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      <RelatedOrganizations>7035</RelatedOrganizations>
      <GovernmentGrants>742194</GovernmentGrants>
      <AllOtherContributions>47632</AllOtherContributions>
      <TotalContributions>796861</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT SERVICE REVENUE</Description>
        <BusinessCode>624100</BusinessCode>
        <TotalRevenueColumn>47524982</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>47524982</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>47524982</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>-10665</TotalRevenueColumn>
        <ExclusionAmount>-10665</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>13490</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>13490</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>13490</TotalRevenueColumn>
        <ExclusionAmount>13490</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>DIETARY REVENUE</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>219901</TotalRevenueColumn>
        <ExclusionAmount>219901</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>OTHER REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>14917</TotalRevenueColumn>
        <ExclusionAmount>14917</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>234818</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>48559486</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>47524982</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>237643</ExclusionAmount>
      </TotalRevenue>
      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <OtherSalariesAndWages>
        <Total>22025562</Total>
        <ProgramServices>18658118</ProgramServices>
        <ManagementAndGeneral>3355783</ManagementAndGeneral>
        <Fundraising>11661</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>3093</Total>
        <ProgramServices>2620</ProgramServices>
        <ManagementAndGeneral>471</ManagementAndGeneral>
        <Fundraising>2</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>3522364</Total>
        <ProgramServices>2983837</ProgramServices>
        <ManagementAndGeneral>536662</ManagementAndGeneral>
        <Fundraising>1865</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>2223294</Total>
        <ProgramServices>1853897</ProgramServices>
        <ManagementAndGeneral>368072</ManagementAndGeneral>
        <Fundraising>1325</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>941385</Total>
        <ManagementAndGeneral>941385</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>200042</Total>
        <ManagementAndGeneral>200042</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>25250</Total>
        <ManagementAndGeneral>25250</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>5953986</Total>
        <ProgramServices>4737058</ProgramServices>
        <ManagementAndGeneral>1215902</ManagementAndGeneral>
        <Fundraising>1026</Fundraising>
      </FeesForServicesOther>
      <OfficeExpenses>
        <Total>2992214</Total>
        <ProgramServices>1967806</ProgramServices>
        <ManagementAndGeneral>1023945</ManagementAndGeneral>
        <Fundraising>463</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>5465</Total>
        <ProgramServices>1360</ProgramServices>
        <ManagementAndGeneral>4105</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>382279</Total>
        <ProgramServices>335737</ProgramServices>
        <ManagementAndGeneral>45860</ManagementAndGeneral>
        <Fundraising>682</Fundraising>
      </Occupancy>
      <Travel>
        <Total>66173</Total>
        <ProgramServices>17895</ProgramServices>
        <ManagementAndGeneral>48278</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>97042</Total>
        <ProgramServices>74978</ProgramServices>
        <ManagementAndGeneral>22064</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>335046</Total>
        <ProgramServices>295174</ProgramServices>
        <ManagementAndGeneral>39361</ManagementAndGeneral>
        <Fundraising>511</Fundraising>
      </Interest>
      <DepreciationDepletion>
        <Total>1637663</Total>
        <ProgramServices>1498257</ProgramServices>
        <ManagementAndGeneral>137450</ManagementAndGeneral>
