>194401</ManagementAndGeneral>
        <Fundraising>10166</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>1150</Total>
        <ManagementAndGeneral>1150</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>38525</Total>
        <ManagementAndGeneral>38525</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>1482830</Total>
        <ProgramServices>1045851</ProgramServices>
        <ManagementAndGeneral>429472</ManagementAndGeneral>
        <Fundraising>7507</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>68963</Total>
        <ManagementAndGeneral>59656</ManagementAndGeneral>
        <Fundraising>9307</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>28857</Total>
        <ManagementAndGeneral>28857</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>283642</Total>
        <ProgramServices>198186</ProgramServices>
        <ManagementAndGeneral>83005</ManagementAndGeneral>
        <Fundraising>2451</Fundraising>
      </Occupancy>
      <Travel>
        <Total>0</Total>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>69387</Total>
        <ProgramServices>8061</ProgramServices>
        <ManagementAndGeneral>60663</ManagementAndGeneral>
        <Fundraising>663</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>172943</Total>
        <ProgramServices>120839</ProgramServices>
        <ManagementAndGeneral>50610</ManagementAndGeneral>
        <Fundraising>1494</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>370656</Total>
        <ProgramServices>258985</ProgramServices>
        <ManagementAndGeneral>108469</ManagementAndGeneral>
        <Fundraising>3202</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>103439</Total>
        <ProgramServices>72275</ProgramServices>
        <ManagementAndGeneral>30270</ManagementAndGeneral>
        <Fundraising>894</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>TELEPHONE</Description>
        <Total>240989</Total>
        <ManagementAndGeneral>240989</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>262738</Total>
        <ProgramServices>68276</ProgramServices>
        <ManagementAndGeneral>191983</ManagementAndGeneral>
        <Fundraising>2479</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>AUTO</Description>
        <Total>567219</Total>
        <ProgramServices>566895</ProgramServices>
        <Fundraising>324</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SUPPLIES</Description>
        <Total>925972</Total>
        <ProgramServices>867652</ProgramServices>
        <ManagementAndGeneral>56784</ManagementAndGeneral>
        <Fundraising>1536</Fundraising>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>312650</Total>
        <ProgramServices>242416</ProgramServices>
        <ManagementAndGeneral>45089</ManagementAndGeneral>
        <Fundraising>25145</Fundraising>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>18336122</Total>
        <ProgramServices>14313702</ProgramServices>
        <ManagementAndGeneral>3809145</ManagementAndGeneral>
        <Fundraising>213275</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1396880</BOY>
        <EOY>2789154</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>20029</BOY>
        <EOY>20016</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <EOY>0</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>2762768</BOY>
        <EOY>2567138</EOY>
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      <ReceivablesFromOfficersEtc>
        <EOY>0</EOY>
      </ReceivablesFromOfficersEtc>
      <ReceivablesFromDisqualPersons>
        <EOY>0</EOY>
      </ReceivablesFromDisqualPersons>
      <OtherNotesLoansReceivableNet>
        <EOY>0</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>42775</BOY>
        <EOY>50304</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>213647</BOY>
        <EOY>99537</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>9411025</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>4110495</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>5568767</BOY>
        <EOY>5300530</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>1946894</BOY>
        <EOY>2186980</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <EOY>0</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <EOY>0</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <EOY>43579</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>2478292</BOY>
        <EOY>2527901</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>14430052</BOY>
        <EOY>15585139</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1653742</BOY>
        <EOY>1380153</EOY>
      </AccountsPayableAccruedExpenses>
      <DeferredRevenue>
        <BOY>286040</BOY>
        <EOY>309390</EOY>
      </DeferredRevenue>
      <MortNotesPyblSecuredInvestProp>
        <BOY>2159237</BOY>
        <EOY>3033229</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <EOY>1154</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>4099019</BOY>
        <EOY>4723926</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>8460742</BOY>
        <EOY>8824610</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>481871</BOY>
        <EOY>639327</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>1388420</BOY>
        <EOY>1397276</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>10331033</BOY>
        <EOY>10861213</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>14430052</BOY>
        <EOY>15585139</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>488102</ReconcilationRevenueExpenses>
      <ReconciliationUnrealizedInvest>42078</ReconciliationUnrealizedInvest>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementSeparate>X</FinancialStatementSeparate>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA" softwareId="12000229" softwareVersion="2012v2.0">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC" softwareId="12000229" softwareVersion="2012v2.0">
      <Form4720Filed4955Tax>false</Form4720Filed4955Tax>
      <CorrectionMade>false</CorrectionMade>
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
      <RalliesDemonstrations>true</RalliesDemonstrations>
      <RalliesDemonstrationsAmount>1500</RalliesDemonstrationsAmount>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>1500</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i</Identifier>
        <ReturnReference>Part II-B, Line 1i - Other Activities Description</ReturnReference>