        <Fundraising>1956</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>745537</Total>
        <ProgramServices>602348</ProgramServices>
        <ManagementAndGeneral>143189</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MEDICAL SUPPLIES &amp; DRUGS</Description>
        <Total>3085988</Total>
        <ProgramServices>3085988</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIR &amp; MAINTENANCE</Description>
        <Total>680128</Total>
        <ProgramServices>563637</ProgramServices>
        <ManagementAndGeneral>116491</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER EXPENSES</Description>
        <Total>384003</Total>
        <ProgramServices>119064</ProgramServices>
        <ManagementAndGeneral>262325</ManagementAndGeneral>
        <Fundraising>2614</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>INDIRECT ALLOCATION</Description>
        <ProgramServices>1361612</ProgramServices>
        <ManagementAndGeneral>-1364377</ManagementAndGeneral>
        <Fundraising>2765</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>45306514</Total>
        <ProgramServices>38159386</ProgramServices>
        <ManagementAndGeneral>7122258</ManagementAndGeneral>
        <Fundraising>24870</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>3716825</BOY>
        <EOY>11099011</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>1771861</BOY>
        <EOY>1837256</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>5482480</BOY>
        <EOY>5234904</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>641915</BOY>
        <EOY>654394</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>495012</BOY>
        <EOY>348864</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>30400320</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>19971162</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11444924</BOY>
        <EOY>10429158</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>964250</BOY>
        <EOY>354530</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>24517267</BOY>
        <EOY>29958117</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4830305</BOY>
        <EOY>4282360</EOY>
      </AccountsPayableAccruedExpenses>
      <UnsecuredNotesLoansPayable>
        <BOY>5382464</BOY>
        <EOY>5265023</EOY>
      </UnsecuredNotesLoansPayable>
      <OtherLiabilities>
        <BOY>1029827</BOY>
        <EOY>3883091</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>11242596</BOY>
        <EOY>13430474</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>13274671</BOY>
        <EOY>16527643</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>13274671</BOY>
        <EOY>16527643</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>24517267</BOY>
        <EOY>29958117</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>3252972</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <FSAuditedBasis>
        <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      </FSAuditedBasis>
      <AuditCommittee>true</AuditCommittee>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc4">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1">
      <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>
    <IRS990ScheduleD documentId="RetDoc5">
      <Land>
        <InvestmentCostOrOtherBasis>447947</InvestmentCostOrOtherBasis>
        <OtherCostOrOtherBasis>409146</OtherCostOrOtherBasis>
        <BookValue>857093</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>16628746</OtherCostOrOtherBasis>
        <Depreciation>9835756</Depreciation>
        <BookValue>6792990</BookValue>
      </Buildings>
      <Equipment>
        <OtherCostOrOtherBasis>11626898</OtherCostOrOtherBasis>
        <Depreciation>9257861</Depreciation>
        <BookValue>2369037</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>1287583</OtherCostOrOtherBasis>
        <Depreciation>877545</Depreciation>
        <BookValue>410038</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>10429158</TotalOfBookValueLandBuildings>
      <OtherLiabilities>
        <Description>ESTIMATED MEDICARE SETTLEMENT</Description>
        <Amount>1759000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ESTIMATED MEDICAID SETTLEMENTS</Description>
        <Amount>1568000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>CAPITAL LEASE OBLIGATIONS</Description>
        <Amount>556091</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>3883091</TotalOfAmounts>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>LIABILITY UNDER FIN 48 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PAGE 3, PART X</ReturnReference>
        <Explanation>THE ASSOCIATION IS EXEMPT FROM FEDERAL INCOME TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ASSOCIATION 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, 2012 AND 2011, THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc7">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>1.25000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>1265497</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1265497</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02790</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>15788512</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15788512</DirectOffsettingRevenue>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>17054009</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15788512</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1265497</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02790</PercentOfTotalExpense>
      </TotalCharityCare>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>17054009</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>15788512</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1265497</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02790</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <PersonsServed>1103</PersonsServed>
        <TotalCommunityBuildingExpense>2385</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2385</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>2060</PersonsServed>
        <TotalCommunityBuildingExpense>161746</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>161746</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00360</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <NumberOfActivitiesOrPrograms>7</NumberOfActivitiesOrPrograms>
        <PersonsServed>3163</PersonsServed>
        <TotalCommunityBuildingExpense>164131</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>164131</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00360</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2729115</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>10521618</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>10568457</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-46839</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>SUNNYSIDE COMMUNITY HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>PO BOX 719</AddressLine1>
          <City>SUNNYSIDE</City>
          <State>WA</State>
          <ZIPCode>98944</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>SUNNYSIDE COMMUNITY HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <EligibilityCriteriaExplained>true</EligibilityCriteriaExplained>
        <UsesFPGFree>true</UsesFPGFree>
        <FPGFreePercent>125.0</FPGFreePercent>
        <UsesFPGDiscounted>true</UsesFPGDiscounted>
        <FPGDiscountPercent>125.0</FPGDiscountPercent>
        <ExplainsBasis>true</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <MedicaidMedicare>X</MedicaidMedicare>
        <StateRegulation>X</StateRegulation>
        <ExplainsApplicationMethod>true</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>true</IncludesPublicityMeasures>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>true</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifyBeforeDischarge>X</NotifyBeforeDischarge>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>true</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>6</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BIRCH STREET MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>222 E SECOND STREET</AddressLine1>
            <City>GRANDVIEW</City>
            <State>WA</State>
            <ZIPCode>98930</ZIPCode>
          </Address>
          <FacilityType>RHC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>GRANDVIEW MEDICAL CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>208 N EUCLID</AddressLine1>