        <Explanation>One of the organization's employees attended the National Hospice and Palliative Care Organization (NHPCO) conference in Washington DC and connected with legislators.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD" softwareId="12000229" softwareVersion="2012v2.0">
      <CurrentYear>
        <BeginningOfYearBalance>4073139</BeginningOfYearBalance>
        <Contributions>167793</Contributions>
        <InvestmentEarningsOrLosses>81756</InvestmentEarningsOrLosses>
        <OtherExpenditures>18447</OtherExpenditures>
        <EndOfYearBalance>4304241</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>3957097</BeginningOfYearBalance>
        <Contributions>157737</Contributions>
        <InvestmentEarningsOrLosses>273551</InvestmentEarningsOrLosses>
        <OtherExpenditures>315246</OtherExpenditures>
        <EndOfYearBalance>4073139</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>4058046</BeginningOfYearBalance>
        <Contributions>59037</Contributions>
        <InvestmentEarningsOrLosses>-49563</InvestmentEarningsOrLosses>
        <OtherExpenditures>110423</OtherExpenditures>
        <EndOfYearBalance>3957097</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>3635079</BeginningOfYearBalance>
        <Contributions>429310</Contributions>
        <InvestmentEarningsOrLosses>244365</InvestmentEarningsOrLosses>
        <OtherExpenditures>250708</OtherExpenditures>
        <EndOfYearBalance>4058046</EndOfYearBalance>
      </CurrentYearMinus3Years>
      <CurrentYearMinus4Years>
        <BeginningOfYearBalance>3455358</BeginningOfYearBalance>
        <Contributions>134604</Contributions>
        <InvestmentEarningsOrLosses>45686</InvestmentEarningsOrLosses>
        <OtherExpenditures>569</OtherExpenditures>
        <EndOfYearBalance>3635079</EndOfYearBalance>
      </CurrentYearMinus4Years>
      <BoardDesignatedEOYBalance>0.49940</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.15530</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.34530</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>1285144</OtherCostOrOtherBasis>
        <BookValue>1285144</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>6037179</OtherCostOrOtherBasis>
        <Depreciation>2941283</Depreciation>
        <BookValue>3095896</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>2088702</OtherCostOrOtherBasis>
        <Depreciation>1169212</Depreciation>
        <BookValue>919490</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>5300530</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>CIP</Description>
        <BookValue>2527901</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2527901</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Security Deposits</Description>
        <Amount>1154</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1154</TotalOfAmounts>
      <TotRevenueEtcAuditedFinclStmt>18867139</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>42078</NetUnrealizedGainsInvestments>
      <OtherRevenues>837</OtherRevenues>
      <RevenueNotRptdF990>42915</RevenueNotRptdF990>
      <RevenueSubtotal>18824224</RevenueSubtotal>
      <TotalRevenuePerForm990>18824224</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>18336959</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>837</OtherExpensesIncluded>
      <ExpensesNotRptdF990>837</ExpensesNotRptdF990>
      <ExpensesSubtotal>18336122</ExpensesSubtotal>
      <TotalExpensesPerForm990>18336122</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>Fundraiser expenses grouped with revenue $837</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Part XI, Line 2d</Identifier>
        <ReturnReference>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>Fundraiser expenses grouped with revenue $837</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG" softwareId="12000229" softwareVersion="2012v2.0">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <PhoneSolicitations>X</PhoneSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>false</AgreementRefFundraising>
      <LicensedStates>WA</LicensedStates>
      <EventsInformation>
        <NameOfEvent1>HOME AT LAST GALA</NameOfEvent1>
        <GrossReceiptsEvent1>56551</GrossReceiptsEvent1>
        <CharitableContributionsEvent1>34715</CharitableContributionsEvent1>
        <GrossRevenueEvent1>21836</GrossRevenueEvent1>
        <RentFacilityCostsEvent1>5300</RentFacilityCostsEvent1>
        <FoodAndBeverageEvent1>11803</FoodAndBeverageEvent1>
        <OtherDirectExpensesEvent1>267</OtherDirectExpensesEvent1>
        <GrossReceiptsTotal>56551</GrossReceiptsTotal>
        <CharitableContributionsTotal>34715</CharitableContributionsTotal>
        <GrossRevenueTotalEvents>21836</GrossRevenueTotalEvents>
        <RentFacilityCostsTotalEvents>5300</RentFacilityCostsTotalEvents>
        <FoodAndBeverageTotalEvents>11803</FoodAndBeverageTotalEvents>
        <OtherDirectExpensesTotalEvents>267</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>17370</DirectExpenseSummaryEvents>
        <NetIncomeSummary>4466</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="12000229" softwareVersion="2012v2.0">
      <CompensationCommittee>X</CompensationCommittee>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>SANDRA BROEREN</NamePerson>
        <Title>MEDICAL DIRECTOR</Title>
        <BaseCompensationFilingOrg>269067</BaseCompensationFilingOrg>
        <DeferredCompFilingOrg>7192</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>12074</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>288333</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="12000229" softwareVersion="2012v2.0">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S PLACE OF BUSINESS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>COMPENSATION IS BASED ON ANALYSIS PROVIDED BY ECONOMIC RESEARCH INSTITUTE OF SALARIES AND JOB DESCRIPTIONS WITHIN THE GEOGRAPHICAL AREA AND INDUSTRY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. MEMBERS ARE REQUIRED TO DISCLOSE ANY CONFLICTS IMMEDIATELY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11b: Form 990 Review Process</ReturnReference>
        <Explanation>THE FINANCE COMMITTEE REVIEWS THE FORM AT A FINANCE COMMITTEE MEETING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d: Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: PALLIATIVE CARE: TREATMENT OF THE DISCOMFORT, SYMPTOMS, AND STRESS OF SERIOUS ILLNESS.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>