            <City>GRANDVIEW</City>
            <State>WA</State>
            <ZIPCode>98944</ZIPCode>
          </Address>
          <FacilityType>RHC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LINCOLN AVENUE FAMILY MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>803 E LINCOLN</AddressLine1>
            <City>SUNNYSIDE</City>
            <State>WA</State>
            <ZIPCode>98944</ZIPCode>
          </Address>
          <FacilityType>RHC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>VALLEY INTERNAL MEDICINE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1000 E EDISON</AddressLine1>
            <City>SUNNYSIDE</City>
            <State>WA</State>
            <ZIPCode>98944</ZIPCode>
          </Address>
          <FacilityType>RHC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SUNNYSIDE PEDIATRICS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>812 MILLER AVENUE SUITE C</AddressLine1>
            <City>SUNNYSIDE</City>
            <State>WA</State>
            <ZIPCode>98944</ZIPCode>
          </Address>
          <FacilityType>RHC CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>SUNNYSIDE EAR NOSE &amp; THROAT</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2925 ALLEN ROAD</AddressLine1>
            <City>SUNNYSIDE</City>
            <State>WA</State>
            <ZIPCode>98944</ZIPCode>
          </Address>
          <FacilityType>SPECIALTY CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>COSTING METHODOLOGY EXPLANATION</Identifier>
        <ReturnReference>PART I LINE 7</ReturnReference>
        <Explanation>THE HOSPITAL APPLIES THE RATIO OF PATIENT CARE COSTTOCHARGES FOR AMOUNTS REPORTED IN THE TABLE TOTAL OPERATING EXPENSES LESS NONPATIENT CARE ACTIVITIES TOTAL COMMUNITY BENEFIT AND TOTAL COMMUNITY BUILDING EXPENSES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY BUILDING ACTIVITIES</Identifier>
        <ReturnReference>PART II</ReturnReference>
        <Explanation>THE COMMUNITY BUILDING ACTIVITIES DETAILED IN PART II PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL IN THAT THE PHARMACEUTICALS AND TRANSPORTATION FOR PATIENTS IN NEED PROGRAM ASSISTS DISCHARGED PATIENTS THAT ARE NOT ABLE TO PURCHASE MEDICATION PRESCRIBED TO THEM AND TO PROVIDE TRANSPORTATION TO PATIENTS THAT MAY NOT HAVE A WAY OF GETTING HOME AFTER BEING DISCHARGED THIS PROGRAM WORKS TO PREVENT PATIENTS FROM HAVING RELAPSES AND RETURNING TO THE HOSPITAL NOT FOLLOWING DISCHARGE INSTRUCTIONS BECAUSE OF THE INABILITY TO PURCHASE THE NECESSARY MEDICATION TO CONTINUE THEIR RECOVERY AT HOME PRESENTATIONS ARE MADE AT LOCAL SCHOOLS TO EDUCATE THOSE ABOUT THE CARDIOPULMONARY PROFESSION AND THE CONSEQUENCES OF BAD CHOICES SUCH AS DRUG AND ALCOHOL USE DIABETES EDUCATION IS ESSENTIAL AS THE LOWER VALLEY HAS A HIGH OCCURRENCE OF THIS CONDITION A SERIES OF SCHOOL PRESENTATIONS WERE ORGANIZED DURING THE NATIONAL DIABETES AWARENESS MONTH IN MARCH IN ORDER TO RAISE AWARENESS OF YOUNG PEOPLE ON THIS SUBJECT THE DIABETES EDUCATOR AND A REGISTERED DIETICIAN PROVIDE ONEONONE CONSULTATIONS FOR PATIENTS REFERRED BY THEIR DOCTOR IN ORDER TO EDUCATE THEM ON THE IMPORTANCE OF A BALANCED AND NUTRITIOUS DIET ALSO A FREE COMMUNITY DIABETES SCREENING CAMPAIGN WAS STARTED DUE TO THE HIGH NUMBER OF PEOPLE IN THE COMMUNITY THAT ARE UNDIAGNOSED OR PREDIABETIC RAISING AWARENESS AND ENCOURAGING THEM TO SEEK MEDICAL ATTENTION TO CONTROL THIS DISEASE THERE ARE TWO SMALL FARMING COMMUNITIES THAT HAVE VERY LITTLE MEDICAL RESOURCES THE CLINIC IN THE COMMUNITY IS ABLE TO TAKE THE XRAYS BUT DOES NOT HAVE THE MEANS TO HIRE A RADIOLOGIST TO READ THE TESTS THEREFORE THE HOSPITAL RECEIVES THE XRAYS AND OUR RADIOLOGIST READS THE TEST AT NO CHARGE TO THE PATIENT THIS SERVICE IS PROVIDED TO LOW INCOME FARM WORKERS OR TO PATIENTS FROM THESE COMMUNITIES THAT DO NOT HAVE THE MEANS FINANCIALLY OR THE TRANSPORTATION TO GO TO A FACILITY THAT PROVIDES THESE SERVICES THE HOSPITAL PUT ON A HEALTH FAIR TO PROMOTE BLOOD PRESSURE AND BLOOD SUGAR MAINTENANCE WE PROVIDED BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS ALONG WITH HANDOUTS RECOMMENDATIONS AND RISKS ASSOCIATED IF NOT PROPERLY MAINTAINING EITHER OF THOSE PHYSICIANS PRESENTED HEALTH TOPICS THAT WERE DETERMINED TO BE HELPFUL AND INFORMATIVE FOR THE COMMUNITY THERE WERE THREE PRESENTATIONS COMPLETED IN 2012 INCLUDING PREPARING FOR MENOPAUSE LEARN THE BASICS ON WHO WHAT WHEN AND WHERE TO HAVE CANCER SCREENINGS AND IMPORTANT FIRST AID YOU SHOULD KNOW</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>BAD DEBT EXPENSE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 4</ReturnReference>
        <Explanation>FOR PART III LINE 2 THE HOSPITAL USED THE COST TO CHARGE RATIO OF PATIENT CARE TO DETERMINE THE COST OF BAD DEBT EXPENSE FOR PART III LINE 3 THE HOSPITAL DID NOT TRACK THE AMOUNT OF BAD DEBT EXPENSE THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS CHARITY CARE POLICY BUT FOR WHOM SUFFICIENT INFORMATION WAS NOT OBTAINED TO MAKE DETERMINATION OF THEIR ELIGIBILITY DURING THE YEAR THE HOSPITAL ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS IN DETERMINING BAD DEBTS AS FOLLOWS PAYMENT ARRANGEMENTS INCLUDE PROSPECTIVELY DETERMINED RATES PER DISCHARGE REIMBURSED COSTS DISCOUNTED CHARGES AND PER DIEM PAYMENTS NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS THIRD PARTY PAYORS AND OTHERS FOR SERVICES RENDERED INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD PARTY PAYORS FOR PART III LINE 4 THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 2 ON PAGE 12 OF THE AUDITED FINANCIAL STATEMENTS THE PROVISION FOR BAD DEBTS IS INCLUDED IN THE FIRST PARAGRAPH OF FOOTNOTE 8 ON PAGE 16 OF THE AUDITED FINANCIAL STATEMENTS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>MEDICARE EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 8</ReturnReference>
        <Explanation>ANY MEDICARE ALLOWABLE COSTS OF PATIENT CARE SHORTFALLS ARE NOT COUNTED AS COMMUNITY BENEFIT THESE ALLOWABLE COSTS ARE OBTAINED FROM THE MEDICARE COST REPORT FOR THE YEAR</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COLLECTION PRACTICES EXPLANATION</Identifier>
        <ReturnReference>PART III LINE 9B</ReturnReference>
        <Explanation>ADMITTING AND TWO SELF PAY COUNSELORS VISIT WITH PATIENTS BEFORE THEY ARE DISCHARGED TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY CARE BASED ON THE THEIR FINANCIAL POSITION AND THE FEDERAL POVERTY GUIDELINES THE APPLICATIONS ARE REVIEWED AND EVALUATED FOR CHARITY CARE STATUS AND WRITTEN OFF WHEN APPROPRIATE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE HOSPITAL BOARD THROUGH ASSOCIATION WITH HEALTHTECH ANNUALLY REVIEWS COMMUNITY DEMOGRAPHICS PATIENT ORIGINS CURRENT SERVICES AND FUTURE NEEDS FROM THIS REVIEW THE BOARD ASSESSES THE COMMUNITY NEEDS</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE PUBLIC WILL BE NOTIFIED BY THE POSTING OF SIGNS IN ENGLISH AND IN SPANISH IN ALL REGISTRATION AND WAITING AREAS AND THE BUSINESS OFFICE THE SIGN STATES SUNNYSIDE COMMUNITY HOSPITAL PROVIDES CHARITY CARE TO PERSONS MEETING MEDICAL INDIGENT CRITERIA CHARGES MAY BE WAIVED OR REDUCED IF ELIGIBILITY FOR CHARITY CARE IS DETERMINED</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>SUNNYSIDE GRANDVIEW AND THE REST OF THE LOWER YAKIMA VALLEY IS A CULTURALLY DIVERSE REGION OF NEARLY 40000 PEOPLE LIVING BETWEEN THE CITY OF YAKIMA ON THE WEST AND TRICITIES WASHINGTON ON THE EAST</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE</Identifier>
        <ReturnReference>PART VI</ReturnReference>
        <Explanation>THE HOSPITALS CHARITY CARE PROGRAM PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE FINANCIAL RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE THE CHARITY CARE PROGRAM IS DESIGNED TO ENSURE THAT THE YAKIMA VALLEY IN ITS ENTIRETY HAS ACCESS TO NECESSARY HEALTHCARE SERVICES THE HOSPITAL ACCEPTS ALL PATIENTS IN NEED OF MEDICAL ASSISTANCE REGARDLESS OF ABILITY TO PAY IN ADDITION TO THE CHARITY CARE PROGRAM THE HOSPITAL PROVIDES OR PARTICIPATES IN SEVERAL OTHER PROGRAMS WHICH CONTRIBUTE TO ITS CHARITABLE MISSION THE HOSPITAL PROVIDES COMMUNITY OUTREACH PROGRAMS INCLUDING ASSISTANCE WITH THE PURCHASE OF PRESCRIBED MEDICATIONS TRANSPORTATION HOME FOR PATIENTS DISCHARGED FROM THE HOSPITAL CARDIOPULMONARY EDUCATION WITH AN EMPHASIS ON THE RISK FROM DRUGS AND ALCOHOL CHILD BIRTH CLASSES CAR SEAT SAFETY CHECKS AND A FIRST AIDE BOOTH AT AN ANNUAL COMMUNITY EVENT</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SUNNYSIDE COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 19D</Identifier>
        <ReturnReference>PART V LINE 19D</ReturnReference>
        <Explanation>NONINSURED PATIENTS ARE BILLED AT A DISCOUNTED CHARGE FOR ALL SERVICES RECEIVED IF THE PATIENT THEN QUALIFIES FOR FINANCIAL ASSISTANCE THE BILL IS THEN ADJUSTED AS DETERMINED BY OUR CHARITY CARE POLICY GUIDELINES</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>SUNNYSIDE COMMUNITY HOSPITAL LINE NUMBER 1 PART V LINE 21</Identifier>
        <ReturnReference>PART V LINE 21</ReturnReference>
        <Explanation>NONINSURED PATIENTS ARE BILLED AT A DISCOUNTED CHARGE FOR ALL SERVICES RECEIVED IF THE PATIENT THEN QUALIFIES FOR FINANCIAL ASSISTANCE THE BILL IS THEN ADJUSTED AS DETERMINED BY OUR CHARITY CARE POLICY GUIDELINES</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc8">
      <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>
      <Form990ScheduleJPartII>
        <NamePerson>STEVEN ELERDING</NamePerson>
        <Title>CLINIC PHYSICIAN</Title>
        <BaseCompensationFilingOrg>611212</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>27422</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>638634</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WILLIAM COMBS</NamePerson>
        <Title>CLINIC PHYSICIAN</Title>
        <BaseCompensationFilingOrg>510254</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>18349</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>528603</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>COKE SMITH</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>378871</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>27422</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>406293</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT COLEMAN</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>364058</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>21174</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>385232</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARIE STANFORD</NamePerson>
        <Title>PHYSICIAN</Title>
        <BaseCompensationFilingOrg>345663</BaseCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>21149</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>366812</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>OTHER ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>SCHEDULE J, PART III</ReturnReference>
        <Explanation>THE CEO, CFO AND COO WERE HIRED AND PAID THROUGH HEALTHTECH MANAGEMENT SERVICES. THE SALARIES ARE ESTABLISHED AT THE TIME OF HIRE, AND PERIODICALLY THEREAFTER. IN ADDITION TO BASE SALARY, THE CEO, CFO AND COO MAY BE ELGIBLE FOR INCENTIVE COMPENSATION BASED ON PERFORMANCE PARAMETERS OUTLINED IN THE HOSPITAL'S CONTRACT WITH HEALTHTECH MANAGEMENT SERVICES AND APPROVED BY THE HOSPITAL BOARD. THE MOST RECENT YEAR IN WHICH THIS PROCESS OCCURRED WAS 2012.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc9">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990 - ORGANIZATION'S MISSION</ReturnReference>
        <Explanation>TO PROVIDE QUALITY COMPREHENSIVE HEALTHCARE SERVICES TO THE RESIDENTS OF SUNNYSIDE, GRANDVIEW, AND THE REST OF THE LOWER YAKIMA VALLEY OF WASHINGTON. THE FACILITY OFFERS SERVICES TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FIRST ACCOMPLISHMENT DESCRIPTION</Identifier>
        <ReturnReference>FORM 990, PAGE 2, PART III, LINE 4A</ReturnReference>
        <Explanation>3,371,810 FOR BAD DEBTS, 15,944,973 FOR MEDICARE, 19,090,165 FOR MEDICAID, AND 11,372,622 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MANAGEMENT DELEGATED</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 3</ReturnReference>
        <Explanation>THE HOSPITAL CONTRACTS WITH HEALTHTECH MANAGEMENT SOLUTIONS (HTMS) FOR MANAGEMENT SERVICES AND UTILIZES AN EMPLOYEE OF HTMS AS ITS CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. HTMS PROVIDES EDUCATION TO BOARD MEMBERS, HOSPITAL MANAGERS AND OTHER EMPLOYEES. THEY OFFER FINANCIAL PERFORMANCE EVALUATION, AND EDUCATIONAL AND NETWORKING OPPORTUNITIES FOR NURSING AND OTHER PROFESSIONAL STAFF. THEY ALSO OFFER PLANNING AND GROUP PURCHASING OFFERING (GPO).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S PROCESS USED TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 11B</ReturnReference>
        <Explanation>A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER PRIOR TO APPROVAL OF THE 990. A DRAFT IS ALSO DISTRIBUTED TO THE BOARD OF DIRECTORS FOR REVIEW. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CEO AUTHORIZES THE PREPARER TO FINALIZE THE RETURN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR TOP OFFICIAL</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15A</ReturnReference>
        <Explanation>THE CEO AND CFO ARE BOTH HIRED AND PAID THROUGH HEALTHTECH MANAGEMENT SOLUTIONS. THE SALARIES ARE ESTABLISHED AT THE TIME OF HIRE, AND PERIODICALLY THEREAFTER, TAKING THE FOLLOWING FACTORS INTO ACCOUNT: A) QUALIFICATIONS OF THE CANDIDATE, INCLUDING NUMBER OF YEARS OF DIRECTLY- RELATED EXPERIENCE B) PREVAILING CEO AND CFO COMPENSATION RATES, AS EVIDENCED BY SALARY SURVEY DATA FOR HOSPITALS OF SIMILAR SIZE AND WITHIN THE RELEVANT GEOGRAPHIC AREA; AND C) THE HOSPITAL'S ABILITY AND WILLINGNESS TO PAY, AS AGREED BY THE HOSPITAL BOARD OR A SUBCOMMITTEE THEREOF.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>COMPENSATION PROCESS FOR OFFICERS</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 15B</ReturnReference>
        <Explanation>A SALARY SURVEY IS REVIEWED FOR KEY EMPLOYEES BY THE CEO AND HR DIRECTOR. THE CEO MAKES RECOMMENDATIONS TO THE BOARD WHO THEN MAKE THE FINAL DECISION ON EMPLOYMENT CONTRACTS WITH PHYSICIANS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GOVERNING DOCUMENTS DISCLOSURE EXPLANATION</Identifier>
        <ReturnReference>FORM 990, PAGE 6, PART VI, LINE 19</ReturnReference>
        <Explanation>THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SUMMARY FINANCIAL STATEMENTS ARE ALSO POSTED INTERNALLY ON THE HOSPITAL INTRANET.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>ADDITIONAL INFORMATION</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>SUNNYSIDE COMMUNITY HOSPITAL AND SUNNYSIDE COMMUNITY HOSPITAL FOUNDATION SHARE TOP MANAGEMENT OFFICIALS. THE CEO AND CFO EACH DEVOTE APPROXIMATELY 40 HOURS PER WEEK TO THE HOSPITAL AND 1 HOUR PER WEEK TO THE FOUNDATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER FEES FOR SERVICES</Identifier>
        <ReturnReference>FORM 990, PART IX, LINE 11G</ReturnReference>
        <Explanation>4,737,058 1,215,902 1,026</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc10">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SUNNYSIDE COMMUNITY HOSPITAL FDN</BusinessNameLine1>
          <BusinessNameLine2>FOUNDATION</BusinessNameLine2>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 719</AddressLine1>
          <City>SUNNYSIDE</City>
          <State>WA</State>
          <ZIPCode>98944</ZIPCode>
        </AddressUS>
        <EIN>912000867</EIN>
        <PrimaryActivities>SUPPORT</PrimaryActivities>
        <LegalDomicileState>WA</LegalDomicileState>
        <ExemptCodeSection>501C3</ExemptCodeSection>
        <PublicCharityStatus>11A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>SUNNYSIDE</BusinessNameLine1>
          <BusinessNameLine2>COMMUNITY HOSPITAL</BusinessNameLine2>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SUNNYSIDE MEDICAL CENTER</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 719</AddressLine1>
          <City>SUNNYSIDE</City>
          <State>WA</State>
          <ZIPCode>98944</ZIPCode>
        </AddressUS>
        <EIN>911359169</EIN>
        <PrimaryActivity>RE RENTAL</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>17862</ShareOfTotalIncome>
        <ShareOfEOYAssets>213840</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SUNNYSIDE PROFESSIONAL SERVICES INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO BOX 719</AddressLine1>
          <City>SUNNYSIDE</City>
          <State>WA</State>
          <ZIPCode>98944</ZIPCode>
        </AddressUS>
        <EIN>911340615</EIN>
        <PrimaryActivity>MOB MGMT</PrimaryActivity>
        <LegalDomicileState>WA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>17862</ShareOfTotalIncome>
        <ShareOfEOYAssets>213840</ShareOfEOYAssets>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>false</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>